A stethoscope is a medical device for listening to sounds inside the body. The initial stethoscope was invented in the early 19th century by French physician Ren� Laennec, but was actually trying to achieve a rather different end: doctor-patient distance....
Thursday, August 21, 2014
HOW AGE AFFECTS DRUG ACTION
As the body ages, body structures and systems change, affecting how
the body responds to medications. Some common changes that significantly affect
medication administration follow.
Body composition
As a person grows older, his total body mass and lean body mass
tend to decrease while body fat tends to increase. These factors affect the
relationship between a drug's concentration and solubility in the
body.
Digestive...
Boosting therapeutic compliance : Drug Therapy for Geriatric Care
To circumvent noncompliance caused by visual
impairment, provide dosage instructions in large print if
necessary.
To alter eating habits that lead to
noncompliance, emphasize which drugs the patient must take with food and
which he must take on an empty stomach. Explain that taking some drugs on an
empty stomach may cause nausea, whereas taking some drugs on a full stomach may
interfere with absorption. Also find...
Monday, August 18, 2014
Preventing Reactions That Impede Compliance
Discuss the patient's drug therapy with him. As he receives drugs,
name them, explain their intended effect, and describe possible adverse
reactions to watch for and report.
Tell the patient that you'll ask questions to
help identify (or reduce the risk of) harmful food or drug interactions (such as
those caused by alcohol and caffeine) that may interfere with
compliance.
Ask the patient about all drugs—prescription,...
Geriatric Care : Assessing Compliance Ability
Review the patient's complaint, and obtain a comprehensive health
and drug history.
Keeping in mind that discharge planning begins at admission,
evaluate the patient's physical ability to take drugs. Can he read drug labels
and directions? Does he identify drugs by sight or by touch? Can he open drug
bottles easily?
If he's disabled by Parkinson's disease or
arthritis, for example, or if he lacks manual dexterity...
Sunday, August 17, 2014
Drug Therapy for Elderly Patients
Four out of five people over age 65 have one or more chronic
disorders. This helps explain why elderly people consume more medications than
any other age-group. Although elderly adults represent only 12% of the
population, they take 30% to 40% of the prescription drugs dispensed. That's
about 400 million prescriptions per year, or twice the number of prescriptions
filled for people under age 65.
Drug therapy for elderly...
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