Updating the beers criteria

Posted by / 25-Dec-2017 05:31

The list below contains medications or medication classes that should generally be avoided in persons 65 years or older because they are either ineffective or they pose unnecessarily high risk for older persons and a safer alternative is available.They are concluded to be inappropriate to use independent of diagnoses or conditions and marked with HIGH or LOW Severity Rating of Adverse drug events (ADEs).The Beers criteria are based on expert consensus developed through an extensive literature review with a bibliography and questionnaire evaluated by nationally recognized experts in geriatric care, clinical pharmacology, and psychopharmacology using a modified Delphi technique to reach consensus.The Beers criteria have been used to survey clinical medication use, analyze computerized administrative data sets, and evaluate intervention studies to decrease medication problems in older adults.With the continuous arrival of new drugs on the market, increased knowledge about older drugs, and removal of older drugs from the market, these criteria go through updates on a regular basis to remain useful.Since the criteria were published in 1997, there has been an increase in the number of scientific studies addressing drug use and appropriateness in older adults, but there is still a lack of controlled studies in the older population and particularly in patients older than 75 years and patients with multiple comorbidities. Fick, Ph D, RN, et revise and update the Beers criteria for ambulatory and nursing facility populations older than 65 years in the United States aimed to: (1) To reevaluate the 1997 criteria to include new products and incorporate new information available from the scientific literature. For more than 20 years, the Beers Criteria have served as a valued resource for healthcare professionals about the safety of prescribing medications to older adults.

(3) To identify any new conditions or considerations not addressed in the 1997 criteria.

The panel searched for clinical trials and research studies since the 2012 AGS Beers Criteria were issued, and found more than 20,000 results!

From this pool, our team reviewed more than 6,700 studies.

Esta guía se centra fundamentalmente en los modelos de intervenciones conductuales y cognitivo-conductuales porque las investigaciones han basado, principalmente, sus estudios, en ello.

(TCC) agrupa un conjunto de técnicas que incorpora elementos tanto de la terapia de conducta como de la terapia cognitiva -que toma en cuenta los procesos afectivos y cognitivos (expectativas, creencias, pensamientos), cuya distorsión sería la causa de la sintomatología, y cuya finalidad sería la identificación y análisis de estos pensamientos y creencias disfuncionales, la relación de éstos con los síntomas, y la construcción de conductas más adaptativas y funcionales-.

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Se conseguirá así mejorar la calidad y cantidad de sueño, reducir la latencia de sueño y los despertares nocturnos, además de incrementar el tiempo total que se está dormido y aumentar el funcionamiento diurno.

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