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geriatric pharmacy

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https://www.readbyqxmd.com/read/27903881/social-work-s-participation-in-the-geriatric-education-centers-educational-evaluation-a-brief-report
#1
Kristina M Hash, Marla Berg-Weger, Daniel B Stewart, David P Elliott
This study was conducted to determine the level and types of participation of social workers in the activities of the Geriatric Education Centers (GECs). Through an online survey of GECs, the level of participation of social work professionals was compared with those in dentistry, nursing, medicine, and pharmacy, during the years 2010 to 2014. Thirty-one percent (14) of the 45 GECs completed the survey. The results found increases in participation for both social workers and nurses for both GEC activities and involvement in leadership positions within the centers...
November 29, 2016: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/27725070/home-based-comprehensive-medication-reviews-pharmacist-s-impact-on-drug-therapy-problems-in-geriatric-patients
#2
Katelyn M Steele, Janelle F Ruisinger, Jessica Bates, Emily S Prohaska, Brittany L Melton, Stephanie Hipp
OBJECTIVE: To evaluate the effects of pharmacist-conducted, home-based comprehensive medication reviews (CMRs) on drug therapy problems (DTPs) in geriatric patients. DESIGN: Pre-/postintervention study. SETTING: Grocery store chain affiliated with three independent living facilities. PARTICIPANTS: Twenty-five older adults using pharmacy delivery services for at least three chronic medications. INTERVENTION: A pharmacist conducted a home-based CMR for each participant...
2016: Consultant Pharmacist: the Journal of the American Society of Consultant Pharmacists
https://www.readbyqxmd.com/read/27488476/a-needs-assessment-of-community-pharmacists-for-pharmacist-specialization-in-canada
#3
Derek Jorgenson, Jonathan Penm, Neil MacKinnon, Jennifer Smith
OBJECTIVES: Pharmacists are increasingly providing specialized services. However, no process exists for specialist certification in Canada. The aim of this study was to determine the extent to which Canadian community pharmacists support the development of a certification system for specialization. METHODS: This study utilized a cross-sectional online survey of licensed Canadian pharmacists identified through the member databases of national and regional pharmacy associations...
August 4, 2016: International Journal of Pharmacy Practice
https://www.readbyqxmd.com/read/27467774/an-interprofessional-approach-to-reducing-the-risk-of-falls-through-enhanced-collaborative-practice
#4
Elizabeth Eckstrom, Margaret B Neal, Vicki Cotrell, Colleen M Casey, Glenise McKenzie, Megan W Morgove, Gary E DeLander, William Simonson, Kathie Lasater
Falls are the leading cause of accidental deaths in older adults and are a growing public health concern. The American Geriatrics Society (AGS) and British Geriatrics Society (BGS) published guidelines for falls screening and risk reduction, yet few primary care providers report following any guidelines for falls prevention. This article describes a project that engaged an interprofessional teaching team to support interprofessional clinical teams to reduce fall risk in older adults by implementing the AGS/BGS guidelines...
August 2016: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/27412313/a-patient-s-last-wish-at-the-end-of-life
#5
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/27306652/analysis-of-an-electronic-medication-reconciliation-and-information-at-discharge-programme-for-frail-elderly-patients
#6
Marta Moro Agud, Rocío Menéndez Colino, María Del Coro Mauleón Ladrero, Margarita Ruano Encinar, Jesús Díez Sebastián, Elena Villamañán Bueno, Alicia Herrero Ambrosio, Juan Ignacio González Montalvo
Background During care transitions, discrepancies and medication errors often occur, putting patients at risk, especially older patients with polypharmacy. Objective To assess the results of a medication reconciliation and information programme for discharge of geriatric patients conducted through hospital information systems. Setting A 1300-bed university hospital in Madrid, Spain. Method A prospective observational study. Geriatricians selected candidates for medication reconciliation at discharge, and sent an electronic inter-consultation request to the pharmacy department...
August 2016: International Journal of Clinical Pharmacy
https://www.readbyqxmd.com/read/27250072/valproic-acid-suppositories-for-management-of-seizures-for-geriatric-patients
#7
Sandra L DiScala, Nhi N Tran, Michael A Silverman
This case describes the use of valproic acid suppositories for secondary seizure prophylaxis in a geriatric veteran with a feeding and swallowing disorder. The effectiveness of valproic acid suppositories is outlined to reinforce the need for compounding pharmacies to have this formulation available to meet the needs of geriatric patients.
2016: Consultant Pharmacist: the Journal of the American Society of Consultant Pharmacists
https://www.readbyqxmd.com/read/27231801/low-cost-generic-program-use-by-medicare-beneficiaries-implications-for-medication-exposure-misclassification-in-administrative-claims-data
#8
Nathan J Pauly, Jeffery C Talbert, Joshua Brown
BACKGROUND: Administrative claims data are used for a wide variety of research and quality assurance purposes; however, they are prone to medication exposure misclassification if medications are purchased without using an insurance benefit. Low-cost generic drug programs (LCGPs) offered at major chain pharmacies are a relatively new and sparsely investigated source of exposure misclassification. LCGP medications are often purchased out of pocket; thus, a pharmacy claim may never be submitted, and the exposure may go unobserved in claims data...
June 2016: Journal of Managed Care & Specialty Pharmacy
https://www.readbyqxmd.com/read/27100583/the-geriatrics-in-primary-care-demonstration-integrating-comprehensive-geriatric-care-into-the-medical-home-preliminary-data
#9
Peter A Engel, Jacqueline Spencer, Todd Paul, Judith B Boardman
Three thousand nine hundred thirty-one veterans aged 75 and older receive primary care (PC) in two large practices of the Department of Veterans Affairs (VA) Boston Healthcare System. Cognitive and functional disabilities are endemic in this group, creating needs that predictably exceed available or appropriate resources. To address this problem, Geriatrics in Primary Care (GPC) embeds geriatric services directly into primary care. An on-site consulting geriatrician and geriatric nurse care manager work directly with PC colleagues in medicine, nursing, social work, pharmacy, and mental health within the VA medical home...
April 2016: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/27099333/implementation-and-assessment-of-a-required-transitions-of-care-residency-rotation
#10
Kanizeh Visram, Laura S Carr, Joanne Doyle Petrongolo
PURPOSE: The implementation of a required residency rotation in transitions of care (TOCs) and the resulting resident-led clinical interventions and learning experiences are described. SUMMARY: A newly required four-week TOC rotation was implemented for postgraduate year 1 (PGY1) pharmacy residents at Massachusetts General Hospital (MGH). Unlike acute care rotations, this learning experience encouraged residents to focus on providing direct patient care in a holistic manner and use pharmacologic and nonpharmacologic strategies to improve patient outcomes...
May 1, 2016: American Journal of Health-system Pharmacy: AJHP
https://www.readbyqxmd.com/read/27060885/a-modified-delphi-study-of-structures-and-processes-related-to-medicines-management-for-elderly-hospitalised-patients-in-the-united-arab-emirates
#11
Saeed Al Shemeili, Susan Klein, Alison Strath, Saleh Fares, Derek Stewart
RATIONALE AND AIM: The structures and processes around the management of medicines for elderly, hospitalized patients are ill defined. This study aimed to determine consensus related to strategic and operational approaches in the United Arab Emirates. METHODS: A modified Delphi technique, consensus study with first round statements developed from systematic reviews related to medicines management. Normalization process theory and the theoretical domains framework were applied in the construction of statements, organized into key elements of medicines management: guidelines for medicines management, medicines reconciliation, medicines selection, prescribing and review, medicines adherence, medicines counselling, health professional training and evaluation research...
October 2016: Journal of Evaluation in Clinical Practice
https://www.readbyqxmd.com/read/27059714/effect-of-potentially-inappropriate-use-of-antimuscarinic-medications-on-healthcare-use-and-cost-in-individuals-with-overactive-bladder
#12
Brandon T Suehs, Cralen Davis, Billy Franks, Thomas E Yuran, Daniel Ng, Jason Bradt, John Knispel, Maria Vassilakis, Todd Berner
OBJECTIVES: To examine potentially inappropriate medication (PIM) use in older adults initiating an antimuscarinic medication for the treatment of overactive bladder (OAB). DESIGN: Retrospective database analysis. SETTING: Medical and pharmacy claims data. PARTICIPANTS: Medicare Advantage Prescription Drug Plan members aged 65 and older newly initiated on an antimuscarinic OAB treatment were identified and assigned to PIM and non-PIM comparison groups based on 2012 American Geriatrics Society Beers Criteria and/or the presence of an anticholinergic medication interaction at the time of initiation of treatment (N = 66,275)...
April 2016: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/27042434/how-healthy-is-community-dwelling-elderly-population-results-from-southern-italy
#13
Francesca Guerriero, Valentina Orlando, Daniele Ugo Tari, Annalisa Di Giorgio, Antonio Cittadini, Gianluca Trifirò, Enrica Menditto
PURPOSE: To explore the frequency of polypharmacy, functional and cognitive capacity among the elderly in Southern Italy. METHODS: Population-based retrospective cross-sectional study. Information were retrieved from electronic-geriatric-forms matched by record-linkage to outpatient pharmacy-records. The following domains were collected from geriatric forms: BMI, cognitive capacity (SPMSQ), functional status (Barthel-index), mobility, living condition. Polypharmacy status was categorized as non-polypharmacy (0-4), polypharmacy (5-9) and excessive-polypharmacy (≥10)...
December 2015: Translational Medicine @ UniSa
https://www.readbyqxmd.com/read/27015054/impact-of-clinical-pharmacy-specialists-on-the-design-and-implementation-of-a-quality-improvement-initiative-to-decrease-inappropriate-medications-in-a-veterans-affairs-emergency-department
#14
Jason M Moss, William E Bryan, Loren M Wilkerson, George L Jackson, Ryan K Owenby, Courtney Van Houtven, Melissa B Stevens, James S Powers, Camille P Vaughan, William W Hung, Ula Hwang, Alayne D Markland, Gerald McGwin, Susan Nicole Hastings
BACKGROUND: As the proportion of older adult patients who interface with the health care system grows, clinical pharmacy specialists (CPS) have a pivotal role in reducing potentially inappropriate medication (PIM) use in this population. OBJECTIVES: To (a) describe CPS involvement in the design and implementation of a quality improvement (QI) initiative to decrease PIM prescribing in a Veterans Affairs (VA) emergency department (ED) and (b) report on changes in PIM prescribing before and after the initiative...
January 2016: Journal of Managed Care & Specialty Pharmacy
https://www.readbyqxmd.com/read/26922733/experience-with-the-implementation-of-clinical-pharmacy-services-and-processes-in-a-university-hospital-in-belgium
#15
Annemie Somers, Barbara Claus, Koen Vandewoude, Mirko Petrovic
This article summarizes the experience with the development of clinical pharmacy services in the Ghent University Hospital in Belgium. Implementation of clinical pharmacy services in Belgian hospitals has not been evident because these activities were initially not structurally financed. The aim is to describe the strengths and weaknesses of the clinical pharmacy development process, and the milestones that enhanced the progress. Furthermore, the organisation of clinical pharmacy in the Ghent University Hospital is explained, including back- and front-office activities, seamless pharmaceutical care and medication safety improvement...
March 2016: Drugs & Aging
https://www.readbyqxmd.com/read/26843500/geriatric-pharmacy-training-requirements-a-survey-of-residency-programs
#16
Kristina M Niehoff, Sean M Jeffery
PURPOSE: Results of a survey assessing opportunities for geriatrics training currently available to pharmacy residents and residency directors' views on the concept of a defined slate of required geriatrics rotations are reported. METHODS: Directors of postgraduate year 1 (PGY1) pharmacy residency programs (n = 368) and postgraduate year 2 (PGY2) geriatric pharmacy residencies (n = 13) were surveyed regarding current training opportunities in geriatrics. PGY2 residency directors were invited to participate in a follow-up survey to identify high-priority areas for possible standardization of residency requirements on clinical rotations in geriatric practice settings...
February 15, 2016: American Journal of Health-system Pharmacy: AJHP
https://www.readbyqxmd.com/read/26835815/reducing-readmissions-through-a-targeted-geriatric-pharmacy-program
#17
Mary Ann Oʼconnor, Adele Pike, Mary Meade Ambrefe, E Liza Greenberg
No abstract text is available yet for this article.
February 2016: Home Healthcare Now
https://www.readbyqxmd.com/read/26778919/sufficient-competence-in-community-elderly-care-results-from-a-competence-measurement-of-nursing-staff
#18
Pia Cecilie Bing-Jonsson, Dag Hofoss, Marit Kirkevold, Ida Torunn Bjørk, Christina Foss
BACKGROUND: Multi-morbidity, poly-pharmacy and cognitive impairment leave many old patients in a frail condition with a high risk of adverse outcomes if proper health care is not provided. Knowledge about available competence is necessary to evaluate whether we are able to offer equitable and balanced health care to older persons with acute and/or complex health care needs. This study investigates the sufficiency of nursing staff competence in Norwegian community elderly care. METHODS: We conducted a cross-sectional survey of 1016 nursing staff in nursing homes and home care services with the instrument "Nursing Older People - Competence Evaluation Tool"...
2016: BMC Nursing
https://www.readbyqxmd.com/read/26630945/toward-appropriate-criteria-in-medication-adherence-assessment-in-older-persons-position-paper
#19
REVIEW
Anna Giardini, Maria Teresa Martin, Caitriona Cahir, Elaine Lehane, Enrica Menditto, Maria Strano, Sergio Pecorelli, Alessandro Monaco, Alessandra Marengoni
Nonadherence to medication regimens is a worldwide challenge; adherence rates range from 38 to 57 % in older populations with an average rate of less than 45 % and nonadherence contributes to adverse drug events, increased emergency visits and hospitalisations. Accurate measurement of medication adherence is important in terms of both research and clinical practice. However, the identification of an objective approach to measure nonadherence is still an ongoing challenge. The aim of this Position Paper is to describe the advantages and disadvantages of the known medication adherence tools (self-report, pill count, medication event monitoring system (MEMS) and electronic monitoring devices, therapeutic drug monitoring, pharmacy records based on pharmacy refill and pharmacy claims databases) to provide the appropriate criteria to assess medication adherence in older persons...
June 2016: Aging Clinical and Experimental Research
https://www.readbyqxmd.com/read/26582483/medication-reviews-in-primary-care-in-sweden-importance-of-clinical-pharmacists-recommendations-on-drug-related-problems
#20
Sara Modig, Lydia Holmdahl, Åsa Bondesson
BACKGROUND: One way of preventing and solving drug-related problems in frail elderly is to perform team-based medication reviews. OBJECTIVE: To evaluate the quality of the clinical pharmacy service to primary care using structured medication reviews, focusing on the clinical significance of the recommendations made by clinical pharmacists. SETTING: A random sample of 150 patients (out of 1541) who received structured team based medication reviews...
February 2016: International Journal of Clinical Pharmacy
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