Mrs. F is a 79-year-old woman widow who lives alone. She has multiple medical problems including hypertension, cardiac disease, and diabetes
She sees her primary care provider (PCP) every three months, and also has regular visits with a cardiologist and an endocrinologist. She does not carry a medication card in her wallet, and often describes a new pill by color and shape. The nurse is concerned about drug-drug interactions because: 1. She is a candidate for polypharmacy.
2. The client is elderly and lives alone.
3. Of possible drug-food interactions with a diabetic diet.
4. She has multiple co-morbidities.
1
Rationale: When an elderly client is taking polypharmacy from multiple providers and does not carry a list of medications she is at risk for possible drug-drug interactions. The nurse should not assume she is at risk based on her age only since many elderly clients are capable of living independently. A client following a diabetic diet is not necessarily at greater risk than the client following a regular diet. Having co-morbidities is not a risk in itself; the risk comes from the multiple medications that may be needed to treat the co-morbidities.
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