Uso de medicamentos por pessoas idosas na comunidade: proposta de ação de enfermagem

Abstract

Objective of this study was to identify the socio demographic profile and drug use in elderly enrolled in a health unit and to propose nursing actions through identification of diagnoses and prescriptions related, focused on the use of drugs, targeted to these elderly. This descriptive study was conducted in a family health unit, in the state of Rio Grande do Sul, Brazil, with 97 elderly. For data collection it was used a structured form. The data were analyzed by descriptive statistics. it was used Risner's model of diagnostic reasoning for the identification of nursing diagnosis. The elderly used 3.46 drugs and 31.86%, five or more. Seven nursing diagnosis were identified. Those diagnoses were present in at least ten elderly for whom prescriptions related were established. The results of this study may assist in achieving effective action for the resident elderly who uses drugs.

Prevalência e fatores associados à polifarmácia em idosos comunitários

“…3 É pertinente ressaltar que, com o avançar da idade, ocorrem alterações na farmacodinâmica e farmacocinética que tornam os idosos mais propícios aos efeitos negativos da polifarmácia. 26,27,28 Nesta investigação, assim como em outras pesquisas, [19][20][21][22][23][24][25]29 os medicamentos que atuam no sistema cardiovascular foram os mais utilizados. Como as doenças cardiovasculares estão entre as principais causas de morbidade e mortalidade em indivíduos idosos, os medicamentos com ação nesse sistema orgânico têm sido amplamente prescritos.…”

“…Trata-se de um achado consistente e relevante, amplamente observado em robustos estudos epidemiológicos sobre uso de medicamentos e polifarmácia em idosos. 3,11,[19][20][21][22][23]25,29,30 Fase a esse resultado, esses trabalhos alertam para a atenção às condições crônicas de saúde e suas repercussões, tornando-se um problema de saúde pública também no cenário do atual inquérito.…”

Medication use by the elderly: analysis of prescribing, dispensing, and use in a medium-sized city in the state of São Paulo

“…In Brazil, approximately 80% of elderly persons living in the community use at least one type of medication 2,3 . The use of more than one drug is also a common practice among this group, and may lead to complications arising from adverse reactions 4 .…”

Factors associated with polypharmacy among elderly people receiving care under the family health strategy

“…A study conducted with elderly residents of Goiânia, in the state of Goiás found an average of 3.63 medications per elderly, as well as a prevalence of polypharmacy of 26.4%, similar to the prevalence found in the present study. A higher prevalence was found in a municipality in the extreme south of Rio Grande do Sul (31.86%) 13 . A study carried out among elderly people attended by the FHS in the urban area of Recife, Pernambuco, identified a prevalence of polypharmacy of 11%, lower than that found in the present study 14 .…”