(In)Appropriate Prescription in the Elderly in Primary Health Care

Gazeta Medica Pub Date : 2022-09-01 DOI:10.29315/gm.v1i1.598
G. Cardoso, J. G. Pereira
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Abstract

Western societies have witnessed a sharp aging of their population in recent decades. This paradigm shift is reflected in the health care provided to the community, with a growing need to adapt to the aging of the population. The purpose of this article is to understand how the greater number of elderly people affect clinical practice in primary health care and to highlight the tools and mechanisms to be used in the (in)appropriate prescription and prevention of iatrogenesis in this group. Knowing that adverse drug reactions are one of the main reasons for morbidity and mortality in the older population, strategies should be adopted, by prescribing clinicians, to protect these patients who are already debilitated. A systematic approach, when introducing a new therapy, or reviewing it, and the use of prescription support tools, should be some of the practices that should be implemented in clinical practice in primary health care.
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初级保健中老年人的适当处方
近几十年来,西方社会的人口急剧老龄化。这种模式的转变反映在向社区提供的保健服务上,越来越需要适应人口老龄化。本文的目的是了解更多的老年人如何影响初级卫生保健的临床实践,并强调在这一群体中适当的处方和预防医源性时应使用的工具和机制。认识到药物不良反应是老年人群发病和死亡的主要原因之一,开处方的临床医生应采取策略,保护这些已经衰弱的患者。在引入或审查一种新疗法以及使用处方支持工具时,应采用系统方法,这些做法应在初级卫生保健的临床实践中加以实施。
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发文量
45
审稿时长
9 weeks
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