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

About the artist: The month's cover art, "Floral" and "Blue Vase," were both painted in oil by Biz Johnson, a resident of The Fairfax, a retirement community in Fort Belvoir, Virginia.


FEATURES

p.r.n. Orders: When Does the Danger Outweigh the Convenience
Jeanette Y. Wick
The author offers some points to ponder concerning the sometimes casual use of ordering drugs as needed in a long-term care setting. Some of those points may surprise you.

Clinical Pharmacy Initiatives: Large LTC Providers Set the Pace
Vicki Meade
High-tech software, well-developed disease-management programs, finely tuned formulary management, innovative wellness programs: Providers of long-term care pharmacy services are making bold strides on the clinical side of consultant pharmacy in a move toward better resident outcomes.

1999 New Drug Review: Exciting New Options for Senior Care
Tom Frank
With the recent introduction of a couple of revolutionary drugs, there are exciting new choices for optimal treatment of a variety of conditions seen in the elderly. Here's a quick rundown of the newest drugs in the senior care armamentarium.

C O N T E N T S


May 1999
Volume 14, Number 5


Research and Reports
Evaluation of Sleep Disorders in Nursing Facilities
Gena W. Cramer, Robert J. Chaponis, Steven Bauwens, Thomas Chamberlain
Are sleep disorders being optimally managed in nursing facilities? Results of this study demonstrated inadequate documentation in the patient's record as well as a lack of nonpharmacologic treatment, a reliance on sedative-hypnotics, and frequent inappropriate choices of agents and duration of use.

Clinical Review
Valproate for Management of Agitation and Aggression in the Elderly: A Literature Review
Phyllis M. Parks-Veal
A growing body of evidence is showing valproate to be an effective medication for behavior disturbances in the elderly-in particular, agitation and aggression.


D E P A R T M E N T S

Bylines
On Listening and Wisdom
Robin Bodishbaush

Letters

Health Trends
H. pylori Vaccine in the Works;
HMOs More Willing to Cover
Alternative Therapies; Sleep
Deprivation and Hypertension; more

Calendar

Instructions for Authors

Consultant Pharmacist Forum
Nutritional Med Passes in Long-Term Care: The Role of the Pharmacist

Information Access
Selected Web Site Reviews

Close to Home
Virginia Pharmacists Flex New Collaborative Practice Authority

Federal Perspectives
FDA 'MedGuide' Rule Goes into Effect

Helpful Ideas
Lab Test Monitoring: Bringing Nurses into the Equation

Late Additions
Medicare Drug Benefit Bill Hints at Key Role for Pharmacists


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