Hanan Elzeblawy Hassan

Vice dean for post graduate studies and research affairs, professor and head of maternal and newborn health nursing department

Knowledge And Practices Used By Old Age Patients To Control Polypharmacy

Research Abstract

Background: Older people now constitute more than 60% of the world’s population. The elderly population suffers from chronic diseases and multimorbidity and is treated with an increasing number of drugs that result in Polypharmacy. Polypharmacy was defined as per a systematic review conducted in 2017 as the concurrent use of five or more different prescription medications. Aim: This study aimed to assess the level of knowledge regarding Polypharmacy among older patients and assess the alternative practices used by old-age patients to control Polypharmacy. Design: A descriptive cross-sectional study design was used. Subjects & Setting: The sample size was 114 elderly patients selected from outpatient clinics monthly. Tools: (1) Questionnaire to assess geriatric patient's Polypharmacy’s knowledge, (2) Checklist to assess poly pharmacy’s alternative practices. Results: two-thirds of the study sample (66.7%) took medication based on their previous experience. More than half of the study sample (57%) depended on the pharmacist's prescription, and about half of the sample referred to friends 'advice. In comparison, nearly half of the study sample (44.7%) took medication based on the experience of a family member (32.5 %) were aware of the meaning of Polypharmacy. In comparison (23.7%) were aware of the Polypharmacy contributing factors. Conclusion: The study concluded that; the prevalence of Polypharmacy and its consequences among the elderly are significantly related to the level of education. Recommendations: designing an educational program for the elderly, aiming to increase their awareness and knowledge and maintain a healthy lifestyle; Activating the role of health educators during inpatient discharge and within outpatient services to promote the use of non-drug methods.

Research Keywords

Polypharmacy, Old age, Adverse drug reactions (ADR), Knowledge & Practices

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