- Geriatric pharmacology -- Great Britain.
- Older people -- Drug use -- Great Britain.
- Medication abuse -- Great Britain -- Prevention.
- 0470691514 (e-book)
- 9780470691519 (e-book)
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- Includes bibliographical references (p. 153-170) and index.
- Chapter 1: Older People and Their Medicines: Health Objectives and Health Initiatives Development of the National Service Framework (NSF) for older people Management of medicines The NHS Improvement Plan Building a safer NHS for patients; the role of medication safety Prescribing drugs Dispensing medicines Access to medicines- out of hours The administration of drugs Helping patients and carers to safely self administer medicines at home or in care homes Community Matrons and the management of medicines Patient case study Chapter 2: The Physiology of Human Ageing Homeostasis and ageing Ageing and the cardiovascular system Changes to the vascular system Changes to cardiac tissue Changes to cardiovascular function and control Changes to cardiovascular cells Implications for practice Hepatic ageing Changes to hepatic tissue Changes to hepatic cells Changes to hepatic molecular biology Implications for practice Renal ageing Changes to tubular function Implications for practice Ageing and the immune system Changes to organs and tissues Changes to immune cells Changes to immune molecules Ageing and the inflammatory response Chapter 3: The Application of Applied Pharmacology to the Older Person Drug absorption Factors that alter the absorption of drugs Drug distribution Drug metabolism Factors affecting drug metabolism Drug excretion Biliary excretion Pharmacodynamics Receptor agonism Pharmacodynamics and the effects of ageing Chapter 4: Medication Management and the Older Person Medication review and the older person Medication review structure The Single Assessment Process Trigger questions Care plans Health care professional involvement Prescribing practice Principles of prescribing for the older person Rational prescribing and prescribing support Conclusions Implications for practice Chapter 5: Medication Errors and the Older Person Introduction The extent of the problem The UK perspective The potential dangers of medication errors Definitions of medication error Classification of medication errors Causes of medication error Forms of medication error Medication errors that arise due to the supply and administration of medicines Factors contributing to the development of medication errors The nurse prescriber's role in the prevention of medication errors Prescription writing education Preventative measures involving prescriptions Computerised prescribing systems Conclusions Implications for practice Chapter 6: Concordance with Medication and Older People Introduction Difficulties establishing a rationale Characteristics of the non-concordant individual Psychological theory Medication related issues that underpin non-concordance i. Polypharmacy and complicated medication regimens ii. Lack of education iii.Patient comprehension of the need to adhere to prescribed medication administration protocols Promoting concordance with medication regimens Patient self-medication schemes The prescriber's role in the augmentation of concordance with medication for older people The art of teaching Teaching practicalities Reinforcing education Barriers to teaching Time management difficulties Planning early discharge Comprehension of applied pharmacology and therapeutics Conclusions Implications for practice Chapter 7: Neurophysiology, and Neuropathology of Ageing Introduction In search of a nerve cell Neurochemicals and synaptic transmission Major neurotransmitters in the brain The dynamic neurone, plasticity and memory Changes in neuronal activity and communication in the ageing brain What causes cellular damage with ageing Neuropathology of Alzheimer's disease Pharmacological strategies Neuropathology of Parkinson's disease Pharmacological approach in the treatment of PD Conclusions Implications for practice Chapter 8: The Management of the Older Person with a Long-term Condition Introduction Government policy and long-term cond
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