Dificuldades no uso de medicamentos por idosos acompanhados em uma coorte do Sul do Brasil

Guttier, Marília Cruz; Silveira, Marysabel Pinto Telis; Tavares, Noêmia Urruth Leão; Krause, Matheus Carrett; Bielemann, Renata Moraes; Gonzalez, Maria Cristina; Tomasi, Elaine; Demarco, Flávio Fernando; Bertoldi, Andréa Dâmaso

doi:10.1590/1980-549720230020.2

Cited by 2 publications

References 30 publications

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A Digital Health Perspective on Medication Use and Polypharmacy Management for Improving Healthcare Outcomes in Geriatric Patients

Umar,

Tanasov,

Stevanny

et al. 2023

Geriatric Dentistry in the Age of Digital Technology

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The high prevalence of multiple comorbidities poses unique medication-related challenges for geriatric patients. Polypharmacy is a particular concern since taking several medications simultaneously increases the likelihood of adverse drug events and the risk of drug interactions while decreasing patient adherence. These factors are associated with suboptimal health outcomes and a heightened burden on the healthcare system (insurance claims) and the patient (out-of-pocket expenses). These challenges can significantly affect the quality of life of geriatric patients. This chapter critically examines the impact of medication use and polypharmacy on the quality of life of older patients. In addition, the authors discuss how artificial intelligence-based digital tools and precision medicine can address these issues by streamlining medical decision-making, improving the patient experience, and allowing remote monitoring. Finally, they interpret the findings from the lens of ethical considerations associated with the adoption and implementation of digital applications and gadgets.

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A Digital Health Perspective on Medication Use and Polypharmacy Management for Improving Healthcare Outcomes in Geriatric Patients

Umar,

Tanasov,

Stevanny

et al. 2023

Geriatric Dentistry in the Age of Digital Technology

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How do our older adults die? The perception of family members about suffering in the last year of life

Assumpção,

Francisco,

Seoanes

et al. 2023

Geriatr Gerontol Aging

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Objectives: To characterize the signs and symptoms of suffering, the circumstances of death, and health service use in the 12 months prior to death in a cohort of community-dwelling older adults according to relatives’ perception, as well as to verify the relationships between baseline frailty and signs/symptoms of suffering in the last year of life. Methods: This retrospective cohort study used data from the Frailty in Older Brazilians (FIBRA) Study. Home interviews were carried out with the relatives of deceased older adults. Descriptive statistical analyses were performed, including adjusted prevalence ratios through Poisson regression. Results: A total of 192 family members participated (64.58% women). The mean age of the deceased was 80.59 years (59.90% women; 27.08% with no formal education). In the year before death, 51.34% had fatigue, 43.68% had pain, 42.63% had anorexia, 41.27% had dyspnea, and 41.21% suffered a fall. Most died either at home (52.10%) or in the hospital (41.66%). The most frequent causes of death were circulatory and respiratory system diseases and neoplasms; 29.63% died suddenly, 51.05% were admitted to an intensive care unit, 52.60% were hospitalized, 58.76% used pain medication, and 27.13% received home care. Relative to non-frailty, baseline frailty was associated with dependence (prevalence ratio = 2.52) and pain medication use (prevalence ratio = 1.52) in the last year of life. Conclusions: Signs and symptoms of suffering in the last year of life were high among community-dwelling older adults, highlighting the need to support them and their families through provide palliative care.

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Dificuldades no uso de medicamentos por idosos acompanhados em uma coorte do Sul do Brasil

Cited by 2 publications

References 30 publications

A Digital Health Perspective on Medication Use and Polypharmacy Management for Improving Healthcare Outcomes in Geriatric Patients

A Digital Health Perspective on Medication Use and Polypharmacy Management for Improving Healthcare Outcomes in Geriatric Patients

How do our older adults die? The perception of family members about suffering in the last year of life

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