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Biomedical subjects

R Tideiksaar

Publications and source records attributed to R Tideiksaar.

At least 37 records · Page 2Linked to original sources

Drug noncompliance in the elderly.

Drug noncompliance is a major therapeutic problem for clinicians who deal with the elderly. This group receives 25% of all prescriptions, although comprising only 11% of the population. Clinicians overestimate their patients' compliance by 100%. One-third of patients always comply, one-third sometimes comply, and one-third never comply. Noncompliance can be determined by pill counts, timing of refills, blood and urine drug levels, and observation of therapeutic effect. Contributing factors to noncompliance include vision, hearing, and memory impairment, side effects, drug interactions, fear of drug dependency, difficulty in obtaining of taking medication, complicated regimens, and lack of confidence in the clinician. Recommendations are given to aid the clinician in overcoming noncompliance. The elderly benefit from verbal instructions reinforced in writing, frequent visits, simplified regimens, clearly labeled, non-childproof containers, and involvement of family members. An illustrative case study is presented.

Aged↗

Guidelines for teaching the older adult.

The needs and abilities of the aged learner may change as a result of normal aging processes, and clinicians involved in patient education must remember and allow for these changes if effective teaching is to take place. Knowledge of the visual, auditory, psychological, and social changes, the functional outcome of each of these changes, and the implications for teaching will help clinicians maintain effective communication with and health-care delivery to this population. Guidelines for modified teaching aids and techniques are provided in the Clip & Carry.

Aged↗

The PA's role in the nursing home.

The growing elderly population and the impact of the DRG-based system of payment under Medicare has focused attention on the future of patient care in nursing homes. The author encourages further examination of PA utilization in nursing homes. Maximal utilization would result in economic benefits under the DRG system. Cost savings would stem from early recognition of a problem, prompt treatment, appropriate referral, fewer transfers for acute care, closer monitoring of therapeutic regimens, and improved communication.

Humans↗

The dying patient.

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Attitude of Health Personnel↗