SOUZA, A. E. S.; SOUZA, ANA ELZA DA SILVA.; da Silva Souza Ana Elza.; http://lattes.cnpq.br/2123564453050806; SOUZA, Ana Elza da Silva.
Résumé:
The aging process has been gradually increasing over the years. This change
occurs due to improvements in quality of life associated with greater access to health services.
Senescence is one of the stages of life that requires more care due to systemic changes. Although
aging should not be associated with illness, it is commonly related to the onset of chronic
diseases, leading to increased medication consumption. Objective: To develop an educational
e-book to guide nurses on the use of Potentially Inappropriate Medications (PIMs) in older
adults. Methodology: This is a methodological study developed in three stages. In the first
stage, a scoping review was constructed, which involved a search in the following databases:
Latin American and Caribbean Health Sciences Literature (LILACS), Spanish Bibliographic
Index of Health Sciences (IBECS), and Nursing Database (BDENF), available in the Virtual
Health Library (VHL) collection, as well as in the Medical Literature Analysis and Retrieval
System Online (MEDLINE) via PubMed and Scientific Electronic Library Online (SciELO),
using the Joanna Briggs Institute method. The search returned 65 articles, of which 10 studies
were selected. The review was registered in the Open Science Framework (OSF). In the second
stage, a consultation was carried out using the database from a previous qualitative study
involving nine nursing professionals, with approval from the Research Ethics Committee under
protocol number 5.829.042. Finally, an educational e-book was produced. Results and
Discussion: The growing reality of drug use increases the risk of medication-related problems,
such as iatrogenic reactions and adverse reactions. Potentially Inappropriate Medications
(PIMs) for older adults are those whose risks of causing harm outweigh their benefits, and
therefore their use should be avoided. Conclusion: Thus, the presence of professionals with
knowledge about drug groups and their actions in the body is essential. Therefore, nursing
professionals should be trained and equipped with the necessary tools to manage PIMs in order
to prevent harm to older adults in healthcare settings.