Open AccessApplying the Social-Ecological Approach to Evaluate Diabetes Medication Management in Older People
Author(s) -
Ivy Poon,
Christopher W. Ogboe
Publication year - 2021
Publication title -
the senior care pharmacist
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.229
H-Index - 21
eISSN - 2639-9644
pISSN - 2639-9636
DOI - 10.4140/tcp.n.2021.548
Subject(s) - liraglutide , medical prescription , cognition , diabetes mellitus , medicine , function (biology) , psychology , gerontology , type 2 diabetes , psychiatry , nursing , evolutionary biology , biology , endocrinology
Glucagonlike peptide-1 receptor agonist is a common antidiabetic medication class to lower HbA1c, weight, and cardiovascular risk. This case study describes the challenges a patient with uncontrolled diabetes faced after receiving a prescription for liraglutide because of multiple levels of influence, including individual, family, institutional, and policy level barriers. The case highlights the importance of utilizing a person-centered care approach by evaluating patient's preferences, visual and motor coordination, cognitive function, psychological stress, and medication cost before prescribing injectable products for elderly patients.