Why is Comprehensive Medication Review one of the specific precaution when administering medication for older adults?

Comprehensive Medication Review (CMR) is one of the specific precautions when administering medication for older adults due to several reasons. Here are the step-by-step explanations:

1. Age-related changes: As individuals age, their bodies undergo various physiological changes. These changes can affect how medications are absorbed, distributed, metabolized, and eliminated from the body. Therefore, a CMR is necessary to assess the appropriateness of the medication regimen for older adults.

2. Polypharmacy: Older adults often have multiple chronic conditions that require the use of multiple medications. This can lead to polypharmacy, which increases the risk of medication interactions, adverse effects, and medication non-adherence. Conducting a CMR helps identify potential drug-drug interactions and optimize the medication regimen to minimize these risks.

3. Cognitive impairment: Older adults may experience cognitive decline, such as memory loss or confusion. This can make it challenging for them to manage their medications properly, leading to medication errors or non-adherence. A CMR can help identify strategies to simplify medication regimens and ensure medication safety for older adults with cognitive impairment.

4. Adverse drug reactions: Older adults are more susceptible to adverse drug reactions due to age-related changes in organ function and increased sensitivity to medications. A CMR allows healthcare professionals to review the medication regimen and identify any medications that may pose a higher risk of adverse effects in older adults.

5. Medication cost: Older adults may face financial constraints, especially if they are on a fixed income or have limited insurance coverage. Conducting a CMR can help identify cost-effective alternatives or explore medication assistance programs to ensure older adults can afford their medications without compromising their health.

In conclusion, a Comprehensive Medication Review is a specific precaution when administering medication for older adults due to age-related changes, polypharmacy, cognitive impairment, increased susceptibility to adverse drug reactions, and medication cost considerations.