Medication use problems among older adults at a primary care: A narrative of literature review. Issue 2 (15th March 2022)

• Record Type: Journal Article
• Authors: Christopher, Christina; KC, Bhuvan; Shrestha, Sunil; Blebil, Ali Qais; Alex, Deepa; Mohamed Ibrahim, Mohamed Izham; Ismail, Norhasimah
• Is Part Of: Aging medicine. Volume 5:Issue 2(2022)
• Page Start: 126
• Page End: 137
• Publication Date: 2022-03-15
• Subjects: medication use -- narrative review -- older adults -- primary care; Geriatrics -- Periodicals; Geriatrics -- China -- Periodicals; Older people -- Diseases -- Periodicals; 618.97
• DOI: 10.1002/agm2.12203
• Languages: English
• ISSNs: 2475-0360

Abstract

Abstract: Appropriate medication use is one of the most significant challenges among the older population. Although medication use problems are well documented at the secondary and tertiary health care level, the evidence at the primary care level of OECD region is limited. A narrative review of existing literature was conducted through a nonsystematic search for original articles through electronic search databases, Ovid Medline, Google Scholar from 2001 to 2021, and a combination of citation references. Medication use problems are prevalent in older adults at the primary care level. The main issues of medication use identified were as follows; nonadherence, adverse drug events, accessibility, polypharmacy, inappropriate medications, belief about medications, lack of knowledge and awareness, and lack of deprescribing. In addition, the current review has identified the possibilities of the problems: many medications, forgetfulness, lack of deprescribing, lack of communication, poor understanding, and limited awareness of inappropriate medications. This review found that various medication use problems subclusters were identified to impact the health care need among older adults. Therefore, effective interventions targeting these issues need to be developed to reduce medication use problems among older adults at a primary care level. Abstract : Possibilities of many medications, forgetfulness, lack of deprescribing, lack of communication, poor understanding, and limited awareness of inappropriate medications among older adults related to medication use problems. The evidence suggests that appropriate interventions are needed to improve the medication use services at the primary care level in the OECD regions.