Adverse Drug Events in elderly

Older people have repeatedly reported cases of adverse drug events. These problems have been presented in offices, extended care facilities, and hospitals. They are caused by diuretics, anti-inflammatory drugs, antithrombotic medications, and antidiabetic medications (Pretorius et al., 2013). These events can be prevented through discontinuation of medications, prescription of new medications sparingly, reduction in the number of prescribers, and reconciliation of medications frequently. The plan below describes an initiative to reduce adverse drug events in the elderly.

Goal

Reduce the number of hospital admissions as a result of adverse drug events within the next 12 months

Sample Solution

Falls, orthostatic hypotension, dementia, renal failure, gastrointestinal and cerebral hemorrhage are among the most prevalent clinical symptoms of adverse drug reactions (ADRs) in older persons. ADR risk rises as pharmacokinetics and pharmacodynamics alter with age, as does the burden of comorbidities, polypharmacy, incorrect prescribing, and inadequate drug monitoring. ADRs are an avoidable source of injury to patients and a waste of healthcare resources. There are several ADR risk measures available, but none have enough predictive power for therapeutic use. Detail documentation and regular assessment of prescribed and over-the-counter medications through standardized medication reconciliation are good professional practices for recognizing and predicting ADRs in vulnerable patients.

power is the authority and influence a leader has over a group, if the leader has positional power, they will be able to implement the leadership style they best see fit for the situation. Positional power cannot be measured or quantified, making it highly ambiguous and hard for a leader to understand whether they have it or how then can gain it. It becomes the responsibility of the organisation to have policies in place to provide leaders with some positional power, usually by establishing a clear hierarchal structure. By establishing a hierarchy, the leader is perceived by the group to be able to make demands and expect compliance from them giving the leader legitimate power (French and Raven, 1959). Secondly, by providing the leader with the ability to reward compliance and punish non compliance from the group, the leader has reward and coercive power (French and Raven, 1959). To obtain complete power over the group the leader must gain the trust and belief of the group that they are capable of success, by ensuring the group are both satisfied and meeting performance goals.
The importance of establishing a hierarchy became evident during the planning stage of the outdoor management course for the red team, the coordinators within the team assumed leadership roles but were unable to gain positional power due to the team being a peer group (Pettinger, 2007). The leaders selected had little authority and influence over the group as everyone was perceived to have the same rank, status and occupation, hence the leaders had none of French and Ravens five bases of power (Pettinger, 2007). The result was leaders with no positional power over the group, so could not direct the group with the method of leadership required for the situation. The task had significant constraints, particularly a short time frame and a large group size, for this situation Chelladurai recommends an autocratic leadership style would be most favourable (Chelladurai and Madella, 2006). The leaders attempted an autocratic leadership style, setting individual tasks for the group, however due to the poor leader member relatio

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