Benchmarking 2010: Measuring Long-Term Care and Consultant Pharmacy Practice

2011 ◽  
Vol 26 (7) ◽  
pp. 468-475 ◽  
Author(s):  
Caren McHenry Martin
Keyword(s):  
Long Term Care ◽  
Pharmacy Practice ◽  
Term Care

scholarly journals Prescribing-Assessment Tools for Long-Term Care Pharmacy Practice: Reaching Consensus through a Modified RAND/UCLA Appropriateness Method

Pharmacy ◽  
2021 ◽  
Vol 9 (4) ◽  
pp. 194
Author(s):  
João R. Gonçalves ◽  
Betsy L. Sleath ◽  
Manuel J. Lopes ◽  
Afonso M. Cavaco
Keyword(s):  
Long Term Care ◽  
Inappropriate Medication ◽  
Pharmacy Practice ◽  
Clinical Information ◽  
Daily Practice ◽  
Health Technology ◽  
Assessment Tools ◽  
Term Care ◽  
Study Participants

Medicines are the most used health technology in Long-Term Care. The prevalence of potentially inappropriate medicines amongst Long-Term Care patients is high. Pharmacists, assisted by prescribing-assessment tools, can play an important role in optimizing medication use at this level of care. Through a modified RAND/UCLA Appropriateness Method, 13 long-term care and hospital pharmacists assessed as ‘appropriate’, ‘uncertain’, or ‘inappropriate’ a collection of commonly used prescribing-assessment tools as to its suitability in assisting pharmacy practice in institutional long-term care settings. A qualitative analysis of written or transcribed comments of participants was pursued to identify relevant characteristics of prescribing-assessment tools and potential hinders in their use. From 24 different tools, pharmacists classified 9 as ‘appropriate’ for pharmacy practice targeted to long-term care patients, while 3 were classified as ‘inappropriate’. The tools feature most appreciated by study participants was the indication of alternatives to potentially inappropriate medication. Lack of time and/or pharmacists and limited access to clinical information seems to be the most relevant hinders for prescribing-assessment tools used in daily practice.

Clinical Software in Long-term Care Consultant Pharmacy Practice

1988 ◽  
Vol 1 (3) ◽  
pp. 218-224
Author(s):  
James A. Sherman
Keyword(s):  
Long Term Care ◽  
Pharmacy Practice ◽  
Human Memory ◽  
Drug Regimen ◽  
Accurate Information ◽  
Term Care ◽  
Drug Regimens ◽  
Computer Based ◽  
Software Programs

As evidenced in 1985, and confirmed through preliminary analysis of a 1988 survey, 96.3% of long-term care (LTC) providers were using computers in providing dispensing services. It is the challenge of using this current tecnhology to merge existing drug management (prescription processing) and clinical applications that identifies the frontier of computerized pharmacy practice. Software programs are currently available that enable the consultant to uniformly apply set indicator criteria without ommission or human memory lapse to all LTC resident drug regimens. It is the degree to which these drug regimen review software programs may be integrated with prescription processing software, and the extent that the programs exceed the indicators that may be used in evaluating their impact and value. This value may be reflected in decreased consultant pharmacist review time, patient benefit, physician response, perceived administrator/nursing home benefits, and the usefulness of reports and outcome statistics generated. The advantages, disadvantages, guidelines for software evaluation, and currently available clinical programs are presented in order to provide accurate information to those consultant pharmacists seeking to expand or implement new computer based clinical services.

Development and implementation of a long-term care-based introductory pharmacy practice experience course

2014 ◽  
Vol 6 (3) ◽  
pp. 393-400 ◽  
Author(s):  
Paul Gavaza ◽  
Donna M. Adkins ◽  
Ethan Hodges ◽  
Susan L. Mayhew ◽  
Charles Breese
Keyword(s):  
Long Term Care ◽  
Pharmacy Practice ◽  
Term Care ◽  
Practice Experience

Geriatrics & Gerontology: Pharmacists' Perceptions of Geriatric Pharmacy Practice

1983 ◽  
Vol 17 (2) ◽  
pp. 134-138 ◽  
Author(s):  
Peter P. Lamy ◽  
William Simonson ◽  
Clara C. Pratt
Keyword(s):  
Patient Compliance ◽  
Long Term Care ◽  
Medication Use ◽  
Pharmacy Practice ◽  
The Elderly ◽  
Care Patient ◽  
Drug Reactions ◽  
Term Care ◽  
Content Areas

Four hundred thirty-two pharmacists from two separate pharmacy organizations associated with geriatric practice were surveyed to determine their perceptions of 51 content areas in terms of their importance for inclusion in pharmacy curricula. The population surveyed was also asked to respond to the question: What do you believe is the most difficult aspect of geriatric pharmacy practice? Demographic and descriptive information was collected for each respondent, for statistical purposes. The most important content areas for inclusion in pharmacy curricula were the pharmacist's responsibility in long-term care, patient compliance, drug interactions, adverse drug reactions, and psychotropic medication use. The most difficult aspects of geriatric pharmacy practice identified included inadequate geriatric knowledge, patient compliance, physician overprescribing, communication with the elderly, and lack of professional and/or financial recognition.

implementing Student Pharmacist- Led Health Outreach Events at Long-term Care Facilities in a Medically Underserved Community

2021 ◽  
Vol 36 (8) ◽  
pp. 387-395
Author(s):  
Megan Giruzzi ◽  
Nick Giruzzi ◽  
Virginia Gonzalez ◽  
Kimberly McKeirnan
Keyword(s):  
Patient Care ◽  
Long Term Care ◽  
Pharmacy Practice ◽  
Lessons Learned ◽  
Medically Underserved ◽  
Care Process ◽  
Term Care ◽  
Care Facilities ◽  
Medication Reviews

OBJECTIVE: To describe the process of creating precepted, student pharmacist-led health outreach events at long-term care facilities and to describe the lessons learned during the implementation process. SETTING: Yakima, Washington, a medically underserved area. PRACTiCE DESCRiPTiON: Pharmacy students, supervised by pharmacist preceptors, conducted health outreach events at local long-term care facilities on a rotating monthly basis. These students provided comprehensive medication reviews, blood pressure screenings, and blood glucose screenings. PRACTiCE INNOVATION: Pharmacists providing medication reviews at long-term care facilities where residents manage their medications can address polypharmacy by identifying medication discrepancies, determining the effectiveness of treatment, and improving patient outcomes. Conducting health outreach events with pharmacy-student involvement includes the added benefit of providing students with the opportunity to gain hands-on experience before beginning their clinical Advanced Pharmacy Practice Experience (APPE) rotations and practice skills described in the American Society of Consultant Pharmacists Geriatric Pharmacy Curriculum Guide and Pharmacist's Patient Care Process. RESULTS: Nineteen health outreach events at long-term care facilities were held, and more than 100 residents participated annually. Students coordinated events successfully after developing a standardized set of questions, which was necessary for planning, and identifying someone to act as an event coordinator, recruiting students and ensuring they were appropriately trained, and creating a monitoring form to be filled in and shared with the participant. Students learned key lessons including naming the events appropriately to avoid confusion, understanding that not all long-term care facilities are alike, deciding how many students to recruit from each cohort to participate in events, optimizing the preceptor-to- student ratio, and ensuring preceptors were thorough in their oversight of students. CONCLUSION: This work described the implementation of health outreach events conducted by supervised student pharmacists at long-term care facilities. Health outreach events could be conducted by other colleges or facilities to provide important medication review and health screening services for long-term care facilities' residents, as well as providing student pharmacists with opportunities to learn and practice patient-care related skills.

Psychopharmacy in the Long-Term Care Setting: A New Frontier for Pharmacy Practice

1995 ◽  
Vol 8 (5) ◽  
pp. 228-231
Author(s):  
Lori A. Daiello
Keyword(s):  
Psychiatric Illness ◽  
Care Setting ◽  
Long Term Care ◽  
Pharmacy Practice ◽  
The Elderly ◽  
Physical Restraints ◽  
Term Care ◽  
Delivery Of Care ◽  
New Frontier

Despite the promulgation of state and federal regulations mandating psychiatric services and freedom from chemical and physical restraints for residents of long-term care facilities, there exist significant barriers to the delivery of care. Under-recognition and misdiagnosis of psychiatric illness in the elderly may lead to increased functional impairment and possible increased mortality. Development of a focused psychopharmacology practice can aid in the recognition and treatment of psychiatric illness and improved patient outcomes in the long-term care setting.

Working With Resistance and Encouraging Buy-In to New Programs

2011 ◽  
Vol 16 (1) ◽  
pp. 18-21
Author(s):  
Sara Joffe
Keyword(s):  
Long Term Care ◽  
Term Care ◽  
Optimal Outcomes ◽  
Speech Language Pathologist

In order to best meet the needs of older residents in long-term care settings, clinicians often develop programs designed to streamline and improve care. However, many individuals are reluctant to embrace change. This article will discuss strategies that the speech-language pathologist (SLP) can use to assess and address the source of resistance to new programs and thereby facilitate optimal outcomes.

Feeding Dependency Issues in the Long-Term Care Environment

2001 ◽  
Vol 10 (1) ◽  
pp. 19-24
Author(s):  
Carol Winchester ◽  
Cathy Pelletier ◽  
Pete Johnson
Keyword(s):  
Long Term Care ◽  
Term Care ◽  
Care Environment
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