Poly pharmacy in Geriatric criteria and danger

WEEK 1: DISCUSSION BOARD – POLYPHARMACY
Purpose
The purpose of student discussions is to provide the opportunity for deeper understanding of polypharmacy

Activity Learning Outcomes
Through this discussion, the student will demonstrate the ability to:

Summarize the different polypharmacy definitions found within the literature. (WO1.5) (CO1)
Discuss polypharmacy risk factors (WO1.5) (CO1)
Explain thee actions steps for polypharmacy prevention (WO1.5) (CO1, 7)
Due Date:
The initial posting to the graded collaborative discussions is due by Wednesday, 11:59 p.m. MT.

Peer responses and responses to faculty must be posted prior to the week deadline of Sunday 11:59 MT.

A 10% late penalty will be imposed for discussions posted after the deadline on Wednesday, regardless of the number of days late. NOTHING will be accepted after 11:59pm MT on Sunday (i.e. student will receive an automatic 0).

Total Points Possible:
50 POINTS
Requirements:
Your initial discussion post should include the following:

Identify and discuss 2-3 definitions of polypharmacy (there are multiple definitions). Your textbook can count as 1 reference. You must also include an additional reference from an evidence-based practice journal article or national guideline.
Identify three risk factors that can lead to polypharmacy. Explain the rationale for why each listed item is a risk factor. Risk factors are different than adverse drug reactions. ADRs can be a result of polypharmacy, and is important, but ADRs are not a risk factor.
Explore three action steps that a provider can take to prevent polypharmacy.
Provide an example of how your clinical preceptors have addressed polypharmacy.

Sample Solution

It is firstly necessary to understand why resistance, as a concept, is so necessary to Elizabeth’s writings. The Oxford English Dictionary notes the religious etymology of ‘resistance’. For example, in the Bible, resisting temptations and facing difficulties are presented as virtuous, as the chapter of James states, ‘Blessed is a man who perseveres under trial’. However, in Early Modern England ‘resistance’ can be viewed from a different angle. To ‘resist’ temptation would be virtuous of a woman, but a resistance of the patriarchal norms established by a privileged-male system would be an outrage:

‘We must make a conscious effort to understand the thinking of and about women in a period when women (as a whole) were forced by political and familial circumstances into life-styles over which they exerted no control.’

Indeed, resistance against an established system was neither easy, nor advisable for a respectable reputation in a turbulent court scene. This was not merely a sociological construct – the Puritan teachings of the Church was the religious backing necessary for the demeaning of women . As John Knox, the founder of the Presbyterian Church of Scotland claimed, ‘for the man is to heade the woman […] as Christ is the heade of the churche, so is man of the woman’. This biblically established hierarchy epitomises the renaissance attitude to a woman’s social positioning.
The main methods of resistance in Elizabeth’s early epigrams are lit

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