Elliott Taylor, Eckmann Lynne, Moga Daniela C
Department of Pharmacy Practice and Science, College of Pharmacy, University of Kentucky, Lexington, KY, United States.
PRO2RX LLC Pharmacy Consulting Services, Lexington, KY, United States.
Front Pharmacol. 2021 Apr 16;12:584667. doi: 10.3389/fphar.2021.584667. eCollection 2021.
Potentially inappropriate anticholinergic medications (including over-the-counter products), polypharmacy, and the existence of communication barriers among members of the interprofessional team frequently contribute to clinical complexity in older adults. We present the case of a frail 86-year old female from the perspective of a community pharmacist managing outpatient medications and transitions of care. CD's past medical history is significant for dementia, multiple falls, recurrent urinary tract infections, depression, cardiac arrhythmia, macular degeneration, chronic pain, depression, and cerebrovascular disease.
潜在不适当的抗胆碱能药物(包括非处方产品)、多重用药以及跨专业团队成员之间存在沟通障碍,这些因素常常导致老年人临床情况复杂化。我们从一名管理门诊用药和护理转接的社区药剂师的角度,介绍一位体弱的86岁女性的病例。CD的既往病史包括痴呆、多次跌倒、复发性尿路感染、抑郁症、心律失常、黄斑变性、慢性疼痛、抑郁症和脑血管疾病。