Senior Care Pharmacist最新文献

{"title":"2025 New Drug Update: Recent Approvals and Their Clinical Implications.","authors":"Kasper Lee, Nadia Khartabil","doi":"10.4140/TCP.n.2025.306","DOIUrl":"10.4140/TCP.n.2025.306","url":null,"abstract":"<p><p>With the increasing prevalence of polypharmacy, age-related physiological changes, and the need for individualized pharmacotherapy in older patients, understanding new drug approvals is crucial to optimizing medication management. This paper synthesizes the latest evidence and offers insights into prescribing considerations, potential drug-drug interactions, and strategies to mitigate adverse effects. We believe this work will be of significant interest to health care professionals, including pharmacists, physicians, and geriatric specialists, as they navigate the evolving landscape of pharmacotherapy in older adults.</p>","PeriodicalId":41635,"journal":{"name":"Senior Care Pharmacist","volume":"40 8","pages":"306-314"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144795807","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}

{"title":"Community Pharmacy Opioid Risk Screening Assessments: Comparing older adults (65+) to those under 65.","authors":"Oliver Frenzel, Jayne Steig, Elizabell Delgado, Heidi Eukel","doi":"10.4140/TCP.n.2025.325","DOIUrl":"10.4140/TCP.n.2025.325","url":null,"abstract":"<p><p><b>Background</b> Older adults are at increased risk for opioid-related harm due to decreased drug metabolism and elimination, polypharmacy, and comorbid conditions. The ONE (Opioid and Naloxone Education) Program is a pharmacy-based opioid risk mitigation initiative that employs evidence-based patient screening to identify risk of opioid-use-disorder (OUD) and opioid overdose (OD). Based on screening results, pharmacists provide patient-specific education and interventions. <b>Objective</b> To compare the risk of OUD, OD, and the opioid harm reduction interventions provided to adults aged 65 and older to those under 65 recieving opioid medications. <b>Design</b> The screening tool used in this study is a paper-based, patient-facing instrument intended to be completed by the patient. Pharmacists recommend patients to complete the screening tool and participate when presenting an opioid prescription to be filled. However, completing the screening tool is voluntary for the patient. <b>Setting</b> The ONE Program invited all registered pharmacists in the state to participate in a free three-hour continuing education (CE) program, offered live or online. The training consisted of education including but not limited to risks associated with opioids and accidental overdose, the role of naloxone, and the use and interpretation of the opioid risk screening tool. The program began in 2018 in North Dakota and now spans over 75 community pharmacies across the state. <b>Methods</b> Patient demographics, opioid risk screening results, and pharmacist-delivered interventions were analyzed from 2022 to 2023. Statistical analysis and age stratification were conducted on 15,025 screenings to evaluate OUD risk, OD risk, and delivered interventions. The North Dakota State University Institutional Review Board approved the methods and research design of this study (IRB0003838). <b>Results</b> Patients aged 65 and older had a 36% higher risk of OD, while those under 65 had a 51% higher risk of developing OUD. The older age group received a statistically significant higher proportion of naloxone education and dispensed naloxone from the pharmacy. Concurrent use of benzodiazepines and muscle-relaxants was significantly higher in the younger age group; however, the 65 and older age group reported taking multiple opioids nearly twice as frequently as those under 65. <b>Conclusion</b> A comparison of opioid use, opioid risk stratification, and interventions for patients under 65 and 65 and older showed statistically significant findings. Community pharmacy-based opioid risk screening offers an innovative approach to identifying high-risk patients and delivering tailored interventions directed to opioid-harm reduction.</p>","PeriodicalId":41635,"journal":{"name":"Senior Care Pharmacist","volume":"40 8","pages":"325-333"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144795808","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}

{"title":"Geriatric Pharmacotherapy Case Series: Polypharmacy Leading to Acute Kidney Injury.","authors":"Jelena Lewis, Laura Tsu, Fatema Haider","doi":"10.4140/TCP.n.2025.315","DOIUrl":"10.4140/TCP.n.2025.315","url":null,"abstract":"<p><p>This case study focuses on the treatment of a patient who develops acute kidney injury due to multiple medications used to treat her comorbidities. Older people are at higher risk of developing acute kidney injury compared to the general adult population and are also at the highest risk of morbidity and mortality from this disease state. This case reviews the approach of assessing and adjusting therapy in an older patient and the common etiologies of acute kidney injury.</p>","PeriodicalId":41635,"journal":{"name":"Senior Care Pharmacist","volume":"40 8","pages":"315-319"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144795747","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}

{"title":"Gratitude for Older Research Participants.","authors":"Demetra Antimisiaris, Patricia W Slattum","doi":"10.4140/TCP.n.2025.304","DOIUrl":"10.4140/TCP.n.2025.304","url":null,"abstract":"","PeriodicalId":41635,"journal":{"name":"Senior Care Pharmacist","volume":"40 8","pages":"304-305"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144795748","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}

{"title":"The Silent Surge: Are We Facing the Chronic Disease Epidemic \"Head-On\"?","authors":"Leigh Davitian","doi":"10.4140/TCP.n.2025.299","DOIUrl":"10.4140/TCP.n.2025.299","url":null,"abstract":"","PeriodicalId":41635,"journal":{"name":"Senior Care Pharmacist","volume":"40 7","pages":"299-303"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144567971","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}

{"title":"Quality Measures in the Long-term and Post-acute Care Settings: A Narrative Overview.","authors":"Kalin Clifford, Jennifer Devinney-Lavsa, Lee Meyer, Lisa Morris, Hedva Barenholtz Levy","doi":"10.4140/TCP.n.2025.288","DOIUrl":"10.4140/TCP.n.2025.288","url":null,"abstract":"<p><p>Pharmacists have historically been compensated through fees tied to traditional prescription medication dispensing in a pharmacy. However, contemporary pharmacy practice involves a wide range of direct patient-care activities across different settings, including long-term and post-acute care (LTPAC). The shift from fee-for-service (FFS) to value-based care (VBC) models necessitates the development of quality measures (QMs) that encompass pharmacists' clinical contributions that bring value to patient care and streamline costs.Although many pharmacists in LTPAC settings provide services above and beyond the traditional, regulatory-based requirements, the lack of QMs that acknowledge these clinical-based activities excludes pharmacists from fully participating in value-based reimbursement models. This article provides an overview of quality measures and examines the limitations of current metrics in the LTPAC setting. It also describes the efforts and conclusions of two ASCP volunteer workgroups tasked with identifying LTPAC-specific quality measures and outlines three areas for action.</p>","PeriodicalId":41635,"journal":{"name":"Senior Care Pharmacist","volume":"40 7","pages":"288-298"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144567970","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}

{"title":"Considerations With Using a CGM in Older Individuals.","authors":"Maria Tadros, Hayley Sewell, Katherine S O'Neal","doi":"10.4140/TCP.n.2025.283","DOIUrl":"10.4140/TCP.n.2025.283","url":null,"abstract":"<p><p>Continuous glucose monitors (CGMs) have undergone tremendous improvements over the last decade and have become a crucial tool in day-to-day diabetes management. Despite technological advancements and their proven benefits, barriers exist that may impede the use of CGMs in older adults. However, these barriers can be overcome with proper education and a support system. The purpose of this article is to highlight the common barriers associated with continuous glucose monitoring and to present approaches to overcoming these barriers for older adults.The authors conducted a PubMed search using the following terms: continuous glucose monitoring, type 2 diabetes, limitations, continuous glucose monitoring adherence, age: 65+, continuous glucose monitoring challenges age: 65+, use of CGM in elderly patients with type 2 diabetes, and barriers to use CGM in elderly patients with type 2 diabetes. They also obtained guideline information from the American Diabetes Association (ADA) and the American Association of Clinical Endocrinology (AACE) on the use of CGMs in older individuals.Older adults may face several issues that could keep them from starting or continuing to use CGMs. These include lack of insurance coverage and concerns about cost, poor health numeracy and literacy, doubts about their ability to use CGMs, and lack of exposure to technology. Approaches such as assistance programs and comprehensive, hands-on education and training can help improve their ability, confidence, and willingness to use a CGM.CGMs have revolutionized the management of diabetes in older adults by alerting them to trends and fluctuations in their real-time glucose levels, which can be used to adjust their medications and prevent glycemic variation. Identifying an individual's specific barriers and then employing approaches to overcome them is crucial to empowering patients to benefit from CGM technology, optimize their overall diabetes management, and prevent complications. A patient must feel empowered and invested in managing their diabetes using their personal insights and the information and education they receive to guide care decisions.</p>","PeriodicalId":41635,"journal":{"name":"Senior Care Pharmacist","volume":"40 7","pages":"283-287"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144567967","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}

{"title":"Elevating Senior Care Through the Age-Friendly Movement.","authors":"Demetra Antimisiaris, Patricia W Slattum","doi":"10.4140/TCP.n.2025.274","DOIUrl":"10.4140/TCP.n.2025.274","url":null,"abstract":"","PeriodicalId":41635,"journal":{"name":"Senior Care Pharmacist","volume":"40 7","pages":"274-275"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144567968","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}

{"title":"Improving the Quality of Care Through Age-Friendly Practice.","authors":"Barbara J Zarowitz","doi":"10.4140/TCP.n.2025.276","DOIUrl":"10.4140/TCP.n.2025.276","url":null,"abstract":"<p><p><i>The Senior Care Pharmacist</i> is launching a series of age-friendly cases that demonstrate the value of collaboration between pharmacists and other health care professionals to integrate evidence-based practices, avoid harm, and improve care in alignment with <i>What Matters</i> to older adults. Over the next several issues of the journal, articles focused on each of the 4Ms <i>- What Matters, Medication, Mentation, and Mobility -</i> will demonstrate the application of Age-Friendly care principles consistent with the Institute for Healthcare Improvement and the John A. Hartford Foundation's Age-Friendly ecosystem. These case discussions will offer the opportunity for recertification credit for Board Certified Geriatric Pharmacists (BCGP) upon achieving a passing score on the associated self-assessment questions.</p>","PeriodicalId":41635,"journal":{"name":"Senior Care Pharmacist","volume":"40 7","pages":"276-277"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144567969","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}

{"title":"What Matters Most: An Example of Implementing Patient Priorities Care.","authors":"Marcia C Mecca, Gregory M Ouellet, Mary Tinetti, Jennifer A Ouellet","doi":"10.4140/TCP.n.2025.278","DOIUrl":"10.4140/TCP.n.2025.278","url":null,"abstract":"<p><p><i>This is the first in a series of Age-Friendly case studies developed as a function of the John A. Hartford Foundation grant to the American Society of Consultant Pharmacists and the Peter Lamy Center on Drug Therapy and Aging at the University of Maryland School of Pharmacy to Leverage Pharmacists as Age-Friendly 4Ms Champions. This series presents a case for each of the 4Ms: What Matters, Medication, Mentation, and Mobility, and examines how these elements interrelate to optimize care for older patients.</i>This report involves adopting the 4Ms Framework of an Age-Friendly Heath System (What Matters, Medication, Mentation, and Mobility) in combination with the Patient Priorities Care (PPC) approach for a female patient with multiple chronic conditions. PPC supports patients and care teams in aligning health care decisions with what matters most to the patient. While applicable to all patients, it is particularly valuable for older patients with multiple chronic conditions, such as the patient in this case.The authors sought to identify what matters most to the patient, specifically her desires to spend more time with her grandchildren, volunteer in her community, and maintain independence in mobility. They then worked with the care team to determine how best to support those goals.Fatigue was identified as the greatest barrier. The team evaluated potential interventions to reduce the patient's fatigue, considering their risks, benefits, relative likelihood of effect, and feasibility. After engaging in collaborative decision-making with the patient, the team selected an intervention and followed up to assess its impact on the patient's ability to achieve her goals.This case illustrates how the PPC approach can help operationalize patient-centered care by aligning clinical decisions with what matters most to older adults with multiple chronic conditions.</p>","PeriodicalId":41635,"journal":{"name":"Senior Care Pharmacist","volume":"40 7","pages":"278-282"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144567972","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}