Senior Care Pharmacist最新文献_第3页

Minimal Propofol Dosing Triggers Propofol-Related Infusion Syndrome (PRIS) in a Geriatric Burn Patient: A Brief Report of Complex Burn Pharmacokinetics. 最小异丙酚剂量引发老年烧伤患者异丙酚相关输液综合征（PRIS）：复杂烧伤药代动力学的简要报告。

Senior Care Pharmacist Pub Date : 2026-02-01 DOI: 10.4140/TCP.n.2026.53

Courtney Rawitscher, Heidi N Michaels, Audra Clark, Janie Faris

{"title":"Minimal Propofol Dosing Triggers Propofol-Related Infusion Syndrome (PRIS) in a Geriatric Burn Patient: A Brief Report of Complex Burn Pharmacokinetics.","authors":"Courtney Rawitscher, Heidi N Michaels, Audra Clark, Janie Faris","doi":"10.4140/TCP.n.2026.53","DOIUrl":"10.4140/TCP.n.2026.53","url":null,"abstract":"Background Propofol is an intravenous hypnotic agent widely used for anesthesia and sedation in critically ill, mechanically ventilated patients due to its rapid onset and offset, which facilitate ventilator weaning and extubation. Despite these benefits, propofol's lipid emulsion formulation poses an infection risk and is associated with propofol-related infusion syndrome (PRIS). PRIS is characterized by acute bradycardia that is resistant to treatment and may progress to asystole. Objectives We report the case of a 76-year-old woman who sustained full-thickness burns covering 30% of her total body surface area, involving the chest, abdomen, bilateral upper extremities, and right leg. She was sedated with propofol during her critical care management. The patient's clinical course was closely monitored for complications, and risk factors associated with PRIS were assessed. Results The patient developed PRIS despite the absence of typical risk factors, including high-dose propofol exposure, steroid therapy, young age, or inborn errors of metabolism. Despite supportive care and efforts to mitigate PRIS progression, her clinical condition deteriorated, resulting in a fatal outcome. Discussion This case highlights a rare occurrence of PRIS in a patient without common risk factors, emphasizing the need for continued vigilance in monitoring, even in atypical cases. Further investigation into alternative risk factors and methods for early detection is warranted. Conclusion The senior care pharmacist plays an important role in the prevention, early detection, and management of PRIS. This case emphasizes the importance of daily clinical pharmacist reviews and highlights the critical role of senior care pharmacists in early identification and management of PRIS, even among low risk older adult patients receiving low-dose propofol regimens.","PeriodicalId":41635,"journal":{"name":"Senior Care Pharmacist","volume":"41 2","pages":"53-59"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146208001","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

Caring for the Caregiver. 照顾照顾者。

Senior Care Pharmacist Pub Date : 2026-02-01 DOI: 10.4140/TCP.n.2026.43

Demetra Antimisiaris, Patricia W Slattum

引用次数: 0

Pharmacists' Role in Immunizing Older Adults and Congregate Living Residents: A Position Statement on Behalf of the American Society of Consultant Pharmacists. 药剂师在免疫老年人和聚集居民中的作用：代表美国咨询药剂师协会的立场声明。

Senior Care Pharmacist Pub Date : 2026-02-01 DOI: 10.4140/TCP.n.2026.60

Elias B Chahine, Kalin M Clifford, Emily D Kryger, Nancy Losben, Deborah Milito, Lisa Morris, David C Phillips

引用次数: 0

Use of Psychotropic Medication on a Psychogeriatric Unit: Focusing on "As-Needed" Orders. 在老年精神科使用精神药物：关注“按需”订单。

Senior Care Pharmacist Pub Date : 2026-02-01 DOI: 10.4140/TCP.n.2026.65

Sona Samadian, Chris Alderman, Stefan Kowalski

{"title":"Use of Psychotropic Medication on a Psychogeriatric Unit: Focusing on \"As-Needed\" Orders.","authors":"Sona Samadian, Chris Alderman, Stefan Kowalski","doi":"10.4140/TCP.n.2026.65","DOIUrl":"10.4140/TCP.n.2026.65","url":null,"abstract":"Objective To evaluate the characteristics of psychotropic medication use under pro re nata (PRN, or \"as needed\") orders for patients treated in a psychogeriatric hospital ward. Design A retrospective point-prevalence, cross-sectional study comparing PRN order parameters with standards published by the Australian Commission on Quality and Safety in Health Care. Setting An inpatient psychogeriatric unit in a South Australian public teaching hospital. Participants Data were collected from inpatient charts and case notes during a single, continuous 24-hour sampling period. All PRN medication orders were reviewed, including documentation of actual drug administrations, and these were matched with the associated clinical outcomes. Data were collected from 26 patients, for whom a total of 38 PRN psychotropic medication orders were analyzed. Result The majority of PRN orders (81%) met the criteria of the relevant Australian National Standards; however, of the 19 medication administration occasions, only 26% had adequate documentation that included both specific reasons for administration and the outcomes associated with the PRN treatment. Overall, it was noteworthy that a relatively high proportion of these PRN orders (61%) were actioned during the 24-hour snapshot period. Conclusion The use of PRN psychotropic medications remains an important component in the treatment of older patients with mental illness. Continued efforts to improve and optimize the documentation associated with PRN psychotropic drug administration warrant ongoing attention.","PeriodicalId":41635,"journal":{"name":"Senior Care Pharmacist","volume":"41 2","pages":"65-71"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146207540","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

Steps Toward Safety: A Guide to Pharmacy Student-Led Fall Prevention. 迈向安全的步骤：药剂学学生领导的跌倒预防指南。

Senior Care Pharmacist Pub Date : 2026-02-01 DOI: 10.4140/TCP.n.2026.45

Morgan Hurst, Leah Ibrahim, Zuhair A Alqahtani, Bethanne Brown

{"title":"Steps Toward Safety: A Guide to Pharmacy Student-Led Fall Prevention.","authors":"Morgan Hurst, Leah Ibrahim, Zuhair A Alqahtani, Bethanne Brown","doi":"10.4140/TCP.n.2026.45","DOIUrl":"10.4140/TCP.n.2026.45","url":null,"abstract":"Background Community-dwelling older adults are at an increased risk of falls for multiple reasons. Community-based initiatives are needed to prevent these devastating events. Objectives This observational cohort study evaluated community fall-prevention events led by pharmacists and student pharmacists. The primary outcome was the change in Stopping Elderly Accidents, Deaths, and Injuries (STEADI) score among participants aged 55 years and older. Secondary outcomes included participant-reported changes in the number of fall hazards in the home, the number of medications taken by participants that increase fall risk as recorded during the community event, and participants' confidence in performing the chair-rise exercise after the community event. Methods The fall-prevention events included education on fall risk, prevention strategies, identification of home fall hazards, review of high-risk medications, and instruction on safely rising from a chair. Results The change in STEADI assessment scores from before compared to 30 days after attending the community event was significant (P < 0.0001). Participants identified an average of 2 (± 1.5) home fall hazards after the community event, and 92.6% made changes to their home environment. Participants also reported taking an average of 2 (± 1) high-risk medications at the community event and demonstrated significantly improved confidence in their ability to safely rise from a chair post-activity (P = 0.0005). Conclusion Pharmacist- and student pharmacist-led fall prevention events decreased fall risk, as evaluated by the STEADI assessment. Participants were encouraged to make changes to their home environment, received education about high-risk prescription and over-the-counter medications, and demonstrated increased confidence in performing the chair-rise exercise. Overall, these findings demonstrate that pharmacist-led community outreach events can lead to meaningful behavioral changes to help prevent falls in older adults.","PeriodicalId":41635,"journal":{"name":"Senior Care Pharmacist","volume":"41 2","pages":"45-52"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146207991","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

Age-Friendly Approaches to Managing Mentation, A Delirium Case Review. 年龄友好的方法管理精神状态，谵妄病例回顾。

Senior Care Pharmacist Pub Date : 2026-01-01 DOI: 10.4140/TCP.n.2026.13

Jennifer Urso, Donna Fick

引用次数: 0

Comparing ASHP and PQA Frameworks for Identifying Medication Therapy Problems in Older Adults with COPD Discharged to Home Health Care: A Cross-Sectional Study. 比较ASHP和PQA框架在识别老年COPD患者出院后接受家庭保健的药物治疗问题：一项横断面研究。

Senior Care Pharmacist Pub Date : 2026-01-01 DOI: 10.4140/TCP.n.2026.34

Avery North, Grant H Skrepnek, Richard Matthew Atkins, Joanne Skaggs, Huimin Wu, Paul M Boylan

{"title":"Comparing ASHP and PQA Frameworks for Identifying Medication Therapy Problems in Older Adults with COPD Discharged to Home Health Care: A Cross-Sectional Study.","authors":"Avery North, Grant H Skrepnek, Richard Matthew Atkins, Joanne Skaggs, Huimin Wu, Paul M Boylan","doi":"10.4140/TCP.n.2026.34","DOIUrl":"10.4140/TCP.n.2026.34","url":null,"abstract":"Background Almost 900,000 patients in the United States living with chronic obstructive pulmonary disease (COPD) require home health care each year. Pharmacists are integral members of the home health care team, especially for older adults living with COPD, because of their expertise in identifying and resolving medication therapy problems (MTPs) during transitions of care. Objective To identify, characterize, and compare the quantities and categories of MTPs in older adults living with COPD who require home health care following hospital discharge. Methods This cross-sectional study involved adults aged 65 years and older living with COPD who were discharged from an academic medical center between June 1, 2023, and November 30, 2023. MTPs were classified using two frameworks: the American Society of Health-System Pharmacists (ASHP) and the Pharmacy Quality Alliance (PQA). Results During the study period, 535 older adults were prescribed home health care, 15 of whom had a hospitalization discharge diagnosis of COPD and were screened for inclusion. Among the 13 patients eligible for inclusion, 92.3% experienced one or more MTPs. Almost 80% of the identified MTPs involved issues related to medication indication: 50% of this cross-sectional cohort were not prescribed medications when clinically indicated, and up to 40% of patients were prescribed medications without apparent indications. The ASHP framework identified more than twice the number of MTPs compared to the PQA framework. Conclusion The ASHP framework may identify more MTPs than the PQA framework in older adults living with COPD who require home health care upon discharge. Further research evaluating pharmacist interventions related to MTPs would be beneficial across diverse settings and patient populations.","PeriodicalId":41635,"journal":{"name":"Senior Care Pharmacist","volume":"41 1","pages":"34-42"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146012876","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

Interdisciplinary Approach to Fall Risk Mitigation in an Older Adult with Atrial Fibrillation. 多学科方法降低老年房颤患者跌倒风险。

Senior Care Pharmacist Pub Date : 2026-01-01 DOI: 10.4140/TCP.n.2026.21

Elizabeth K Pogge, Lindsay E Davis, John Tuitele, Nisha Bhatia

引用次数: 0

2025 New Drug Update (Part 2): Recent Approvals and Clinical Implications. 2025年新药更新（第二部分）：近期批准和临床意义

Senior Care Pharmacist Pub Date : 2026-01-01 DOI: 10.4140/TCP.n.2026.3

Sophie Friedman, Kyle Akerman, Carla Bouwmeester

引用次数: 0

Reflecting on the Value of Mentors. 反思导师的价值。

Senior Care Pharmacist Pub Date : 2026-01-01 DOI: 10.4140/TCP.n.2026.1

Demetra Antimisiaris, Patricia W Slattum

引用次数: 0