Features of pharmacotherapy of vascular cognitive impairment in elderly and senile patients
Russian Journal of Geriatric Medicine,
Journal Year:
2024,
Volume and Issue:
2, P. 124 - 132
Published: June 30, 2024
Introduction.
The
problem
of
safe
pharmacotherapy
for
vascular
cognitive
impairment
(VCI)
in
patients
aged
60
and
over
is
a
leading
one
due
to
the
increasing
life
expectancy
population.
VCI
associated
with
cerebrovascular
diseases
common
among
geriatric
syndromes.
Due
multimorbidity,
“silver
age”
often
experience
polypharmacy,
which
can
lead
decreased
activity
daily
life,
side
effects
adverse
drug
interactions.
Additionally,
age-related
involutive
processes
older
require
dosages
constant
monitoring
vital
signs
laboratory
findings.
Therefore,
it
important
use
drugs
favorable
safety
profile
good
tolerability
oldest-old
real
clinical
practice.
A
review
results
multicenter,
double-blind,
placebo-controlled,
randomized
trials
on
Prospekta
treatment
confirmed
absence
significant
differences
number
events
(AEs)
serious
AEs
when
taking
placebo.
No
clinically
deviations
were
found
parameters,
nor
there
any
negative
signs,
no
interactions
other
basic
therapies
have
been
recorded
Prospekta.
Conclusion:
be
recommended
practice
without
risk
impact
Language: Английский
Impact of an Educational Deprescribing Intervention on Provider Confidence, Knowledge and Polypharmacy in the Nursing Home Setting
Julianne Murthi,
No information about this author
Molly Langford,
No information about this author
Lisa Abdallah
No information about this author
et al.
Journal of Hospice and Palliative Nursing,
Journal Year:
2024,
Volume and Issue:
unknown
Published: Oct. 14, 2024
Polypharmacy
is
commonly
encountered
by
providers
caring
for
patients
with
medically
complex
and
palliative
care
needs
in
many
settings.
The
purpose
of
this
quality
improvement
project
was
to
measure
the
impact
an
evidence-based
educational
deprescribing
intervention
on
polypharmacy
rate
provider
confidence
knowledge
nursing
home.
We
invited
working
52
homes
attend
a
1-hour-long
session.
Twenty-one
nurse
practitioners
1
physician
assistant
across
11
states
participated
intervention.
Provider
level
related
improved
all
categories,
statistical
significance
demonstrated
both
paired
t
test
Wilcoxon
signed
rank
(
P
<
.001).
3
months
after
decreased
more
centers
where
had
attended
training.
Additional
open-ended
data
about
experiences
barriers
were
collected
analyzed.
findings
from
demonstrate
that
focused
practicing
home
setting
can
improve
reduce
rates.
These
may
be
used
implement
similar
education
programs
nurses
prioritize
goals
living
serious
illness.
Language: Английский