2021 | Volume 1 | Article 102
01
Journal of Nursing and Community Medicine
Poly- Pharmacy among Elderly Patients: Perception and
Practices
Mohamed Elsayed Aboudonya
1
, Soheir badr Elden
2
, Sameer Hamdi
3
, Hanan Elzeblawy Hassan
4
*
1
Nursing science teaching specialist in Technical Health Institute of Imbaba, Egypt
2
Professor of Community Health Nursing, Faculty of Nursing, Cairo University, Egypt
3
Lecturer of Community Health Nursing, Faculty of Nursing, Beni-Suef University, Egypt
4
Maternal and Newborn Health Nursing, Faculty of Nursing, Beni-Suef University, Egypt
ABSTRACT
Background: Poly-pharmacy can worsen frailty, a term that refers to the collection of health problems an older adult
may face. This includes delirium and cognitive impairment, falls, and decreased functional ability. Poly-pharmacy has
also been documented as a major risk factor for adverse drug reactions in the developed countries.
Aim of the study: The study aims to assess of knowledge and practices regarding Poly-pharmacy among old-age
patients.
Design: Descriptive cross-sectional study design was used.
Subjects & Setting: convenient sample consisted of 114 elderly patients visiting outpatient clinics afliated to Beni-
Suef university hospital.
Tools: (1) an interview questionnaire to assess geriatric patient’s Poly-pharmacy knowledge; (2) A checklist to assess
poly pharmacies’ alternative practices.
Results: two-thirds of the study sample (66.7%) was taking medication based on their previous experience, 57%
depended on the pharmacist’s prescription, 44.7% took medication based on the experience of a family member, 32.5
% are aware of the meaning of Poly-pharmacy while 23.7% are aware of the Poly-pharmacy contributing factors.
Conclusion: The prevalence of Poly-pharmacy and its consequences among the elderly is signifcantly consequent to
the level of education.
Recommended: Designing an educational program for the elderly to increase their awareness and knowledge about
the phenomenon of drug abuse and its consequences.
Keywords: Poly-pharmacy, Old age, life style, Practices
Introduction
Demographics of the population have been changed globally
over recent years with increasing life expectancy proportion of
elderly people. The WHO has predicted that the number of older
people (65 years and older is the traditional defnition) worldwide
will reach 1.5 billion by 2050 [1].
Poly-pharmacy can worsen frailty, a term that refers to the
collection of health problems an older adult may face. This
includes delirium and cognitive impairment, falls, and decreased
functional ability. Poly-pharmacy has also been documented
*Correspondence: Hanan Elzeblawy Hassan, Maternal and Newborn
Health Nursing, Faculty of Nursing, Beni-Suef University, Egypt Tel: , E-mail:
nona_nano_1712@yahoo.com
Received date: 31 October 2021; Accepted date: 07 December
2021; Published date: 14 December 2021
Copyrights: © 2021 El Hadji Seydou Mbaye. This is an open Access article
distributed under the term of the Creative Common Attribution Licence,
Which permits unrestricted use, distribution, and reproduction in any
medium, provided the original work is properly cited.
Research Article
as a major risk factor for Adverse drug reactions (ADRs) in the
developed countries. In a case-control study carried out among
old-age people, Poly-pharmacy was found to be an independent
risk factor for hip fractures [2,3].
It is documented that there is a relationship between aging
and co-morbidities. Multi-morbidity is commonly defned as the
co-existence of two or more chronic health conditions which is
common in the older population. The presence of multiple chronic
conditions increases the complexity of therapeutic management
for both health professionals and patients and impacts negatively
on health outcomes. Multi-morbidity is linked to lower quality of
life, self-rated health, mobility, and functional capacity, as well
as more hospitalizations, physiological discomfort, health-care
resource utilization, death, and expenditures. Globally, the
health burden of multi-morbidity is expected to rise signifcantly
as a result of the growing number of older people and increasing
numbers of people living with multi-morbidity [4].
The elderly are more prone to chronic illnesses due to aging
and physiological changes; with older people (up to about
80%) sufering from chronic illnesses. As a result, this group