Over-the-Counter Medication Use in Older Adults: An Area of Concern
Başlık:
Over-the-Counter Medication Use in Older Adults: An Area of Concern
Yazar:
Van Natta, Joyce M., author.
ISBN:
9780438008038
Yazar Ek Girişi:
Fiziksel Tanımlama:
1 electronic resource (120 pages)
Genel Not:
Source: Dissertation Abstracts International, Volume: 79-10(E), Section: B.
Advisors: Janet Selway Committee members: Carolan Doerflinger; Edward Yackel.
Özet:
The primary objective of this quality improvement project was to identify potentially risky or inappropriate over-the-counter (OTC) medications taken by a sample of older adults attending a military primary care clinic. An important consequence of the aging U.S. population is that people are living longer with more co-morbidities and taking increased number of medications, setting the stage for increased adverse drug events. A self-report OTC Use Survey was administered by clinic nurses to 111 older adults age 55 years and older when they presented for a routine medical appointment as paii of the medication reconciliation procedure. Frequencies and percentages of reported OTC medication use was computed. A qualitative approach was used to determine OTC self-medication practices in the prior 30 days, perception of safety of the OTC medications, and source of information regarding OTC medications. The sample was primarily white (73%), female (57.6%), and educated beyond high school (78.3%). Age ranged from 55 to 86 years, with mean age = 65 years. Over half of the sample was age 60-69 years. Respondents reported taking many potentially risky or inappropriate OTC medications. The most commonly reported OTC drug was an acetaminophen product (Tylenol, 35%; Extra strength Tylenol, 19.8%; Tylenol PM, 8.1 %; Excedrin 7.2%). Response rates were higher if selecting a drug from a list. Response rates were poor for yes/no type questions. Most survey respondents (53.2%) felt that OTC drugs were safe, but would talk to a health care provider first. Physician/Doctors (70%) were the most common source of OTC drug information, and the most common recommenders (57%) of OTC drugs. Thirty-two percent of respondents felt OTC drugs were very safe and 30% indicated they would choose OTC drugs on their own. Patient education about potential OTC drug harm, especially acetaminophen, is of top priority. Medication reconciliation should include offering names of common OTC medications as a selection in a menu of options rather than as a yes/no type question. While medication reconciliation may alert healthcare clinicians to potential reactions, poorly designed processes and procedures, non-disclosure of self-administration of OTC medications and bypassed system alerts place patients at higher risk.
Notlar:
School code: 0043
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Yer Numarası | Demirbaş Numarası | Shelf Location | Lokasyon / Statüsü / İade Tarihi |
---|---|---|---|
XX(680189.1) | 680189-1001 | Proquest E-Tez Koleksiyonu | Arıyor... |
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