2 research outputs found
INTERAÇÕES MEDICAMENTOSAS NA FARMACOTERAPIA PRESCRITA A IDOSOS RESIDENTES EM UMA INSTITUIÇÃO DE LONGA PERMANÊNCIA BRASILEIRA
Objetivo desse artigo foi caracterizar as interações medicamentosas observadas na farmacoterapia prescrita para idosos residentes em uma Instituição de Longa Permanência. Foi realizado um estudo transversal, descritivo e analítico, desenvolvido no sul do Brasil, incluindo 111 idosos, com idade igual ou superior a 60 anos. Foi aplicado um questionário semi-estruturado, constituído de variáveis sócio-demográficas, problemas de saúde e medicamentos utilizados. As interações medicamentosas foram analisadas e ordenadas de acordo com a gravidade de ocorrência. O número de medicamentos utilizados variou de 1 a 13, com média de uso de 4,9 + 2,3 medicamentos por idoso. As classes farmacológicas mais empregadas foram: sistema cardiovascular (33.1%) e sistema nervoso central (26.7%). Em 40 (36%) das prescrições foram observadas 99 interações medicamentosas. As de gravidade consideradas moderadas foram as mais frequentes (64,9%). Os resultados refletem uma necessidade de monitoramento da farmacoterapia com vistas a prevenir problemas de saúde evitáveis decorrentes do uso de medicamentos
Assist?ncia farmac?utica em institui??o de longa perman?ncia para idosos
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Previous issue date: 2012-03-20To evaluate the Pharmaceutical Services process in nursing homes we conducted a cross-sectional observational study. The sample was selected by convenience, with all elderly residents who were using drugs. The research began only after the project approval by the PUCRS Ethics Committee in Research, number 10/05111. Data collection was performed between August 2010 and April 2011 and consisted of questions about residents' health, drugs used and their satisfaction with pharmaceutical care, as well as medicine products storage. Data was collected by reviewing nursing home medical records, medicine purchase receipts and interviews with residents and nursing homes professionals and observation of the researcher. For the satisfaction was considered the minimum level score 05 points and 25 points for the highest degree, from the responses of the specific questionnaire applied to the elderly. In the collection period, 113 of the elderly residing in ILPI only two were iv excluded because they were not on use any medications. The average residence time of 111 elderly was 6.3 ? 7.5. Most (74.1%) was composed of women, the mean age was 81.5 ? 7.7 years. The average consumption of drugs was 5.2 ? 2.33. According to the Beers criteria, 27 (24.3%) prescriptions contained inappropriate drugs and 51 (45.9%) at least one drug without problem described in the medical records to justify its use. In 40 (36%) prescriptions were observed 99 drug interactions. Those classified as moderate severity were the most frequent (64.9%), followed by gravity high (22.9%). These frequencies were elevated compared with other studies in nursing homes in Brazil and abroad, especially those of greater severity. The storage conditions of medications were far from desirable, where most of the expected quality criteria were not met. The drugs were in a high humidity location, in the presence of mold, many in boxes placed in direct contact with the ground, and without any control records. A wide range of problems concerning all the processes related to the pharmaceutical care was observed, from the purchase to the final use by the elderly. The average satisfaction with pharmaceutical care among women (18.5 ? 2.02) and men (18.93 ? 2.37) was similar, indicating that gender did not influence the degree of satisfaction with care (p = 0.573). The linear regression of satisfaction and age showed a positive relationship in which older residents had higher levels of satisfaction, although this relationship was not significant (p = 0.558). During the period of one year were purchased by the institution 107 different types of drugs, among which 22 (20.6%) could have been accessed for free Health System or the Popular Pharmacy of Brazil program, which equates to a saving of R 7.721,52 (29,4%) para a institui??o nesse per?odo. Os in?meros problemas observados neste estudo poderiam servir de alerta ?s autoridades no sentido de definir melhores indicadores da assist?ncia farmac?utica nestes locais, bem como qualificar a rede de assist?ncia ? sa?de aos residentes. Em face da complexidade dos processos relacionados ao uso de medicamentos, sejam eles relacionados ? aquisi??o, acesso, armazenamento, estoque, distribui??o e utiliza??o, percebe-se a necessidade da inclus?o do farmac?utico nas equipes que atuam em ILPIs brasileiras, como j? vem ocorrendo em pa?ses estrangeiros, gerando impactos positivos tanto as ILPIs, quanto aos idosos residentes e, consequentemente ao sistema de sa?de