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Medication Management in Older Adults: A Concise Guide for Clinicians-[1]-[2010]-[djvu]-[Susan Koch, F. Michael Gloth, Rhonda Nay]

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    书籍信息:
    标题: Medication Management in Older Adults: A Concise Guide for Clinicians
    语言: English
    格式: djvu
    大小: 0.9M
    页数: 143
    年份: 2010
    作者: Susan Koch, F. Michael Gloth, Rhonda Nay
    版次: 1
    出版社: Springer

    简介

    This book will present available evidence on research interventions and strategies to reduce the incidence of medication errors. This will include discussion regarding common errors and present the best available evidence related to the identification and management of medication incidents (errors) associated with the prescribing, dispensing and administration of medicines in the older person in the acute, subacute, and residential care settings.



    目录
    Medication Management in Older Adults: A Concise Guide for Clinicians......Page 1
    Medication Management in Older Adults......Page 2
    Title page......Page 4
    Copyright......Page 5
    Preface......Page 6
    Contents......Page 8
    Contributors......Page 10
    Is There a Problem?......Page 12
    Medication Errors in the Community......Page 13
    Medication Errors in Residential Care......Page 16
    Medication Errors and Hospital Care......Page 17
    Conclusion......Page 19
    References......Page 20
    Setting the Scene for QUM Policy Development......Page 22
    QUM Policy Development......Page 24
    Developing Solutions: The QUM Approach......Page 27
    Developing Integration: National Medicines Policy......Page 29
    Evidence-Based Information: The NPS......Page 30
    An Informed Consumer: Consumer Medicines Information (CMI)......Page 31
    An Informed Health Professional......Page 33
    Development of Medication Management Guidelines......Page 34
    Conclusion......Page 35
    References......Page 36
    Medications and Older People......Page 39
    Medical Ethics......Page 40
    Beneficence: What Is the Evidence for Efficacy of Medications in Older People?......Page 41
    Nonmaleficence: What Is the Evidence for Harm with Medications in Older People?......Page 44
    Autonomy: Consent and Older People......Page 46
    Conclusion......Page 48
    References......Page 49
    Human Interaction Issues That May Lead to Errors and Strategies to Overcome......Page 53
    Environmental Interaction Issues That May Lead to Errors and Strategies to Overcome......Page 54
    Technical Interaction Issues That May Lead to Errors and Strategies to Overcome......Page 56
    Conclusion......Page 59
    References......Page 61
    Medication Errors and Their Impact......Page 63
    Causes of Medication Errors......Page 65
    Errors in Prescription......Page 66
    Infrequent Monitoring......Page 67
    Errors Related to the Supply of Medication......Page 68
    Errors in Administration of Medication......Page 69
    Wrong Time......Page 70
    Wrong Dose......Page 71
    Altered Dose Forms......Page 72
    Wrong Resident......Page 73
    References......Page 74
    Ageing and Nutrition......Page 78
    Absorption......Page 79
    Weight......Page 80
    Malnutrition......Page 81
    Risk Classification......Page 82
    Metformin and B12 Status......Page 83
    Prednisolone May Deplete Chromium Status......Page 84
    References......Page 85
    What the Literature Says......Page 87
    Errors in Hospital......Page 88
    Errors in the Medication Record......Page 89
    Pharmacies......Page 90
    Inadequate Continuity of Care......Page 91
    Understanding the Label......Page 92
    Effectiveness......Page 93
    Computerised Systems......Page 94
    Pharmacists......Page 96
    Nursing Care Models......Page 97
    Conclusion......Page 98
    References......Page 99
    Medicines and Older People......Page 102
    Problems of Swallowing and Dose Form Modification......Page 103
    Dose Form Modification and the Risks for Older People......Page 104
    Dose Form Crushing......Page 106
    Modifying Transdermal Drug Delivery Systems......Page 107
    Dose Form Modification: Some Guidelines......Page 108
    References......Page 110
    How Can an EHR Affect Medication Management?......Page 112
    EHR Still May Have Some Drawbacks for Medication Management......Page 114
    Conclusion......Page 115
    References......Page 116
    What is COE?......Page 117
    Advantages of COE......Page 118
    Drug-to-Drug Interactions and Information Overload......Page 119
    Selecting the Right COE......Page 120
    Training and Portability......Page 121
    Conclusion......Page 122
    References......Page 123
    Method of Evaluation......Page 124
    Selection of Panelists......Page 125
    Reasoning for Categorization......Page 126
    Polypharmacy and Drug Burden......Page 129
    References......Page 130
    Pharmacological Basis of Pharmacotherapy......Page 131
    Absorption and Older People......Page 133
    Distribution......Page 134
    Drug Metabolism in Older Age......Page 135
    Elimination......Page 136
    Start Low, Go Slow......Page 137
    References......Page 138
    Index......Page 140

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