Medicamentos potencialmente inapropriados: estudo com idosos em Instituição de Longa Permanência

• Autor(a) principal: Lemos, Ana Luiza dos Anjos Borges
• Data de Publicação: 2020
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Repositório do Centro Universitário Braz Cubas
• Texto Completo: https://repositorio.cruzeirodosul.edu.br/handle/123456789/896
• topic: Idosos institucionalizados; Medicamentos potencialmente inapropriados; Polifarmácia; CNPQ::CIENCIAS DA SAUDE::SAUDE COLETIVA::SAUDE PUBLICA

The elderly population presents physiological and morphological characteristics that make the pharmacodynamics and pharmacokinetics of drugs act different from young adults. This factor, associated with the higher number of diseases present among the elderly, and, consequently, the higher number of drugs prescribed for this population (polypharmacy), increases the risk of receiving a potentially inappropriate drug, which, administered without caution, may trigger adverse reactions. , intoxication, drug interaction and risk of morbidity and mortality in the elderly. People who live in long stay institutions have greater physical and mental limitations, representing a group of greater vulnerability. To identify the prevalence of potentially inappropriate medications and to relate the use of polypharmacy to the risk of adverse reactions in elderly residents in a long stay institution.Data were collected through the Dader Questionnaire of pharmacotherapeutic monitoring (adapted method) and the sociodemographic data sheet. Inappropriate use of medications was analyzed by comparing with the Beers Criteria.The drug interactions identified with the help of the bulletin published by the Institute for Safe Practice in the Use of Medicines.114 participants were included in the data analysis. The research participants were over 60 years old. Of these, 106 used at least 1 potentially inappropriate drug. 44 received at least one prescription associating two PID that had interaction with each other. Of the 78 most commonly prescribed drugs, 37 were considered potentially inappropriate for the elderly, with carbamazepine being the most widely used among them.Caution in drug prescribing for geriatric patients is becoming increasingly necessary, as many potentially inappropriate drugs for the elderly and their possible adverse reactions are already known. Studies that address this issue serve as a guide for drug therapy in the elderly to be as appropriate as possible.Knowing that the reorientation of health services provided to the population is one of the five fields of action of Health Promotion, this study may contribute to the expansion of the care provided to this population, taking into account the vulnerability and risks to which are exposed with polypharmacy. Keywords: Institucionalized elderly. Polypharmacy. Potentially inappropriate medications