Arzneitherapie des älteren Menschen

• Verfasst von: Wehling, Martin [VerfasserIn]
• Titel: Arzneitherapie des älteren Menschen
• Verf.angabe: Martin Wehling
• E-Jahr: 2017
• Jahr: 22 September 2017
• Umfang: 4 S.
• Fussnoten: Gesehen am 04.04.2019
• Titel Quelle: Enthalten in: Zeitschrift für Gerontologie und Geriatrie
• Ort Quelle: Heidelberg : Springer Medizin, 1998
• Jahr Quelle: 2017
• Band/Heft Quelle: 50(2017), 8, Seite 685-688
• ISSN Quelle: 1435-1269
• DOI: doi:10.1007/s00391-017-1312-5
• Datenträger: Online-Ressource
• Sprache: ger
• Sach-SW: Arzneimittelbezogene Nebenwirkungen und schädliche Reaktionen
• Sach-SW: Benefit-risk assessment
• Sach-SW: Drug-related side effects and adverse reactions
• Sach-SW: Management der medikamentösen Therapie
• Sach-SW: Medication therapy management
• Sach-SW: Multimorbidität
• Sach-SW: Multimorbidity
• Sach-SW: Nutzen-Risiko-Assessment
• Sach-SW: Polypharmacy
• Sach-SW: Polypharmazie
• K10plus-PPN: 1662819110

Abstract

Elderly people are the most rapidly growing sector of our society. Due to their multimorbidity they are exposed to a multitude of medications, which are accompanied by chances and risks. The problem of inappropriate medication in the elderly is exacerbated by the fact that only a holistic view can help these patients and that this is predominantly the responsibility of the general practitioner. The closely measured paid contact time is often insufficient to optimize complex medications. Clinically successfully tested aids in the form of lists give reason for hope: in particular, the positive/negative assessment of limitations of the elderly with respect to drugs by the STOPP/START criteria and the FORTA classification are clinically successful aids. Purely negative lists, such as the Beers or PRISCUS lists, have been disappointing in clinical application because they do not consider the needs, prognostic and particularly symptomatic importance and weighting of the diagnosis of patients. Further implementation of these aids to decision making should help to improve the problem of care of elderly patients in the field of drug treatment, even in IT systems.