The Consultant Pharmacist is published by the
American Society of Consultant Pharmacists.

About the artist: The month's cover art, "Cunningham Falls," was painted in watercolor by Audrey Ferguson, a resident of Leisure World in Silver Spring, Maryland.


FEATURES

Resolving Pharmacist Physician Conflict (or how to get your drugtherapy recommendations accepted)
Michael J. Major
You develop what you believe is the optimal drug therapy recommendation for a resident, but the physician turns it down. Why? It can come down to rapport, credibility, or communication or a combination of all three. Time to brush up on your people skills?

1998 ASCP Annual Report
A comprehensive review of major accomplishments last year by ASCP and the ASCP Research and Education Foundation.

Geriatrics '99, the 21st ASCP Midyear Conference and Exhibition
From business management and legislative issues to clinical practice and managed care, Geriatrics '99 will be the place to hone your skills and gain new knowledge as one of America's Senior Care Pharmacists.

One look at the program herein and you're sure to book a flight to Palm Desert, California, for May 12-15. See you there!

C O N T E N T S


April 1999
Volume 14, Number 4


Research and Reports
Results of an Effort to Curtail the Number of "Unacceptable" Medications in the Elderly Population via Drug Regimen Review
James R. Byars, Joseph Gruber, Joseph R. Harmon
In this study, consultant pharmacists were successful in reducing or discontinuing the use of 43% of unacceptable medications identified. After review by the consultant pharmacists, it was determined that 23% of the medication orders identified by the initial computer search had a potentially legitimate reason for use.

Clinical Review
Monitoring Total Parenteral Nutrition Therapy in the Elderly
Peggi Guenter
A multidisciplinary approach to parenteral nutrition monitoring and complication prevention is important, particularly when the patient is in transition from acute-care to long-term or home care. Measuring effectiveness of the therapy, as well as preventing complications such as catheter infection, thrombosis, and refeeding syndrome, are the keys to optimal patient outcomes.


D E P A R T M E N T S

Bylines
Geriatrics '99: Much More Than a CE Meeting
R. Tim Webster

Letters

Health Trends
Many Seniors Have Poor Health Literacy; No Firm Link Between Facility Characteristics and Resident Outcomes Found; Four-Drug Regimen for Heart Failure; More Evidence Suggests Calcium Cuts Colon Cancer Risk; more

Calendar

Instructions for Authors

Consultant Pharmacist Forum
After the Stroke Occurs

Information Access
Selected Web Site Reviews

Close to Home
Past Medicaid Failures Portend Troubled Future, Report Says

Helpful Ideas
Five Essential Steps to Y2K Readiness

Late Additions
A New Common Language for Medication Errors


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The Consultant Pharmacist is published by the
American Society of Consultant Pharmacists.