Question

Chapter 9

During her annual physical examination, a 69-year-old female patient is asking why she reacts differently to some medications than she did when she was younger.

1. In discussing pharmacologic considerations with her, the gerontological nurse keeps in mind which of the following true statements regarding drug therapy and the older adult?

A.   Older adults should look carefully at their prescription medications but need not worry about OTC drugs.

B.   Diuretics and antihypertensive drugs rarely produce adverse reactions in older adults.

C.   An adverse reaction to a drug may occur after the drug has been discontinued.

D.   Adverse drug reactions occur with the same frequency in older adults as they do in younger adults.

2. The most appropriate instruction by the gerontological nurse to prevent drug–drug interactions when teaching an older patient about their medications is:

A.   “Be sure a family member knows the name and use of all of your medications.”

B.   “Do not take any OTC drugs with your prescription drugs.”

C.   “Have all of your prescriptions filled at one pharmacy that can set up a drug profile for you.”

D.   “Use a medication reminder system so that you won’t forget to take your medications as scheduled.”

3. Describe the concept of using a “brown bag approach” when conducting a comprehensive drug assessment.

4. Identify tips the gerontological nurse can use when educating older adults about medication usage.

5. Discuss the “Beers criteria.”

6. The gerontological nurse, especially one working in a long-term care setting, is likely to care for older adults with psychiatric problems.

A.   True

B.   False

Answer 1

Brown bag approach of medicine is a common practice that involve encouraging the client to bring all their medicines and suppliments to their visit and reviewing them . The main goal of is to determine what medicines patient taking and how they are taking them . And also it help to identify the medicine errors and misunderstanding . Main actions include identify the patient medicines should bring ,remaind the patient about medications ,prepare the review etc ..

Beers criteria are commonly used in geriatrics clinics to monitor and improve the quality of care . Beers criteria mainly recommended for older adults about 65 years and older ..This criteria is widely accepted practice standard to assess the complications in older adults . And also Beers criteria is intended to improve medication sellection ,reduce adverse drug events ,prpovide tool to assess cost pattern and quality of care of drug used for aged 65 years or older