Navigation

courses

Lessons

Drug & Dietary Supplement Use Among Seniors

Drug & Dietary Supplement Use Among Seniors


COURSE DESCRIPTION

Previously, investigators have examined the use of prescription and OTC medications and dietary supplements among older adults in the U.S. These studies have revealed that more than half of older adults concurrently use prescription and nonprescription medications, including dietary supplements. A significant number of older adults use interacting medications or dietary supplements that can potentially increase their risks for adverse drug events. With new drugs continuing to emerge on the market and the increasing availability of generic and OTC products, it is becoming even more important to examine the potential safety concerns associated with commonly used drugs among older adults. Recently collected data may underestimate medication use and potential adverse effects because they do not always capture information on OTC medications and dietary supplements.
Standard: Free
Key Determinants for Diabetes Drug Adherence

Key Determinants for Diabetes Drug Adherence


COURSE DESCRIPTION

Multiple medications are often prescribed to help adults with type 2 diabetes manage hyperglycemia, diabetes-associated conditions like hypertension and dyslipidemia, and other comorbidities. Prior studies have shown that non-adherence to diabetes medications is associated with many adverse outcomes. Research indicates that better adherence to diabetes medications improves control of intermediate risk factors. It also reduces the likelihood of being hospitalized, can lower healthcare costs, and may decease mortality. Studies aiming to estimate rates of adherence to diabetes medications vary widely depending on the types of patients involved in the analysis and how investigators define adherence. Most analyses tend to look at either individual-level or system-level factors independently, but few have used large generalizable cohorts. Discussed herein are the findings of a study that used a large national database to look at adherence to oral diabetes medications in more than 200,000 adults with type 2 diabetes in the United States.
Standard: Free
Guidelines for Allergic Rhinitis

Guidelines for Allergic Rhinitis


COURSE DESCRIPTION

Current estimates show that allergic rhinitis (AR) is the most common chronic disease among children in the United States. Ranking as the fifth most common chronic disease in the U.S. overall, AR has been estimated to generate $2 to $5 billion in direct health expenditures annually. Numerous diagnostic tests and treatments are used to manage patients with AR, but research suggests that there is considerable variation in how they are used by clinicians who care for these patients.




Standard: Free
Making the Case for Increasing DSME/S Use

Making the Case for Increasing DSME/S Use


COURSE DESCRIPTION

Research shows that diabetes self-management education and support (DSME/S) can improve A1C levels and have a positive effect on other clinical, psychosocial, and behavioral aspects of diabetes. Ultimately, DSME/S helps inform, empower, and engage patients to manage the disease on their own and with their healthcare providers. Studies show that DSME/S can help lower A1C levels with just one patient visit to these services. Diabetes is a disease that requires patients to be proficient in many self-management skills, and DSME/S is critical to laying the foundation for long-term management. It helps patients become effective self-managers and assists them with important daily decisions about food, exercise, and medications. Currently, there is no consistency with regard to when and how patients with diabetes are referred to DSME/S by their healthcare providers. Healthcare providers may also not fully recognize the benefits of DSME/S or how it should be utilized.
Standard: Free
Flu Vaccination Among Healthcare Professionals

Flu Vaccination Among Healthcare Professionals


COURSE DESCRIPTION

Studies have shown that influenza among healthcare personnel (HCP) increases absenteeism and the potential to spread the infection to patients as well as family and friends. Additional research indicates that influenza vaccination of HCP reduces morbidity and mortality among nursing home patients, a population shown to be highly vulnerable to influenza. To reduce influenza-related morbidity, mortality, and absenteeism among HCP and their patients, the Advisory Committee on Immunization Practices (ACIP) recommends annual influenza vaccination for all HCP.
Standard: Free
Disparities in Older Patients With Diabetes

Disparities in Older Patients With Diabetes


COURSE DESCRIPTION

Studies show that the prevalence of type 2 diabetes among adults aged 65 and older in the United States ranges between 20% and 25%. However, controversy has surrounded the most appropriate approaches to treating and managing diabetes in older adults, particularly with regard to identifying therapeutic targets for A1C and the control of other cardiovascular risk factors. In addition, research suggests there are disparities in risk factor control among racial and ethnic minorities with diabetes when compared with whites who have the disease. Diabetes continues to be a major public health problem among older racial and ethnic minorities. There are important factors to consider when managing this older patient group and developing treatment targets. These include the potential for adverse effects when using pharmacologic treatment, risks for hypoglycemia, and individual comorbidities, among other factors.

Standard: Free