The Consultant Pharmacist

IN THIS ISSUE

May 2017 | Volume 32 | Number 5

Don’t Make Things Harder Than They Need to Be

Editor-in-Chief, H. Edward Davidson, PharmD, MPH, gives a brief commentary on this issue of the journal and current new items of interest to consultant pharmacists.

2017 New Drug Update

Five new drugs marketed within the last year, which are used for medical problems often experienced by the elderly, have been selected for consideration in this review. The drugs include two antidiabetic agents, an agent for gout, an antipsychotic agent, and a drug for dry eye disease. The uses and most important properties of these agents are discussed; and advantages, disadvantages, and other important information regarding each new drug are identified.

Neda Leonard: Filling a Void

Neda Leonard, PharmD, owner of Consult A Pharmacist, LLC, provides pharmacy medication review and consultation services to older adults living in nursing facilities, assisted living communities, and independently in the community.

Dangers of Nonprescription Medicines: Educating and Counseling Older Adults

Drug duplication, drug-drug interactions, and incorrect use of nonprescription medicines in older adults are all negative outcomes and related to polypharmacy, which can be avoided if health care providers deliver appropriate and effective counseling and education. Health care providers can assist patients through counseling and education to make safe and effective decisions.

Medication Regimen Complexity in Long-Term Care Facilities and Adverse Drug Events-Related Hospitalizations

Rehospitalizations for adverse drug events are estimated to be 17%, which indicates the need to target medication management in many patients. Consultant pharmacists in long-term care facilities play a vital role in monitoring medication regimen complexity to identify patients for whom increased complexity may be associated with medication nonadherence and/or avoidable emergency department visits or hospitalizations.

Clinical and Functional Characteristics of Nursing Facility Residents with Opioid-Induced Constipation

Nursing facility residents with opioid-induced constipation (OIC) experience suboptimal pain relief, additional anticholinergic adverse drug-related effects, and a decreased quality of life. More research is required to adequately characterize the prevalence and impact of OIC in the nursing facility setting. This study provides insight into the characteristics of nursing facility residents with OIC and can assist in developing a profile to better inform care.

Pharmacist-Managed Diabetes Center Interventions Ensure Quality and Safety in Elderly Patients

A pharmacist-directed, diabetes self-management and education program for high-risk Medicare beneficiaries resulted in improvements in A1C quality measures and mitigated medication-associated harm. As a result of the study, the number of individuals with an A1C in the high-risk range was reduced from 43% to 3%. Pharmacists are in a position to help patients manage medication safety, monitor adherence, and develop patient-specific goals and medication regimens to improve outcomes of patients with diabetes.

Proposed Medicaid Changes Make Nursing Facilities Nervous

An update on health care policy.

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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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H. Edward Davidson, PharmD, MPH
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