M. L. is a 79-year-old female who was recently discharged from the…
Question Answered step-by-step M. L. is a 79-year-old female who was recently discharged from the… M. L. is a 79-year-old female who was recently discharged from the hospital after being admitted for fatigue and feeling likeher “heart was going to fly out of my chest.”M. L. was diagnosed with atrial fibrillation and congestive heart failure (HF). M. L. spent 3 days in the hospital before being discharged. M. L. lives alone in a small one-bedroom home and does not have any family nearby. She states she does have friends, but “they call me the healthy one.” The discharging physician orders home healthcare to follow up with M. L. until she can see the cardiologist. M. L. is now taking 13 medications by mouth (PO): aspirin 81 mg once daily, metoprolol 50 mg twice daily, warfarin 5 mg once daily (dose adjusted based on international normalized ratio), amlodipine 10 mg daily, lisinopril 5 mg daily, simvastatin 40 mg once daily, hydrochlorothiazide 25 mg once daily, oxybutynin 10 mg once daily, citalopram 20 mg once daily, alendronate 70 mg once weekly, calcium 500 mg twice daily, vitamin D 400 IU twice daily, and multivitamin once daily. The first four medications are new for M. L., and she is concerned about how she will pay for her medications, as well as keeping track of all of them. The last three over-the-counter (OTC) medications are recommendations from her physician. Answer the following questions: Please number your answers:What is the current definition of polypharmacy?What was the definition of polypharmacy and why was it changed?What two (2) instruments are available to use for the appropriate use of medications in the elderly?What are the three (3) instruments available to detect for the presence of polypharmacy?How do these instruments differ from each other?Refer to the before mentioned case study about M.L. Do you see any problems with the 13 medications and the two OTC medications?As in the case study referred What can she do about the cost of all these medications?What does the term “iatrogenic” mean?Is polypharmacy an iatrogenic problem?Give four (4) causes for polypharmacy today? Health Science Science Nursing NUR 3289 Share QuestionEmailCopy link Comments (0)
