Topic_1_DQ_2_Acute care geriatric patient Essay
Topic_1_DQ_2_Acute care geriatric patient Essay
Pathophysiological modifications brought on by geriatric syndromes in senior persons may cause even greater diversity in pharmacokinetics, which can be impacted by physiological changes brought on by aging (Maher et al., 2020). Elderly persons frequently experience geriatric syndromes, which are multidimensional health issues that don’t fall neatly into any specific organ-based illness classifications. With older persons being the biggest consumers of drugs, knowing both age- and geriatric syndrome-related alterations is vital clinically to guarantee safe and effective medication usage.
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The pharmacokinetics of medication in elderly adults may differ significantly from that in younger people. Significant changes in body mass, protein binding, and body composition can occur with aging and in some geriatric disorders such as frailty and sarcopenia (Maher et al., 2020). The dosage of medication delivered may change as a result of these changes. Older people frequently have decreased renal drug clearance than younger people. Due to their lowered ability to recuperate from injuries, fragile old people frequently have renal impairment. Drug interactions in the kidneys can potentially affect medication clearance.
For example, sepsis is a highly deadly condition that can have disastrous effects on seniors but is dangerous for people of all ages. A decline in cognitive (mental) capacities that might prevent older survivors of severe sepsis from returning to their prior living arrangements is three times more probable to occur. Infection control involves patients as well as their loved ones greatly. It is important to take time to educate family members on the effective infection control essentials and allow them to feel confident asking questions and speaking. It’s crucial to help the family comprehend the necessity for drug therapy when a family member desires “alternative therapy,” especially if antimicrobial agents are being provided. Christian believes that nurses should provide patients love, hope, and care until they take their final breath. So, it will be crucial to support the autonomy and comfort of elderly patients who are nearing the end of their lives.
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References
Fabbri, A., Marchesini, G., Benazzi, B., Morelli, A., Montesi, D., Bini, C., & Rizzo, S. G. (2019). Old subjects with sepsis in the emergency department: trend analysis of case fatality rate. BMC Geriatrics, 19(1). https://doi.org/10.1186/s12877-019-1384-8
Maher, D., Ailabouni, N., Mangoni, A. A., Wiese, M. D., & Reeve, E. (2020). Alterations in drug disposition in older adults: a focus on geriatric syndromes. Expert Opinion on Drug Metabolism & Toxicology, 17(1), 41–52. https://doi.org/10.1080/17425255.2021.1839413
Assessment Description
Acute care geriatric patients often present with muted or vague signs and symptoms of the infection process. They are at risk for a delay in diagnosis and treatment of acute infections, sepsis, and severe sepsis.
Discuss the etiology of their less than dramatic presentations, including pathophysiologic changes of aging and the “masking” of normal compensatory indicators by pharmaceuticals (e.g., beta blockers, NSAIDs, prednisone, scheduled Tylenol-containing medications).
Provide an example of how you would provide family or significant others with education on the seriousness of sepsis in the elderly. Discuss how you would react to a family member’s request for an “alternative therapy.” Include discussion of how you would incorporate a Christian worldview into your practice as you approach a critically or terminally ill geriatric patient.
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