Polypharmacy refers to the simultaneous treatment of an illness‚ with two or more medications‚ that share a similar mechanism of action and therapeutic effect. A common reason doctors use this technique is to gain a greater or a more rapid therapeutic effect than achieved with monotherapy. Also‚ the multiple medications prescribed help to treat the wide range of symptoms associated with the mental illness. Polypharmacy in treatment- resistant patients is considered “common practice” in some mental
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“Compliance” implies the degree to which a patient takes a medication as it has been prescribed. [1] The term compliance has largely been replaced by “adherence” for practical purposes; however the latter denotes negative connotations. [2] The term “medication adherence” is defined by NICE as the extent to which the patient’s action matches the agreed recommendations of the prescriber. [3] “Adherence” seems to imply a patient’s choice to follow prescribed therapy‚ while “compliance” implies certain passivity
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has developed disturbing obsessive/compulsive behaviour constantly complaining that her lace curtains were dirty and required frequent washing. Detailed questioning revealed that she thought they were yellow-green and possibly mouldy. Her prescribed medications are: * Frusemide 40 mg daily in the morning * Digoxin 250 micrograms daily * Paracetamol 500 mg‚ 1-2 tablets 4-hourly PRN * Piroxicam 20 mg at night * Mylanta suspension‚ 20 ml PRN * Coloxyl 120 mg‚ 1-2 tablets at night Critically discuss
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for the Elderly Amy Cobb‚ RN. Western Governors University Abstract Providing appropriate discharge planning for an elderly patient can often require a collaborative approach. Elderly patients often require help with newly prescribed medications‚ meal planning and transportation. This paper will describe several issues that healthcare providers must address when discharging an elderly patient who recently had surgery. Caring for the Elderly Elderly patients
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Medications has an important role to manage and treat chronic diseases‚ alleviate and pain and improve quality of life especially to the geriatric health care. Due to their multiple pathologies‚ elderly patients are prescribed with multiple medications that they concomitant use. Increasing number of elderly patients have multiple morbidities. Because of this reason‚ they are treated with a vast array of medications. Polypharmacy‚ a common and important problem related to drug use‚ occurs in the
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Research and Manufacturers of America Healthcare &‚ 1-76. HEALTH CARE MANAGEMENT Conference Paper Abstracts. (2010). Academy of Management Annual Meeting Proceedings‚ 1-38. doi:10.5465/AMBPP.2010.54503723 medicinenet. (2011‚ april 27). Definition of noncompliance. Retrieved from http://www.medterms.com/script/main/art.asp?articlekey=10159 Mitnick‚ S.‚ Leffler‚ C.‚ & Hood‚ V. (2010). Family caregivers‚ patients and physicians: ethical guidance to optimize relationships. Journal Of General Internal Medicine
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Percutaneous Nephrostomy Percutaneous nephrostomy‚ or nephropyelostomy‚ is an interventional procedure that is used mainly in the decompression of the renal collecting system. percutaneous nephrostomy catheter placement has been the primary option for the temporary drainage of an obstructed collecting system. With proper training‚ technical success is achieved in more than 95% of cases. Diagnostic imaging often demonstrates the level and cause of obstruction; however‚ at the time of tube placement
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very serious complication of diabetes mellitus‚ a metabolic disorder that is characterized by hyperglycemia‚ metabolic acidosis‚ and increased body ketone concentrations. The most common causes of DKA are infection and poor compliance with medication regimens. Other causes include undiagnosed diabetes‚ alcohol abuse‚ and a multitude of medical conditions such as cerebrovascular accident (CVA)‚ complicated pregnancy‚ myocardial infarction‚ pancreatitis‚ and stress. Diabetic ketoacidosis is a
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many chronic diseases; diabetes‚ hypertension‚ heart disease‚ liver problem‚ AIDS‚ etc… 4. Patients with renal impairment or haemodialysis 5. Patients in special situations; pregnancy‚ lactation‚ 6. Certain diseases and their medications: cancer‚ diabetes‚ heart failure. 7. Polypharmacy (taken many drugs > 5 drugs) 8. Drug; certain drug classes are commonly involved e.g. Warfarin‚ insulin‚ digoxin‚ TCAs‚ etc… Classification of drug-related problems 1. Inappropriate
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are pustules or papules.[1] Pimples can be treated by various acne medications prescribed by a physician‚ or purchased at a drug store with a wide variety of treatments.Common over-the-counter medications for pimples are benzoyl peroxide and/or salicylic acid and antibacterial agents such as triclosan. Both medications can be found in many creams and gels used to treat acne (acne vulgaris) through topical application. Both medications help skin slough off more easily‚ which helps to remove bacteria
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