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

About the artist: This month's cover art, "Choo-Choo," was painted in watercolor by Pascha Phillips, a resident of Leisure World in Silver Spring, Maryland.


SPECIAL FEATURE

Proceedings of a Symposium Medication-Related Problems and Aging: Implications for Professionals and Policy Makers

Executive Summary

When Medicine Hurts Instead of Helps
Daniel P. Perry

Aging as a Risk Factor for Medication-Related Problems
Mark H. Beers

The Role of the Consultant Pharmacist
W. Gary Erwin

Partners for Health Aging
Becky A. Nagle

Reactor Panel: A Federal Perspective
David Clarke

Reactor Panel: A Pharmacoeconomic Perspective
Bruce Stuart

Reactor Panel: A Gerontological Perspective
Donna Wagner

Medication Use Resource List

C O N T E N T S


December 1999
Volume 14, Number 12


Research and Reports
Effect of an Interdisciplinary Team on Suboptimal Prescribing in a Long-Term Care Facility
Sean Jeffery, Christine Ruby, Jack Twersky, Joseph T. Hanlon
The results of this retrospective, chart-based review indicate that an interdisciplinary approach to long-term care by a team incorporating the services of pharmacy, medical, nursing, and other personnel can reduce the three main types of suboptimal prescribing: underuse, inappropriate use, and polypharmacy.

Research and Reports
Clinical Pharmacy Services in an Intermediate-Care Facility for the Developmentally Disabled: A Five-Year Retrospective Review
Jerry McKee, Frank Grill, Melvin Cline, Tracey Mease
In this five-year study, use of a pharmacist-coordinated treatment-team model of drug regimen review in a large residential ICF/DD was found to maximize rational drug therapy while minimizing the potential for unnecessary medication use and associated adverse drug reactions and drug interactions.


D E P A R T M E N T S

Bylines
A Call to Action
Janice L. Feinberg

Health Trends
New Findings Challenge Beliefs About RTIs in Long-Term Care; Aspiration Linked to Increased Pneumonia Mortality; New Drugs for Resistant Infection in Development; More Evidence of Suboptimal Pain Management in Nursing Facilities; more

Calendar

Consultant Pharmacist Forum
Identifying Antimicrobial Resistance Patterns in Long-Term Care; Revised JCAHO Standards for Pain Assessment and Treatment in Long-Term Care

Policy Currents
Demonstration Project Explores Cognitive Services Reimbursement; Iowa Task Force Urges Cautious Antibiotic Use; Do Random Surveys Improve Quality Care?; Congression Debate Over Medicare Drug Benefit Continues; more

Helpful Ideas
Tooling Around the State Survey
Pamela Black

Late Additions
GAO Cites Inadequate HCFA Oversight of State Nursing Facility Inspections


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