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Poison prevention in the elderly

Poison exposures in the elderly are largely unintentional and, therefore, amenable to prevention techniques. Based on an analysis of the major causes of unintentional exposures in persons age 60 years and older, injury control strategies are applied to poisoning. These strategies address pre-event, event, and post-event phases. Ideas for specific changes to protect the elderly, […]


Medication compliance in elderly outpatients using twice-daily dosing and unit-of-use packaging

Objective: To determine the effect of unit-of-use drug packaging of medications on compliance among elderly outpatients treated with complex medication regimens. Design: Nonblind, randomized, clinical trial. Setting: Geriatric outreach health centers in urban public housing units for independent-living elderly people. Patients: Thirty-one patients (aged ≥60 y), each taking three or more prescribed medications. Patients were […]


Initializing concordance in frail elderly patients via a medicines organizer

Background: Concordance, which involves prescribing with rather than for patients, should result in less drug wastage (non-use), but is proving hard to put into practice. One possible way of easing elderly people and prescribers toward concordance is to use a medicines organizer (MO). Objective: To document medication wastage, using a pharmacy-prepared reusable MO, and explore, […]


Assessment of older adults’ knowledge of and preferences for medication management tools and support systems

Background: A variety of strategies are available to assist older adults who have difficulties managing medications. Little is known about older adults’ knowledge of or willingness to use these strategies. Objective: To assess older adults’ current use of, knowledge of, and preferences for medication management tools and supports. Methods: A cross-sectional study was conducted at […]


A self-administration of medications program to identify and address potential barriers to adherence in elderly patients

Background: Inpatient self-administration of medications programs (SAMPs) improve the medication knowledge and adherence of elderly patients after their discharge from the hospital. They may also identify patients who will have difficulties managing their medications after discharge; however, no previous study has evaluated the value of a SAMP for detecting and addressing barriers to adherence. Objective: […]