Family care prior to the admission of the elderly in a nursing home and continuity in family care: A comparative study of Colombia and Spain

Marín, Antonio Riquelme; Martín-Carbonell, Marta; Quiles, Juan Manuel Ortigosa; Fernández-Daza, Marta; Méndez, Inmaculada

doi:10.1016/j.heliyon.2022.e09677

Cited by 3 publications

(3 citation statements)

References 43 publications

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“…In this cross-sectional study, we reviewed the medication of elders institutionalized in two ERPI. Our sample primarily consisted of individuals over 80, predominantly women, aligning with demographics reported in similar studies from the United States, Spain, Portugal, France, and Colombia [38][39][40][41]. This demographic trend underscores the critical need for targeted pharmacotherapy management, particularly given the elderly's propensity for chronic diseases and the consequent polymedication [19,42].…”

Section: Discussionmentioning

confidence: 94%

Potentially Inappropriate Medication: A Pilot Study in Institutionalized Older Adults

Andrade,

Nascimento,

Cabrita

et al. 2024

Healthcare

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Institutionalized older adults often face complex medication regimens, increasing their risk of adverse drug events due to polypharmacy, overprescribing, medication interactions, or the use of Potentially Inappropriate Medications (PIM). However, data on medication use and associated risks in this population remain scarce. This pilot study aimed to characterize the sociodemographic, clinical and pharmacotherapeutic profiles, and the use of PIM among institutionalized elders residing in Residential Structures for Elderly People (ERPI) in the Faro municipality, located in the Portuguese region of the Algarve. We conducted a cross-sectional study in a non-randomized sample of 96 participants (mean age: 86.6 ± 7.86 years) where trained researchers reviewed medication profiles and identified potentially inappropriate medications using the EU(7)-PIM list. Over 90% of participants exhibited polypharmacy (≥5 medications), with an average of 9.1 ± 4.15 medications per person. About 92% had potential drug interactions, including major and moderate interactions. More than 86% used at least one potentially inappropriate medication, most commonly central nervous system drugs. This pilot study demonstrates that institutionalized older adults may be at high risk of potential medication-related problems. Implementing comprehensive medication review programs and promoting adapted prescribing practices are crucial to optimize medication use and improve the well-being of this vulnerable population.

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Section: Discussionmentioning

confidence: 94%

Potentially Inappropriate Medication: A Pilot Study in Institutionalized Older Adults

Andrade,

Nascimento,

Cabrita

et al. 2024

Healthcare

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“…Additionally, SABE-Colombia surveyed only community-dwelling older adults and thus did not include the institutionalized older adult population, who tend to have the greatest care needs. However, institutionalization is very rare among older Colombians [4,5] as few public options exist and private nursing homes are generally unaffordable. Another limitation is that we only had two measures of mobility disability: walking and climbing, whereas other studies had kneeling, crouching, lifting a heavy object, etc.…”

Section: Discussionmentioning

confidence: 99%

“…For example, a key question is whether the additional years are spent in good health. Understanding the health conditions of the older adult population is particularly important in a rapidly aging country like Colombia, since more time spent in poor health can contribute to increases in the costs of healthcare and social support services, and a greater need for long-term care [4,5].…”

Section: Introductionmentioning

confidence: 99%

Disabled life expectancy among older Colombian men and women

Osuna,

Farina,

Ailshire

2024

PLoS ONE

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Colombia’s population is rapidly aging and older adults are living longer, however, we have limited information on the level of disability and number of years older Colombians spend with disability. We estimated age-and-gender specific ADL, IADL and mobility disability prevalence and disabled life expectancy (DLE) and to examined gender differences. Life tables came from the Colombian vital statistics and disability prevalence data came from the cross-sectional 2015 Colombia National Survey of Health, Well-being, and Aging. Disabled life expectancy (DLE) was calculated using Sullivan’s method. About one-third to one-half of remaining years will be spent with IADL or mobility disability. The remaining years of life spent with ADL was relatively low at younger ages, but by age 85, about half of remaining life will be spent with disability. Compared to men, women had higher levels of disability and are estimated to spend more years with disability. Gender differences in ADL did not emerge until ages 70 and older. Older Colombians, in particularly women, are estimated to live a significant proportion of their life with disability, particularly IADL and mobility disability. High levels of disability are concerning because the country lacks adequate infrastructure and has limited options for long term care.

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Potentially Inappropriate Medication: A Pilot Study in Institutionalized Older Adults

Andrade,

Nascimento,

Cabrita

et al. 2024

Preprint

View full text Add to dashboard Cite

Institutionalized older adults often face complex medication regimens, increasing their risk of adverse drug events due to polypharmacy, overprescribing, medication interactions or the use of Potentially Inappropriate Medications (PIM). However, data on medication use and associated risks in this population remain scarce. This pilot study aimed to characterize the sociodemographic, clinical and pharmacotherapeutic profiles and the use of PIM among institutionalized elders residing in Residential Structures for Elderly People (ERPI) in the Faro municipality, located in the Portuguese region of the Algarve. We conducted a cross-sectional study in a non-randomized sample of 96 participants (mean age: 86.6 ±7.86 years) where trained researchers reviewed medication profiles and identified potentially inappropriate medications using the EU(7)-PIM list. Over 90% of participants exhibited polypharmacy (≥5 medications), with an average of 9.1 ± 4.15 medications per person. About 92% had potential drug interactions, including major and moderate interactions. More than 86% used at least one potentially inappropriate medication, most commonly central nervous system drugs. This pilot study demonstrates that institutionalized older adults may be at high risk of potential medication-related problems. Implementing comprehensive medication review programs and promoting adapted prescribing practices are crucial to optimize medication use and improve the well-being of this vulnerable population.

show abstract

Family care prior to the admission of the elderly in a nursing home and continuity in family care: A comparative study of Colombia and Spain

Cited by 3 publications

References 43 publications

Potentially Inappropriate Medication: A Pilot Study in Institutionalized Older Adults

Potentially Inappropriate Medication: A Pilot Study in Institutionalized Older Adults

Disabled life expectancy among older Colombian men and women

Potentially Inappropriate Medication: A Pilot Study in Institutionalized Older Adults

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