The Consultant Pharmacist

IN THIS ISSUE

November 2017 | Volume 32 | Number 11

Technology Moves Senior Care Pharmacy into the Future

Technology continues to evolve, and pharmacists need to be part of this evolution in a health care system where the goals are reducing readmissions and related costs, improving outcomes, and enabling elders to stay in their homes longer. It’s important to understand technologies that connect organizations and individuals as well as those that patients and families are using to enhance safety and quality of life.

Chad Worz: 2017-2018 ASCP President

Worz, a member of ASCP since 1998, has been at the forefront of many pioneering projects to provide medication management to the geriatric population.

Pharmacy Diabetes Management of a Veteran Population in a Long-Term Care Setting: A Program Evaluation

Type 2 diabetes mellitus patients managed by clinical pharmacy specialists at a Veterans Affairs long-term care facility significantly decreased weekly fingerstick blood-monitoring frequency, number of insulin injections per day, and ceased sliding-scale insulin use. A1C and hypoglycemic and hyperglycemic events remained stable. Shifting responsibility of diabetes management to pharmacists also allows providers to focus more of their time on acute issues or other chronic disease states.

Proton-Pump Inhibitors and Risk of Dementia

The growing evidence supporting the association between the use of proton-pump inhibitors (PPIs) and risk of developing dementia is concerning, but a causal relationship has yet to be established. Pharmacists in all settings should consider making stronger recommendations when it comes to patients using PPIs beyond a reasonable length of time, especially when it comes to long-term use in elderly individuals.

Evaluation of Interventions in Clinical Pharmacist-Led Annual Medicare Wellness Visits Compared with Usual Care

Pharmacists completing the Medicare Wellness Visit (MWV) had a higher rate of medication-related and non-medication-related interventions than the nonpharmacist group. Pharmacist-led MWVs may lead to more appropriate medication use in elderly patients and serve as a financially sustainable care model to provide clinical pharmacy services in the outpatient setting.

Nurses’ Knowledge, Perception, and Self-Confidence Regarding Evidence-Based Antibiotic Use in the Long-Term Care Setting

Consultant pharmacists can serve as antibiotic stewardship champions in the long-term care setting by empowering nursing staff and administrators to support and develop policies regarding education and other stewardship initiatives. Nursing education about antibiotic stewardship and clinical assessment tools may help reduce inappropriate antibiotic use in the long-term care setting.

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The Consultant Pharmacist® is the official monthly peer-reviewed journal of the American Society of Consultant Pharmacists (ASCP). It is the only journal dedicated exclusively to the medication therapy needs of seniors. ASCP members receive The Consultant Pharmacist® as a member benefit. All articles (2004 to present) are free online for members.




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