The difficulties of old people taking drugs.
The difficulties of old people taking drugs.
复制标题
老年人吸毒的困难。
DOI：
10.1093/ageing/6.3.144
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发表时间：
1977
期刊：
影响因子：
6.7
通讯作者：
J. Andrews
中科院分区：
文献类型：
--
作者：
L. Atkinson;I. Gibson;J. Andrews
人们对老年人正确和适当地服药的问题相当感兴趣。最近的一项调查(Parkin等人1976年)表明，这些在老年医学实践中早就知道的问题现在已经被普通内科医生注意到了。在进行这项检讨时，老年科小组的一名职业治疗师指出，虽然职业治疗师、物理治疗师和语言治疗师教授病人及其亲属穿衣、如厕、剃须、洗澡、吃饭、走路、转椅、轮椅活动和沟通的方法，但并没有就准确服用处方药物提供意见或教导。其他地方报道了详细调查的结果(Atkinson，Gibson&Andrews，1978)。一次又一次，准备出院的患者在最后可能的时刻被护士递给一批药物，即使是在坐在行李旁边等待救护车的时候。随后，特别注意了智力障碍、记忆力丧失和精神错乱、视力低下、不能处理容器、不服药和缺乏患者教育等问题。在查房期间，特别是当有老年健康探视者在场时，人们注意到一些特殊的主题，如因未服药、过量服药、服药不足或混合服药而意外自杀的患者人数和需要重新入院的人数(Wade 1972)。弗格森·安德森(Ferguson Anderson)(1974)关于7.15%的住院病人是由药物反应引起的评论也被注意到。
There is considerable interest in the problems of the elderly taking drugs correctly and appropriately. A recent survey (Parkin et al. 1976) showed that these problems that have long been known in geriatric practice have now been noted by general physicians. This review was undertaken when an occupational therapist in a geriatric unit team noted that, although patients and their relatives were taught methods of dressing, toileting, shaving, bathing, eating, walking, transferring to a chair, wheelchair mobility and communication by the occupational therapist, physiotherapist and speech therapist, no advice or teaching was given concerning the accurate taking of the drugs prescribed. The results of a detailed investigation are reported elsewhere (Atkinson, Gibson & Andrews 1978). Repeatedly, patients ready for discharge were handed a batch of drugs by a nurse at the last possible moment, even while sitting by their luggage awaiting the ambulance. Following this, special attention was paid to problems such as intellectual impairment, loss of memory and confusion, poor sight, inability to handle containers, failure to take drugs and lack of patient-education. During ward rounds, particularly when a geriatric health visitor was present, attention was drawn to special topics such as the number of patients who inadvertently kill themselves and the numbers needing readmission due to failure to take drugs, overdosage or underdosage or mixing of drugs (Wade 1972). Ferguson Anderson's comment (1974) that 7.15% of hospital admissions are due to drug reactions was also noted.