Detección de la prescripción inadecuada en personas mayores. Papel de la enfermera

  1. Silvia González Reguera 1
  2. Mª Nélida Fernández Martínez 2
  3. Ana Mª Sahagún Prieto 2
  4. José Manuel Rodríguez Lago 2
  5. Cristina López Cadenas 2
  6. Raquel Díez Láiz 2
  7. Salvador Postigo Mota coord. 3
  1. 1 Unidad de Endoscopia del Servicio de Aparato Digestivo del Hospital Universitario Marqués de Valdecilla, Santander.
  2. 2 Área de Farmacología. Departamento de Ciencias Biomédicas. Universidad de León.
  3. 3 Facultad de Medicina y Ciencias de la Salud. Universidad de Extremadura.
Journal:
Revista ROL de enfermería

ISSN: 0210-5020

Year of publication: 2022

Volume: 45

Issue: 9

Pages: 44-51

Type: Article

More publications in: Revista ROL de enfermería

Metrics

Índice Dialnet de Revistas

  • Year 2022
  • Journal Impact: 0.090
  • Field: ENFERMERÍA Quartile: C2 Rank in field: 15/43

Journal Citation Indicator (JCI)

  • Year 2022
  • Journal Citation Indicator (JCI): 0.02
  • Best Quartile: Q4
  • Area: NURSING Quartile: Q4 Rank in area: 190/191

Abstract

In the last decades there have been a series of changes at the health and pharmacological level that have increased the life expectancy of society, leading to a notable increase in the number of seniors. Progressive aging with associated comorbidities, translates into a patient profile susceptible to polymedication and therefore, phenomena such as inappropriate prescription, adverse drug reactions or drug interactions. This situation generates the majority of hospital admissions in people over 65 years, which leads to an increase in the use of healthcare resources and an increase in pharmaceutical spending. In order to optimize prescriptions in multipathological senior patients, reducing potentially inappropriate prescription and adverse drug reactions, there are various tools worldwide. These can be grouped into two large groups, on the one hand, the implicit methods that are based on critical judgments, and on the other hand, the explicit methods in which defined criteria based on scientific data and created by groups of experts through consensus-building methods, usually the Delphi. The STOPP / START criteria represent the most appropriate explicit method for the detection of potentially inappropriate prescription compared to the rest of the available tools, although research continues with the aim of optimization. Regarding the nursing role, this is increasingly valued due to its intervention in the process of therapeutic adequacy of drugs, which increases the quality of care provided to geriatric patients. The nurse is a very important support within the multidisciplinary team with which it is intended to treat the profile of a polymedicated patient susceptible to suffering inappropriate prescription and/or the factors related to said prescription.

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