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Consultant Pharmacist: the Journal of the American Society of Consultant Pharmacists

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https://www.readbyqxmd.com/read/27636877/the-politics-of-health-care-spending
#1
Peter Rankin
No abstract text is available yet for this article.
September 2016: Consultant Pharmacist: the Journal of the American Society of Consultant Pharmacists
https://www.readbyqxmd.com/read/27636876/injuries-in-adults-65-years-of-age-and-older-prescribed-muscle-relaxants
#2
Melissa M Derner, Courtney A Linhart, LeeAnna M Pederson, Sarith M Saju, Alyssa M Heiden, Lisa A Wohlford, Michael T Swanoski, M Nawal Lutfiyya
OBJECTIVE: The Beers criteria list skeletal muscle relaxants (SMR) as inappropriate for individuals 65 years of age and older because of anticholinergic effects, sedation, and risk of falls/fractures. Patients 65 years of age and older presenting to U.S. primary care clinics for injury, prescribed an SMR, are at risk for these events. SMR prescribing patterns in older adults with injury have not been well studied at the population level. Using nationally representative data, the prevalence of older adults prescribed an SMR presenting to U...
September 2016: Consultant Pharmacist: the Journal of the American Society of Consultant Pharmacists
https://www.readbyqxmd.com/read/27636875/impact-of-a-pharmacist-initiated-vancomycin-monitoring-program
#3
Andrew P Smith, Catherine A Millares-Sipin, Marian James, Henry Cohen
OBJECTIVES: Evaluate the clinical impact of pharmacist-initiated vancomycin monitoring and dosing in a long-term care setting. DESIGN: Single-center, pretest, post-test design. SETTING: Rutland Nursing Home, Brooklyn, New York. PARTICIPANTS: Nursing facility residents treated with intravenous vancomycin (N = 198). OUTCOME MEASURES: The primary objective is to determine the incidence of acute kidney injury (AKI) a year before and a year after implementation of a pharmacist-initiated vancomycin-monitoring protocol...
September 2016: Consultant Pharmacist: the Journal of the American Society of Consultant Pharmacists
https://www.readbyqxmd.com/read/27636874/probable-drug-related-meningioma-detected-during-the-course-of-medication-review-services
#4
Christopher P Alderman
There is evidence to support a link between treatment with high-dose cyproterone acetate and the development of meningioma. This report describes a case where an elderly man with intellectual disability who was treated with cyproterone for problematic sexual behavior developed a meningioma. The case was the subject of a residential medication management review provided under the auspices of a program funded by the Commonwealth Government of Australia. A discussion of clinical and ethical implications of the case is provided...
September 2016: Consultant Pharmacist: the Journal of the American Society of Consultant Pharmacists
https://www.readbyqxmd.com/read/27636873/optimizing-the-use-of-discharge-medication-lists-in-nursing-facilities
#5
Andrea C Backes, Patricia Cash, Jessica Jordan
OBJECTIVE: To highlight the need to optimize the use of discharge medication lists in nursing facilities. SETTING: In January 2014, the care transitions (CT) pharmacists at Frederick Memorial Hospital, Frederick, Maryland, began a pilot project in which they identified and followed high-risk patients transitioning from hospital to nursing facility and from nursing facility to home. PRACTICE DESCRIPTION: This pilot project served as a needs assessment to identify opportunities to improve patients' transition from nursing facility to home with the goal of reducing hospital readmissions...
September 2016: Consultant Pharmacist: the Journal of the American Society of Consultant Pharmacists
https://www.readbyqxmd.com/read/27636872/the-illusion-of-perfect-memory
#6
Jeannette Y Wick
Memory is not infallible, and certain memory problems or glitches are normal. Most people notice that they experience more memory shortcomings as they age. Omission deficits and commission deficits are common and include transience, absentmindedness, tip-of-the-tongue experience, misattribution, suggestibility, bias, and persistence. Each of these has a different cause, and researchers have looked for interventions that can decrease the frequency and severity of these common problems. Though some people worry that memory glitches foreshadow dementia, that is not usually the case...
September 2016: Consultant Pharmacist: the Journal of the American Society of Consultant Pharmacists
https://www.readbyqxmd.com/read/27636871/health-information-technology-the-need-to-know-vs-data-security
#7
(no author information available yet)
No abstract text is available yet for this article.
September 2016: Consultant Pharmacist: the Journal of the American Society of Consultant Pharmacists
https://www.readbyqxmd.com/read/27636870/communicating-to-improve-care
#8
H Edward Davidson
No abstract text is available yet for this article.
September 2016: Consultant Pharmacist: the Journal of the American Society of Consultant Pharmacists
https://www.readbyqxmd.com/read/27412315/medication-use-falls-and-fall-related-worry-in-older-adults-in-the-united-states
#9
COMPARATIVE STUDY
Jonathan H Watanabe
OBJECTIVE: To compare the prevalence of falls and fall-related concerns of medication users versus nonusers in U.S. seniors. DESIGN: Cross-sectional study. SETTING: The National Health and Aging Trends Study. PARTICIPANTS: U.S. nationally representative sample of Medicare beneficiaries in 2011. OUTCOMES: Comparing subjects who used medications with subjects who did not in the past month, the outcomes were percentages of subjects who experienced 1) a fall in the past month, 2) worry about falling in the past month, 3) being limited by this worry in the past month, 4) a fall in the past year...
July 2016: Consultant Pharmacist: the Journal of the American Society of Consultant Pharmacists
https://www.readbyqxmd.com/read/27412314/updated-nitrofurantoin-recommendations-in-the-elderly-a-closer-look-at-the-evidence
#10
REVIEW
Peter Hoang, Rebecca L Salbu
The American Geriatrics Society 2015 Beers Criteria Update Expert Panel has revised its recommendation to avoid use of nitrofurantoin in renal impairment from patients with a creatinine clearance (Clcr) of less than 60 mL/min to those with a Clcr of less than 30 mL/min, based on two retrospective studies that identified the safety and efficacy of nitrofurantoin in this population. This change in recommendation, along with increasing resistance to both sulfamethoxazole/trimethoprim and fluoroquinolones, gave rise to the advantages of nitrofurantoin and may reflect a surge in prescribing among the elderly...
July 2016: Consultant Pharmacist: the Journal of the American Society of Consultant Pharmacists
https://www.readbyqxmd.com/read/27412313/a-patient-s-last-wish-at-the-end-of-life
#11
Katharine Cimmino, Michele Pisano
INTRODUCTION: Patients who have transitioned to end-of-life (EOL) care are at an increased risk for polypharmacy as they face new symptoms requiring palliative-care medications. CASE: The patient was a 96-year-old, 6' 2", 125-pound male patient who was brought into the outpatient geriatric practice by his daughter, with whom he had been living all his life. The patient had no pain, but severe dysphagia. Both daughter and patient were fully aware that death was imminent, as the patient had lost 60 pounds in the past three to four months because of gastrointestinal cancer...
July 2016: Consultant Pharmacist: the Journal of the American Society of Consultant Pharmacists
https://www.readbyqxmd.com/read/27412312/key-value-considerations-for-consultant-pharmacists
#12
Lee Meyer, Ronald G Perry, Susan M Rhodus, Wendy Stearns
Managing the efficiency and costs of residents' drug regimens outside the acute-care hospital and through transitions of care requires a toolbox filled with cost-control tools and careful collaboration among the pharmacy provider(s), facility staff, and the consultant/senior care pharmacist. This article will provide the reader with key long-term care business strategies that affect the profitability of the pharmacy provider in various care settings while, at the same time, ensuring optimal therapy for residents as they transition across levels of care...
July 2016: Consultant Pharmacist: the Journal of the American Society of Consultant Pharmacists
https://www.readbyqxmd.com/read/27412311/antibiotic-stewardship-in-long-term-care-a-call-to-action
#13
Caren McHenry Martin
The Centers for Medicare & Medicaid Services and the Centers for Disease Control and Prevention are focused heavily on curbing the misuse of antibiotics in health care facilities. Regulations governing the management of antibiotics in the nursing facility will likely be changing in the near future, which will put the pharmacist at the forefront of a clinical team that is dedicated to proper antibiotic utilization. Savvy pharmacists are embracing this opportunity to engage long-term care facility staff to improve the care of their residents...
July 2016: Consultant Pharmacist: the Journal of the American Society of Consultant Pharmacists
https://www.readbyqxmd.com/read/27412310/a-doctor-s-case-for-medical-marijuana
#14
(no author information available yet)
No abstract text is available yet for this article.
July 2016: Consultant Pharmacist: the Journal of the American Society of Consultant Pharmacists
https://www.readbyqxmd.com/read/27412309/individualized-late-life-care
#15
EDITORIAL
H Edward Davidson
No abstract text is available yet for this article.
July 2016: Consultant Pharmacist: the Journal of the American Society of Consultant Pharmacists
https://www.readbyqxmd.com/read/27178658/protecting-the-six-protected-classes-from-budgetary-cost-cutting
#16
Peter Rankin
No abstract text is available yet for this article.
May 2016: Consultant Pharmacist: the Journal of the American Society of Consultant Pharmacists
https://www.readbyqxmd.com/read/27178657/drug-utilization-patterns-and-costs-of-erythropoiesis-stimulating-agents-in-an-outpatient-setting-in-greece
#17
Apostolos Papachristos, Chara Kani, Panagiota Litsa, Georgia Valsami, Kyriakos Souliotis, Maria Saridi, Sophia Markantonis
UNLABELLED: Anemia in the elderly is often related to a higher prevalence of chronic diseases such as chronic kidney failure, arthritis, and malignancy. Erythropoiesis-stimulating agents (ESAs) have been used for years to effectively treat anemia and when used appropriately can substantially improve the health status and quality of life of older adults. Following the 2008 recession in Greece, the government introduced ESA price control restrictions, but no prescribing restrictions, in an effort to reduce drug expenditure...
May 2016: Consultant Pharmacist: the Journal of the American Society of Consultant Pharmacists
https://www.readbyqxmd.com/read/27178656/zinc-and-taste-disturbances-in-older-adults-a-review-of-the-literature
#18
REVIEW
Michele Pisano, Olga Hilas
According to the National Health and Nutrition Examination Survey III, 35% to 45% of adults 60 years of age or older had zinc intakes below the estimated average requirement of 6.8 mg/day for elderly females and 9.4 mg/day for elderly males. Zinc deficiency may lead to loss of appetite, impaired immune function, weight loss, delayed healing of wounds, eye and skin lesions, and smell and taste disturbances. Older adults are especially affected by changes in taste sensations because of age-related gustatory dysfunction, use of multiple medications, increased frailty, and zinc deficiency...
May 2016: Consultant Pharmacist: the Journal of the American Society of Consultant Pharmacists
https://www.readbyqxmd.com/read/27178655/proper-disposal-of-unused-household-medications-the-role-of-the-pharmacist
#19
Kathleen M Athern, Sunny A Linnebur, Greg Fabisiak
As the number of unused household medications within the United States continues to rise, so does the need for proper education among patients and health care professionals on proper drug disposal. Consumers have been provided conflicting directions on how to properly dispose of medications; as a result, harmful and unsafe disposal practices have been used that increased the risk for diversion and environmental damage. Recently, several governmental agencies have published recommendations for household medication disposal, and the number of national and statewide drug take-back programs has increased...
May 2016: Consultant Pharmacist: the Journal of the American Society of Consultant Pharmacists
https://www.readbyqxmd.com/read/27178654/sglt-2-inhibitors-a-novel-mechanism-in-targeting-glycemic-control-in-type-2-diabetes-mellitus
#20
REVIEW
Kobi T Nathan, Nabila Ahmed-Sarwar, Paul Werner
OBJECTIVE: To review the chemistry, pharmacology, pharmacodynamics, pharmacokinetics, clinical efficacy, tolerability, dosing, drug interactions, and administration of canagliflozin, dapagliflozin, and empagliflozin, and comparing the benefit and risk aspects of using these agents in the older adult diabetes patient population. DATA SOURCES, STUDY SELECTION, DATA EXTRACTION, AND DATA SYNTHESIS: A search of PubMed using the terms "SGLT-2 inhibitors," "canagliflozin," "dapagliflozin," "empagliflozin," "efficacy," and "tolerability" was performed to find relevant primary literature on each of the sodium/glucose cotransporter 2 (SGLT-2) inhibitors currently approved for use in type 2 diabetes...
May 2016: Consultant Pharmacist: the Journal of the American Society of Consultant Pharmacists
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