Senior Care Pharmacist最新文献_第7页

Pharmacists' Role in Pharmacogenomics: Transforming Promise to Reality Through Perseverance and Knowledge. 药剂师在药物基因组学中的作用：通过毅力和知识将承诺变为现实。

Senior Care Pharmacist Pub Date : 2024-04-01 DOI: 10.4140/TCP.n.2024.129

Manju T Beier

引用次数: 0

Utilizing Pharmacogenomics Results to Improve Statin-Associated Muscle Symptoms. 利用药物基因组学结果改善他汀类药物相关的肌肉症状。

Senior Care Pharmacist Pub Date : 2024-04-01 DOI: 10.4140/TCP.n.2024.151

Coral Perez González, Chandni Bardolia, Katie Pizzolato, Nishita Shah Amin

引用次数: 0

Utilizing Pharmacogenomics Results to Guide Antidepressant Selection: A Case Report. 利用药物基因组学结果指导抗抑郁药物的选择：病例报告。

Senior Care Pharmacist Pub Date : 2024-04-01 DOI: 10.4140/TCP.n.2024.143

Nicholas Vernacchia, Nicole Del Toro-Pagán, Chandni Bardolia, Nishita Shah Amin

引用次数: 0

The Evolution and Revolution of Telehealth. 远程医疗的演变与革命。

Senior Care Pharmacist Pub Date : 2024-03-01 DOI: 10.4140/TCP.n.2024.123

Leigh Davitian

引用次数: 0

Success in Heart Failure? An Investigation of Heart Failure Readmission Rates and Medication Regimen Optimization. 心力衰竭成功了吗？对心衰再入院率和用药方案优化的调查。

Senior Care Pharmacist Pub Date : 2024-03-01 DOI: 10.4140/TCP.n.2024.113

Dominic Bracken, Sarah Wagner-Dallas, Destiny Branum

{"title":"Success in Heart Failure? An Investigation of Heart Failure Readmission Rates and Medication Regimen Optimization.","authors":"Dominic Bracken, Sarah Wagner-Dallas, Destiny Branum","doi":"10.4140/TCP.n.2024.113","DOIUrl":"10.4140/TCP.n.2024.113","url":null,"abstract":"In May 2022, the American College of Cardiology updated their guideline-directed medical therapy for congestive heart failure (CHF) to include four pillars of therapy. These pillars aim to better control patients with heart failure (HF) and reduce the incidence of hospitalization by including an evidence-based beta-blocker, an angiotensin-converting enzyme inhibitor/ angiotensin receptor blocker/angiotensin receptor/ neprilysin inhibitor, a mineralocorticoid receptor antagonist, and newly recommended sodium glucose cotransporter 2-inhibitors. This study at University of Florida Health Central Florida Hospitals reviewed patients who were diagnosed with CHF and recorded if they were readmitted with a HF exacerbation within 30 days of an initial index admission. Patients had data obtained retrospectively using electronic medical records from patient hospital encounters within the study inclusion dates; 7/1/2022-9/30/2022. Hospital readmission rates for patients with CHF, and information on each patient's medication regimen was collected to see if they met medication optimization criteria. A total of 252 patients were evaluated, with 157 meeting the inclusion criteria. Of the patients included, 23 (14.6%) experienced a hospital readmission within 30 days because of acute HF exacerbation or worsening HF. After reviewing medication regimens, 60 patients (38.2%) were receiving treatment with one pillar of therapy, 72 (45.8%) with two pillars of therapy, 12 (7.6%) with three pillars of therapy, and one patient was treated with all four pillars of therapy. In conclusion, this study showed that the recommended pillars of therapy are not being implemented and patients with CHF may benefit from medication optimization.","PeriodicalId":41635,"journal":{"name":"Senior Care Pharmacist","volume":"39 3","pages":"113-122"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139913672","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

The Use of Antipsychotics in Long-term Care: A Complicated Relationship. 长期护理中抗精神病药物的使用：复杂的关系。

Senior Care Pharmacist Pub Date : 2024-03-01 DOI: 10.4140/TCP.n.2024.95

Rob Leffler

引用次数: 0

Bereavement and Loss: Understanding Grief in Older People. 丧亲之痛与损失：了解老年人的悲痛。

Senior Care Pharmacist Pub Date : 2024-03-01 DOI: 10.4140/TCP.n.2024.98

Kirsten Werner, Jeannette Y Wick

{"title":"Bereavement and Loss: Understanding Grief in Older People.","authors":"Kirsten Werner, Jeannette Y Wick","doi":"10.4140/TCP.n.2024.98","DOIUrl":"10.4140/TCP.n.2024.98","url":null,"abstract":"Everyone experiences grief from time to time, but older people are more likely to experience grief simply because they live longer. Grief, bereavement, and mourning are different elements associated with death of a loved one. For most people, grief follows a fairly predictable trajectory, and over time resolves. One of the most used descriptions of grief was developed by Elizabeth Kubler-Ross and it is reviewed herein. However, for some people, grief becomes unbearable and chronic leading to prolonged grief disorder. For clinicians, it's essential to differentiate between prolonged grief disorder and major depressive disorder. Older people who experience unbearable grief often need medication to deal with some of its symptoms, which include depression, anxiety, hypertension, and lack of sleep. Older people also need considerable support as they deal with grief so that they do not become isolated, experience comorbidities, or spiral into physical and mental decline. Little specific research has examined pharmacists' opportunities to help older people who have prolonged grief, but some data suggest that these patients are more likely to visit the pharmacy and need medication more than others.","PeriodicalId":41635,"journal":{"name":"Senior Care Pharmacist","volume":"39 3","pages":"98-104"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139913671","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

Telehealth and Pharmaceutical Care for Older People: Today and Tomorrow. 老年人的远程保健和药物治疗：今天和明天。

Senior Care Pharmacist Pub Date : 2024-03-01 DOI: 10.4140/TCP.n.2024.93

Chris Alderman

引用次数: 0

Association of Pre-Pandemic Telehealth With Emergency Department and Telehealth Usage During the Pandemic. 大流行前远程医疗与大流行期间急诊科和远程医疗使用情况的关联。

Senior Care Pharmacist Pub Date : 2024-03-01 DOI: 10.4140/TCP.n.2024.105

Michael Strand, Jonathan H Watanabe

{"title":"Association of Pre-Pandemic Telehealth With Emergency Department and Telehealth Usage During the Pandemic.","authors":"Michael Strand, Jonathan H Watanabe","doi":"10.4140/TCP.n.2024.105","DOIUrl":"10.4140/TCP.n.2024.105","url":null,"abstract":"Objectives Aims were to quantify the association of pre-COVID-19 pandemic telehealth use and separately: 1) likelihood of an emergency department (ED) visit, 2) likelihood of a telehealth visit in older people during the pandemic. Design A retrospective cohort study to measure odds ratios (ORs) of telehealth usage before the pandemic and likelihood of an ED visit and telehealth visit during the study period. Setting and Patients Adults 65 years of age and older (N = 39,214) in the University of California COVID Research Data Set (UC CORDS). Main Outcomes Primary outcome was occurrence of one or more ED visits. Secondary outcome was occurrence of one or more telehealth visits. Results A telehealth visit before the pandemic was associated with reduced likelihood of an ED visit with an OR of 0.33 (95% confidence interval [CI] 0.200.55). Pre-pandemic telehealth was associated with an increased likelihood of telehealth use during the pandemic with an OR of 4.66 (95% CI 3.52-6.18). Conclusion Older people who utilized telehealth before the pandemic were less likely to receive emergency care and were more likely to use telehealth during the pandemic. Approaches to enhance and measure telehealth access for older people are necessary.","PeriodicalId":41635,"journal":{"name":"Senior Care Pharmacist","volume":"39 3","pages":"105-112"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139913670","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

Antipsychotics: Past, Present, and Future (Part 2): Article 2 of 3. 抗精神病药物：抗精神病药物：过去、现在和未来（第 2 部分）：第 2 条，共 3 条。

Senior Care Pharmacist Pub Date : 2024-02-01 DOI: 10.4140/TCP.n.2024.57

Steven Levenson

{"title":"Antipsychotics: Past, Present, and Future (Part 2): Article 2 of 3.","authors":"Steven Levenson","doi":"10.4140/TCP.n.2024.57","DOIUrl":"10.4140/TCP.n.2024.57","url":null,"abstract":"The history of antipsychotics in nursing facilities is one piece of a much larger, more complex puzzle. In many ways, it reflects the virtues and limitations of the entire health care system and those who provide care. None of the issues related to the use of antipsychotics are specific to these medications or to nursing facilities. After decades of effort to reduce unwarranted antipsychotics use, the current situation is still a work in progress. Many widely held assumptions and standard narratives, such as those about behavior, the place of medications in person-centered care, and the causes of inappropriate medication use are only partially correct. This second of three articles is not intended to discuss how to diagnose and manage behavior disorders or choose medications. Instead, it addresses the diverse perspectives and key players that have been involved and the results of their efforts. Ultimately, this will set the stage for specific recommendations (part 3) about learning from past efforts surrounding antipsychotics to identify more definitive and lasting improvements in the future. Part 1 of this series covered the history of attempts to influence use of medications-especially, antipsychotics-in nursing facility care of residents with behavior, mood, and cognitive issues. These improvement efforts can be described as fragmented, often ineffectual, and politically fraught. After decades of effort, and despite a significant reduction in the indiscriminate use of antipsychotics, psychotropics are still widely used in nursing facilities.1 The extent of improvement overall in managing individuals with dementia and other diverse behavior, mood, and cognitive issues is unclear.","PeriodicalId":41635,"journal":{"name":"Senior Care Pharmacist","volume":"39 2","pages":"57-72"},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139543199","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