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Individuals 65 and over accounts for less than 15% of the US population, they consumed 33% of prescription medicines and over 40% of over the counter medicines. With the use of two medications there is a 13% risk of an adverse drug event occurring, 58% with 5 or more, and 82% with 7 or more medication usage (Hogan, Ortman & Velkoff, 2014). These high rates of use of multiple medications can result in negative health outcomes for this population. Some of these health outcomes include drug reactions, poor adherence, inappropriate prescribing, and geriatric syndromes such as urinary incontinence, cognitive impairment, and impaired balance leading to falls. In a study on Polypharmacy in nursing home residents with severe cognitive impairment done by Bernabei, Colloca, Fialova, Gindin, Landi, Liperoti, Onder, Topinkova, Tosavo, Van Der Roest, Vetrano (2013), Polypharmacy (current use of five to nine drugs) was detected in 735 residents (50.7%); and excessive Polypharmacy (current use of greater than or equal to 10) was seen in 245 residents (16.

Additionally, “residents on Polypharmacy were more likely to have experienced a hospitalization during the past 90 days and were less likely to live in a facility that included a geriatrician among staff” (P. In nursing home setting the elderly consume an average of 7 to 8 medications daily, and an estimated 1.9 million adverse drug reactions occur amongst elderly nursing home residents and 40% of them found to be preventable (Tija & Givens, 2012.

According to Bronskill, Gill, Paterson, Bell, Anderson, and Rochon, (2012) 37% to 67% of elderly nursing home residents are inappropriately prescribed drugs and an estimated 14% to 24 % are prescribed nine or more medications.

Another study by Tamura, Bell, Inaba, and Masaki (2012) found that elderly patients that are prescribed nine or more medications are more likely than patients prescribed less than nine medications to experience an adverse reaction (Tamura, Bell, Inaba & Masaki, 2012b). In a cross-sectional study conducted on long term care elderly residents, 15.5% were being concurrently dispersed nine or more drug therapies and 2.0% of all residents received 13 or more drug therapies and, 81.6 % were distributed between one and eight drugs. The study also found that when compared to homes with low rates of Polypharmacy, those with high rates were more likely to involve multiple prescribers (Bronckill et al, 2012). As the life expectancy of Americans

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  • Pages: 15 (3750 words)
  • Document Type: Essay
  • Subject: Nursing
  • Level: Masters
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