Polypharmacy refers to the simultaneous taking of multiple medications to treat one type of ailment. Moreover, it is the usage of four or more drugs by a patient especially the adults of age 65years. 40 % of the elderly are affected by Polypharmacy whereas about 21% have an intellectual disability. In recent years, a number of countries have registered rapid growth of the elderly population. Polypharmacy is associated with a reduction in quality of life, cognition, and mobility. Advantage and disadvantage of polypharmacy depend on the diagnosis and combination of drugs used. However, polypharmacy is concerned with increased drug interactions, prescribing cascade, drugs reactions, and cost (Holmes, 2012).
One of the effective and efficient ways to manage medication is, for instance, describing, which involves discontinuance and identification of medicines when the benefits do not overweigh the harm. In the elderly population, it is done when medication fails to yield results. Therefore, the treatment needs to be changed to palliative from preventive (Holmes, 2012).

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Change in older attitude towards his or her health. Older people see themselves as no longer useful; therefore, their health deteriorates and becomes less active. This perception can change through involvement in mental stimulation, physical exercise, and social activities.
Low dexterity and reduced visibility are linked with poor self-management. Inability to read the prescription and labels make medication difficult. However, this challenge can be addressed through proper labeling with large letters to enhance visibility (Ghaemi, 2002).

A team approach method can be used in managing the patient’s care, as well as reducing the treatment cost. This group includes nurse counselor, chaplain, physical therapist, and pharmacists. Additionally, cooperation between the patient and the team changes the patient’s attitude and improve his/her mental status (Holmes, 2012).

Lastly, Improvement of medical management helps to avoid Medicare penalties. Patient education and discharge evade readmission cost, as well as improves quality care. Regular follow-up and home care services improve patient’s attention and transition. Post-acute follow up eradicates readmission, hence, cutting the cost of health care (Ghaemi, 2002). Polypharmacy condition can be controlled and managed in unison. Therefore, family members and medical practitioners need to care for the patients and set up strategies to reduce medical cost.