geripharmacology_final.ppt4472kbfeb232016093836pm
An Approach Patient goals Safety Any possible ADE’s DDI High risk medications Anticholinergics Efficacy Medical goals in relation to time to benefit and prognosis Evidence base for elderly Complexity and cost Compliance Case 85 y/o WF presents to establish care Alzheimer’s disease diagnosed two years ago COPD CAD 40% RCA in FL after presenting with dyspnea and edema HLD HTN 160/90 on 2 ED visits CHF UI Depression DJD Constipation Case PMH Ex-smoker Lives alone Housekeeper for heavy cleaning and laundry Daughter helps with checkbook and shopping Case BP 130/60 sitting 120/55 standing He
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