Avoiding Iatrogenic Complications In The Elderly

Iatrogenic complications are more common in older patients and often more severe than in younger. These complications are undesirable effects of drugs (eg. As interactions), falls, nosocomial infections, bed sores, delirium and complications associated with surgery. Often, prevention is possible. Risk Factors The first step in prevention is to identify patients at high risk. Risk factors include the following. is several chronic diseases, the greater the number of chronic diseases, the greater the risk that the treatment of a disease exacerbated another. Treatment of arthritis with NSAIDs such can. As heart failure, coronary heart disease or chronic gastritis verschärfen.Mehrere doctors The participation of several physicians can lead to uncoordinated care and polypharmacy. The agreement between several doctors after each visit to a common patient in one of them is difficult. As a result of the treatment plan of a patient is often changed without the input of his other doctors, reducing the risk of iatrogenic complications steigt.Mehrere medications (polypharmacy) and inappropriate drugs increase Concomitant use more drugs and the presence of multiple chronic diseases significantly the risk of adverse interactions between drugs or between drugs and disease (drug-associated problems in the elderly). The interaction risk is particularly high in patients who are malnourished or have kidney failure. Also, certain medications pose a particularly high risk of adverse effects in the elderly (categories questionable drug in the elderly) .Krankenhausaufenthalt risks posed by hospital stays are hospital-acquired infections, polypharmacy and transfusion reactions. Hospitalized patients who have a dementia or are immobilized (z. B. after surgery) have a high risk of iatrogenic complications. Medical technology can contribute to iatrogenic complications; including sudden death or myocardial infarction after valve replacement surgery, stroke after carotid endarterectomy, excess liquid after transfusions and infusions, unwanted prolonging life by artificial life support, hypoxic encephalopathy potentially life-prolonging CPR. Prevention interventions that can prevent iatrogenic complications are as follows. Care Management Care Manager to facilitate communication between medical professionals, they ensure that needed services are already provided and prevent the redundancy of services. Care Managers can be used by physician groups, health plans or by local or state organizations. Frail elderly benefit the most from Fallmanagement.Interdisziplinäres geriatric team A multidisciplinary geriatric team (interdisciplinary geriatric teams) evaluated all the needs of the patients developed a coordinated care plan and manage the maintenance (or together with the family doctor, a co-manager). Because this intervention is resource-intensive, it is most likely very complex cases vorbehalten.Konsultation pharmacist A pharmacist can help potential complications by polypharmacy and inappropriate drug use at vermeiden.Akutpflegeeinheiten for Elderly (ACE) These units are hospital wards with protocols to ensure that care is taken thoroughly in elderly patients for possible iatrogenic problems before the problems occur, and that these problems are discovered and treated accordingly werden.Patientenverfügungen patients are encouraged to advance directives, incl. the appointment of an agent for medical decisions, prepare (advance directives). These documents can help prevent unwanted treatment of critically ill patients who can not speak for themselves.

Health Life Media Team

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