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所在平台: Coursera |
课程主页: https://www.coursera.org/learn/medication-prescribing
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课程名称：老年人负责任的药物处方 课程概述：老年人使用处方药和非处方药的概率更高，这使他们面临意外有害影响的高风险。老年人的药物管理是护理的重要组成部分。本课程旨在为医疗专业人员和学习者提供对老年人随着年龄增长而发生的生理变化及其对药物管理影响的全面理解。课程旨在为参与者提供确保老年人安全和适当处方所需的基本知识和技能。 课程大纲： 1. **模块 I：药物管理与老龄生理学** - 本模块将介绍老年患者的药物管理基础，探讨与药物管理相关的药物动力学与药物代谢学基本科学概念。强调在老年人中准确计算肾功能的重要性，并讲解“低剂量开始，逐步增加”的处方理念，关注特定老年综合症（如脆弱性、痴呆和多病共存）下药物处方的特殊考虑。 2. **模块 II：老年人处方的关键概念** - 本模块将深入探讨多重用药、不良药物事件（ADE）、处方级联反应及药物不依从性的关键概念和定义，并提供药物相互作用的实例，强调ADE对老年人发病率和死亡率的影响。 3. **模块 III：减少不当处方的工具与策略** - 本模块将识别减少不当处方的工具和策略，包括智能手机应用、药物依从性辅助工具以及AGS Beers标准等指导方针。将介绍药物评估层次结构，帮助处方医生在开处方前评估药物，并通过患者案例来应用合理处方和停药的概念。 4. **模块 IV：跨学科团队与系统干预在改善安全处方中的角色** - 本模块将探讨老年人在医疗系统中经历复杂护理转变所需的支持，强调跨学科团队在确保无缝护理转变和有效信息共享中的关键作用，同时介绍可用于指导临床医生安全处方的实用工具。 5. **模块 V：采用基于证据的框架整合老年处方原则** - 本模块将通过多个基于案例的场景回顾，应用之前模块中学到的概念，整合老年5Ms框架以及美国老年医学会（AGS）和美国临床药学会（ASCP）的“明智选择”建议，以帮助指导老年患者的药物管理临床决策。 总的来说，本课程为医疗专业人员提供了一个全面的框架和实用的工具，旨在增强老年患者的药物管理和处方安全性。
Name:Introduction & Module I: Medication Management and Physiology of Aging
Description:Older adults are more likely to consume more prescription and non-prescription medications, and this can place them at high risk for unintended harmful effects. An important component of the care of older adults relates to medication management. This course offers healthcare professionals and learners a comprehensive understanding of the physiological changes that occur with aging and their implications on medication management. It aims to equip participants with essential knowledge and skills to ensure safe and appropriate prescribing for older adults. Through a series of engaging presentations, attendees will explore key concepts in pharmacology, evidence-based frameworks, and interdisciplinary practical strategies to optimize prescribing practices and enhance patient care across the continuum of care sites. This introductory module will introduce the Geriatric 5Ms framework and then discuss the basic science concepts of pharmacokinetics and pharmacodynamics as it relates to medication management in older adults. It will emphasize the importance of calculating accurate renal function in older adults and explore the reasoning behind the prescribing mantra “Start Low and Go Slow” in older people. It will highlight the special considerations of medication prescribing in older adults with certain geriatric syndromes like frailty, dementia and multimorbidity.
Name:Module II: Key Concepts in Prescribing for Older Adults
Description:This module will delve into key concepts and definitions of polypharmacy, adverse drug events (ADE), prescribing cascades and medication nonadherence. The module will explore types of ADEs using examples of drug-drug, drug-disease and drug-herbal interactions, and highlight the impact of ADEs on morbidity and mortality. These will serve as foundational knowledge for course participants in building their skill and behavior on safe prescribing for older adults, as they navigate through the rest of the modules of the course.
Name:Module III: Tools and Strategies to Reduce Inappropriate Prescribing
Description:This module will identify tools and strategies to reduce inappropriate prescribing including smart phone applications, physical adherence aids and guidelines such as the AGS Beers criteria. It will also introduce a Hierarchy of Medication Evaluation which can help prescribers assess medications before they prescribe them. Patient case examples will be used to apply the concepts of rationale prescribing and deprescribing.
Name:Module IV: Role of Interdisciplinary Teams and System-based interventions in Improving Safe Prescribing during Care Transitions
Description:Older adults are more likely to experience more complex care transitions within the health care system and require additional support to address issues such as polypharmacy and adverse drug effects. This module will explore the essential components involved in safe care transitions between different settings of care for older patients. It will emphasize the role of interdisciplinary teams in ensuring seamless transitions and effective information sharing. Additionally, this module will introduce practical tools to guide clinicians in safe prescribing practices for this vulnerable patient population.
Name:Module V: Integrating Geriatric Prescribing Principles Using Evidence-Based Frameworks
Description:Medication management in older adults is complex and requires careful consideration to address issues such as polypharmacy and adverse drug effects. In this final module of the course, participants will review several case-based scenarios to apply concepts learned in previous modules of this course and integrate the Geriatric 5Ms framework and American Geriatrics Society (AGS) and American Society of Clinical Pharmacists (ASCP) Choosing Wisely recommendations to help guide clinical decisions related to medical management for older adults.
Older adults are more likely to consume more prescription and non-prescription medications, and this can place them at high risk for unintended harmful effects. An important component of the care of older adults relates to medication management. This course offers healthcare professionals and learners a comprehensive understanding of the physiological changes that occur with aging and their implications on medication management. It aims to equip participants with essential knowledge and skills t
