Risk factors for polypharmacy

Discuss two (2) common risk factors for polypharmacy. Give rationale for each identified risk factor.
Discuss two interventions you can take as a Nurse Practitioner in your clinical practice to prevent polypharmacy and its complications.

Sample Solution

Older adults make up an increasing proportion of the population and drug use in this age group is common. Depending on setting and age, older adults are prescribed an average of 5.3-6.9 drugs. Concurrent use of multiple medications is known as polypharmacy. Risks of adverse drug outcomes increase with an increasing number of medications (Agostini et al., 2004). Wimmer et al. assessed the association between medication regimen complexity in older people and clinical outcomes, and they concluded that regimen complexity is associated with medication non-adherence and increased rate of hospitalization (Wimmer et al., 2017). Frailty, multi-morbidity, obesity, and decreased physical as well as mental health status are risk factors for excessive polypharmacy.

Possibility based speculations of initiative recommend that there is no right or most ideal way to lead a gathering, or association, because of the huge number of limitations on a circumstance (Flinsch-Rodriguez, 2019). Fiedler, in his Contingency Theory of Leadership (Fiedler, 1967), proposes that the viability of a gathering is reliant upon the initiative styles of the pioneer and their favourability to the circumstance. A significant part of the hypothesis is laid out around the most un-favored colleague scale (LPC). The LPC plans to measure a potential chiefs way to deal with an undertaking on a size of relationship propelled to task inspired, where the pioneer fits on the scale permits what is happening to be concluded, and subsequently permits the ID of reasonable pioneers for errands. The favourableness of the circumstance relies upon three qualities: pioneer part relations, the help and trust the pioneer as from the gathering; task structure, the lucidity of the errand to the pioneer; and positional power, the power the pioneer needs to evaluate a gatherings execution and give prizes and disciplines (Fiedler, 1967). On the off chance that the pioneers approach matches what is expected from going on, achievement is anticipated for the gathering. Fiedler’s possibility model offers an exceptionally grave categorisation of initiative, obviously characterizing which circumstances endlessly won’t bring about progress for a likely pioneer. At the senior administration level of a hierarchal construction inside an association the hypothesis can be applied uninhibitedly, right off the bat because of the straightforwardness at which people can be supplanted in the event that their LPC score doesn’t match that expected of the circumstance (Pettinger, 2007). Besides, and in particular, is to guarantee that the senior administration are ideally suited to effectively lead the association. Notwithstanding, further down the order Fielder’s possibility hypothesis starts to hold substantially less significance, it becomes unrealistic according to a hierarchical point of view because of the quantity of individuals at this degree of initiative. The planned operations of coordinating the pioneer with their most un-favored colleague is difficult to reliably accomplish, so a more continuum based approach is required.

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