Senior Care Pharmacist最新文献

Paucity of Published Data and Protocols for Hypoglycemia Management in Long-term Care. 长期护理中低血糖管理的公开数据和规程很少。

Senior Care Pharmacist Pub Date : 2024-10-01 DOI: 10.4140/TCP.n.2024.373

Matthew R Krecic, James Meyer, Kathleen J Chavanu

{"title":"Paucity of Published Data and Protocols for Hypoglycemia Management in Long-term Care.","authors":"Matthew R Krecic, James Meyer, Kathleen J Chavanu","doi":"10.4140/TCP.n.2024.373","DOIUrl":"https://doi.org/10.4140/TCP.n.2024.373","url":null,"abstract":"Background: Older people with diabetes are at high risk for hypoglycemia. Implementing a hypoglycemia treatment protocol in long-term care (LTC) settings may positively affect patient-related outcomes and health care resource utilization and costs. Anecdotal experience indicates little has been studied and published regarding this clinical practice. Objective: To identify hypoglycemia treatment protocols established for LTC settings and assess their effects on patient-related outcomes and health care resource use. Data Sources: The authors performed a systematic literature search of English-language articles and abstracts published between January 1, 2003 (PubMed), or 2018 (Google Scholar) and May 10, 2023. Search terms were \"hypoglycemia,\" \"diabetes mellitus,\" \"longterm care,\" \"nursing facilities,\" \"assisted living facilities,\" \"geriatrics,\" \"elderly,\" \"aged,\" \"disabled,\" \"disease management,\" \"evidence-based medicine,\" \"clinical protocols,\" \"guideline,\" \"glucagon,\" and/or \"blood glucose.\" Included were publications with hypoglycemia treatment and management protocols or hypoglycemia-specific recommendations for LTC settings. DATA SYNTHESIS: The authors identified 405 articles and abstracts, removed 36 duplicates, screened 369 titles/ abstracts, and analyzed the full text for 93. Five met the inclusion criteria. Two originated from the American Diabetes Association: 2016 position statement regarding the management of diabetes in LTC and skilled nursing facilities, and 2023 standard-of-care guideline for managing older people with diabetes. One included the results after implementing an overall diabetes clinical care management algorithm in LTC facilities. A 2020 abstract and 2019 article were the only 2 publications involving specific hypoglycemia treatment protocols in LTC settings. Conclusion: This systematic literature search identified lack of published hypoglycemia treatment protocols in LTC settings and their effects on patient outcomes.","PeriodicalId":41635,"journal":{"name":"Senior Care Pharmacist","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142366869","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Changing Medication Safety and Quality Improvements: Empowering Pharmacists With Data. 改变用药安全和提高质量：用数据增强药剂师的能力。

Senior Care Pharmacist Pub Date : 2024-10-01 DOI: 10.4140/TCP.n.2024.393

Leigh Davitian

引用次数: 0

The Many Benefits of Sharing Data in Professional Practice. 专业实践中共享数据的诸多益处。

Senior Care Pharmacist Pub Date : 2024-10-01 DOI: 10.4140/TCP.n.2024.344

Chris Alderman

引用次数: 0

Embracing the Changing Season: Quantifying Pharmacy's Role in Improving Medication Quality and Safety. 拥抱变化的季节：量化药房在提高用药质量和安全方面的作用。

Senior Care Pharmacist Pub Date : 2024-10-01 DOI: 10.4140/TCP.n.2024.346

Micah Cost

引用次数: 0

Geriatric Pharmacotherapy Case Series: Medications for Diabetes-A Focus on Secondary Stroke Prevention. 老年药物治疗病例系列：糖尿病药物治疗--关注中风二级预防。

Senior Care Pharmacist Pub Date : 2024-10-01 DOI: 10.4140/TCP.n.2024.350

Sabrina Warren, Shayla McKee, Erin Yakiwchuk

引用次数: 0

Assessing the Impact of Consultant Pharmacist-Directed Anticoagulation Management in the Post-Acute and Long-Term Care (PALTC) Setting. 评估药剂师顾问指导的抗凝管理在急性期后和长期护理 (PALTC) 环境中的影响。

Senior Care Pharmacist Pub Date : 2024-10-01 DOI: 10.4140/TCP.n.2024.382

Alexandra Schifano, Alexandra Statczar, Anne Metzger, Jaron Stout, Jeffrey A Clark, Casondra Seibert

{"title":"Assessing the Impact of Consultant Pharmacist-Directed Anticoagulation Management in the Post-Acute and Long-Term Care (PALTC) Setting.","authors":"Alexandra Schifano, Alexandra Statczar, Anne Metzger, Jaron Stout, Jeffrey A Clark, Casondra Seibert","doi":"10.4140/TCP.n.2024.382","DOIUrl":"https://doi.org/10.4140/TCP.n.2024.382","url":null,"abstract":"Objective: The objective is to evaluate the impact of consultant pharmacist-directed anticoagulation management in the post-acute and long-term care (PALTC) setting. Design: Retrospective study. Participants: Patients whose clinical details were included in the ASCP aggregate data and were older than 65 years of age, admitted to PALTC facility, and had active anticoagulant therapy were included in the study. Interventions: Pharmacists enrolled in the ASCP (Quality Improvement Project) and performed monthly chart reviews per standard practice. The 30-day post-chart review follow-up data were entered into the ASCP data collection. The research team assessed for consultant pharmacist interventions associated with anticoagulant therapy management. Results: Data were collected from November 2022 through March 2023, during which 807 charts were assessed. Within the charts reviewed, 274 patients received anticoagulation therapy, of which 173 (63%) were identified as having a medication-related problem concerning anticoagulant use. Two hundred sixteen pharmacist recommendations were sent to providers to address the inappropriate anticoagulant therapy. Providers completed modifications to 190 (88%) of the recommendations. Conclusion: This study emphasized pharmacist involvement in managing anticoagulant therapy within the PALTC setting and identified the need for further investigation of patient specific outcomes.","PeriodicalId":41635,"journal":{"name":"Senior Care Pharmacist","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142366864","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Heart Failure in Older People Part 2: Guideline-Directed Medical Therapy. 老年人心力衰竭第二部分：指南指导下的药物治疗。

Senior Care Pharmacist Pub Date : 2024-10-01 DOI: 10.4140/TCP.n.2024.360

Elizabeth Pogge, Stephanie Sibicky

引用次数: 0

It Takes a Village…. It Takes a Village....

Senior Care Pharmacist Pub Date : 2024-08-01 DOI: 10.4140/TCP.n.2024.283

Gauri Godbole

引用次数: 0

Does the Pharmacy Profession View the Full Picture of Cognitive Disorders? 药学专业是否了解认知障碍的全貌？

Senior Care Pharmacist Pub Date : 2024-08-01 DOI: 10.4140/TCP.n.2024.281

Chris Alderman

引用次数: 0

Impact of a Delirium Protocol on Deliriogenic Medication Use in Hospitalized Older Veterans. 谵妄协议对住院老年退伍军人谵妄性药物使用的影响。

Senior Care Pharmacist Pub Date : 2024-08-01 DOI: 10.4140/TCP.n.2024.291

Alison M Weygint, Brandon LaMarr, Stephanie Lee

{"title":"Impact of a Delirium Protocol on Deliriogenic Medication Use in Hospitalized Older Veterans.","authors":"Alison M Weygint, Brandon LaMarr, Stephanie Lee","doi":"10.4140/TCP.n.2024.291","DOIUrl":"10.4140/TCP.n.2024.291","url":null,"abstract":"Background The Southern Arizona VA Health Care System (SAVAHCS) implemented a delirium prevention and treatment protocol in 2019. Objective The primary objective of this study was to determine if the implementation of a delirium protocol influenced deliriogenic medication use in hospitalized geriatric veterans. The secondary objectives were to compare the rates of delirium diagnosis, hospital length-of-stay, and rates of newly started deliriogenic medications during admission pre- and post-protocol. Methods This study was a retrospective, secondary data analysis study. Veterans 65 years of age and older who were admitted to an inpatient medical ward at the SAVAHCS for 24 hours or more between January 1, 2018 and December 31, 2018 (pre-protocol) or January 1, 2021 and December 31, 2021 (post-protocol) were included. Patients were excluded if they had a diagnosis of alcohol or benzodiazepine withdrawal upon admission. Results A total of 5491 patients were included in this study; 2940 (53.5%) in the pre-protocol group and 2551 (46.5%) in the post-protocol group. Patients received at least one deliriogenic medication during their admission in the post-protocol group (36.2%) compared with the pre-protocol group (34.1%), but there was no statistically significant difference (P = 0.098). There were also no significant differences in the rates of documentation of delirium as a diagnosis at discharge, hospital length-of-stay, or the rates of newly started deliriogenic medications during admission between the groups. Conclusion Implementation of a delirium prevention and treatment protocol at the SAVAHCS did not significantly impact the use of deliriogenic medications in hospitalized geriatric veterans.","PeriodicalId":41635,"journal":{"name":"Senior Care Pharmacist","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141856773","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0