GERIA - WEEK 8 (MIDTERMS)

Actual Conflict of Interest issues

between family members and caregivers represent the elderly or assist them in decision-making

Actual Conflict of Interest issues

include conflicts:

- Between spouses and the elder's wishes and interest;

- Between family members and the elder's wishes and interest;

- Between a guardian, conservator or other lawfully designated agent and the elder's wishes and interests;

- Between a caregiver's business interests and the elder's interests. Well-being and quality of life.

Perceived Conflicts of Interest

which include those which are not actual conflicts in the course of care but may later become conflicts when the elder patient's interest diverge from those who provide the care.

RA 7432

known as "an act to maximize the contribution of senior citizens to nation building, grant benefits and special privileges and for other purposes".

Republic Act No. 8425

provides for the institutionalization and enhancement of the social reform agenda by creating the National Anti-Poverty commission (NAPC).

Republic act No. 344 or the Accessibility Law of 1982

provides for the minimum requirements and standards to make buildings, facilities, and utilities for public use accessible to persons with disability, including older persons who are confined to wheelchair and those who have difficulty in walking or climbing stairs, among others.

Republic Act No. 9994. "Expanded Seniors Citizen Act of 2010"

an act granting additional benefits and privileges to senior citizens, further amending

Republic Act No. 10155, " The General Appropriations Act of 2012"

under Section 28 mandates that all government agencies and instrumentalities should allocate one percent of their total agency budget to programs and projects for older persons and persons with disability

Republic Act No. 10645, An Act Providing For the Mandatory Philhealth Coverage for All Senior Citizens"

Amending for the purpose, Republic act No. 7432, as amended by Republic Act No. 9994 by removing the qualification that a senior citizen has to be indigent before being covered by PhilHealth

Republic Act No. 10868, "Centenarians Act of 2016", An Act Honoring and Granting Additional Benefits and Privileges to a FILIPINO CENTENARIANS

All Filipinos who have turned centenarian in the current fiscal year shall be awarded a plaque of recognition and a cash incentive by their respective city or municipal governments in appropriate ceremonies in addition to the LETTER of FELICITATION and centenarian gift of P 100,000.00.

Presidential Proclamation No. 470, Series of 1994

declares the first week of OCTOCER of every year as " Elderly Filipino Week."

Presidential Proclamation No. 1048, Series of 1999

declaring a "Nationwide Observance in the Philippines of the International Year of Older Persons".

Executive Order No. 105, series of 2003

approved and directed the implementation of the program providing for group homes and foster homes for neglected, abandoned, abused, detached, and poor older persons and persons with disabilities.

The Philippine Plan of Action for senior Citizens (2011-2016)

This plan aims to ensure giving priority to community-based approaches which are gender-responsive, with effective leadership and meaningful participation of senior citizens in decision-making processes, both in the context of family and community.

Medication error

Results from human knowledge based deficiencies and a lack of sophisticated systems to support and monitoring drug therapy

ADVERSE DRUG REACTION ( ADR)

any unintended response to a drug that occurs when drugs are used to diagnose, treat or prevent disease.

ADVERSE DRUG EVENT (ADE)

any injury that results when medications are used, and this includes both ADR's and medication errors that lead to an ADR

Pharmacokinetics

WHAT THE BODY DOES TO THE DRUG

Decrease in plasma albumin

decrease of this levels with age may result in decreased binding of drugs that are mainly bound to serum albumin

Liver

where does biotransformation occurs where enzymatic activity alters and detoxifies the drug to prepare it for excretion?

Renal excretion

the most important pharmacokinetic parameter that changes with age

Serum creatinine

may be used as indirect estimate of renal function

Creatinine clearance

is an estimate of GFR and decreases with age.

Pharmacodynamics

WHAT THE DRUG DOES TO THE BODY

Drug-Drug Interaction

an interaction between one drug and another can result from altered pharmacokinetics or pharmacodynamics

Hepatic metabolism

it is largely thought that alterations in _________ are specifically responsible for drug-drug interaction

Warfarin and aspirin

increased risk for bleeding.

Theophylline and caffeine

increased risk for potential toxicity.

Levodopa and clonidine

decreased antiparkinsonian effect

Polypharmacy

Prescription, administration, or use of more medications that are clinically indicated in given patient