Senior Care Pharmacist最新文献_第8页

Providing Balanced Hope and Realism for Patients and Families. 为患者和家属提供希望与现实的平衡。

Senior Care Pharmacist Pub Date : 2024-02-01 DOI: 10.4140/TCP.n.2024.50

Chris Alderman

引用次数: 0

Impact of a Virtual Game, 'Name That Band,' on Older People's and PharmD Students' Feelings of Social Isolation During COVID-19. 在 COVID-19 期间，虚拟游戏 "乐队名称 "对老年人和药学博士生社交孤立感的影响。

Senior Care Pharmacist Pub Date : 2024-01-01 DOI: 10.4140/TCP.n.2024.22

Alison M Weygint, Brooke T Whittington, Jeannie K Lee, Ashley M Campbell

{"title":"Impact of a Virtual Game, 'Name That Band,' on Older People's and PharmD Students' Feelings of Social Isolation During COVID-19.","authors":"Alison M Weygint, Brooke T Whittington, Jeannie K Lee, Ashley M Campbell","doi":"10.4140/TCP.n.2024.22","DOIUrl":"10.4140/TCP.n.2024.22","url":null,"abstract":"Background Prior to the COVID-19 pandemic, PharmD students at the University of Arizona (UArizona) had a long-standing relationship with the older people at St. Luke's Home, a local Eden Alternative assisted-living community. Hosting community engagement programs for assisted-living residents was challenging with COVID-19 precautions and older individuals suffering from social isolation and loneliness. Objective To determine the impact of playing a virtual game, 'Name That Band,' on older people's and PharmD students' feelings of social isolation during the COVID-19 pandemic. Methods Questionnaires were administered before and after a virtual game to residents at St. Luke's Home and PharmD students at UArizona. Participants were asked about their mood before COVID-19 and pre-and postgame, as well as their social interactions and feelings of loneliness using the Modified UCLA Three-Item Loneliness Scale, which assesses a composite score of lack of companionship, feelings of being left out, and isolation. Results Fifteen older people and 11 students participated in the game (N = 26). All participants completed the pregame survey and 25 completed the postgame survey. The older people reported fewer feelings of isolation and loneliness (measured by a reduction in UCLA Loneliness Scale score) postgame compared with pregame. The students reported a higher total UCLA Loneliness Scale score during the pandemic than prepandemic, but there was no difference in their scores postgame compared with pregame. More older people and students reported feeling 'happy' after playing the virtual game together compared with before the pandemic and before playing. The aspect of the activity that helped older people and students feel more socially engaged was playing a game. Conclusion A social intervention using a virtual game may be a tool that can be used to decrease feelings of isolation and increase engagement for older people residing in an assisted-living community.","PeriodicalId":41635,"journal":{"name":"Senior Care Pharmacist","volume":"39 1","pages":"22-29"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139075410","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

Patient Attitudes Toward Deprescribing Among Community-Dwelling Older Mainers. 在社区居住的老年缅因人中，病人对开药的态度。

Senior Care Pharmacist Pub Date : 2024-01-01 DOI: 10.4140/TCP.n.2024.30

Joshua Carver, Sydney P Springer

{"title":"Patient Attitudes Toward Deprescribing Among Community-Dwelling Older Mainers.","authors":"Joshua Carver, Sydney P Springer","doi":"10.4140/TCP.n.2024.30","DOIUrl":"10.4140/TCP.n.2024.30","url":null,"abstract":"Background The excess use of medications has become an increasingly prevalent issue in health care. Deprescribing can be an important tool in combating polypharmacy. Objective To assess the attitudes of community-dwelling older persons in Maine toward their medications and the concept of deprescription. An additional aim of this research was to assess the association between the revised Patient Attitudes Toward Deprescribing Questionnaire (rPATDQ) domains by polypharmacy status. Methods Researchers conducted a cross-sectional study utilizing the rPATDQ. Authors recruited older Mainers via a longitudinal cohort study through the University of New England Center for Excellence in Aging in Health. Respondents were stratified by polypharmacy status (fewer than five medications, five or more medications). Results Total daily medications ranged from 1 to 30 (average of 8.6). Overall, 83.6% of respondents agreed/strongly agreed to the statement \"If my doctor said it was possible, I would be willing to stop one or more of my regular medicines.\" 70.6% agreed/ strongly agreed to the statement \"Overall, I am satisfied with my current medicines.\" Those with and without polypharmacy experienced low overall medication burden and a high belief in the appropriateness of their medications. There were no statistically significant differences between polypharmacy groups. Conclusion The results of this survey indicate that the factors affecting attitudes toward deprescribing are complex. While many indicated willingness to deprescribe at least one medication, there was a high degree of satisfaction with current medication regimens. This study highlights the need for further qualitative research to identify potential barriers to deprescribing.","PeriodicalId":41635,"journal":{"name":"Senior Care Pharmacist","volume":"39 1","pages":"30-41"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139075412","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

Beyond Drug Facts: The Vital Role of Soft Skills in Senior Care Pharmacy Education. 超越药物事实：软技能在老年护理药学教育中的重要作用。

Senior Care Pharmacist Pub Date : 2024-01-01 DOI: 10.4140/TCP.n.2024.3

Dawn Gerber

引用次数: 0

Building and Leveraging Soft Skills in Professional Practice. 在专业实践中培养和利用软技能。

Senior Care Pharmacist Pub Date : 2024-01-01 DOI: 10.4140/TCP.n.2024.1

Chris Alderman

引用次数: 0

Antipsychotics in Perspective: Past, Present, and Future. 抗精神病药物透视：过去、现在和未来。

Senior Care Pharmacist Pub Date : 2024-01-01 DOI: 10.4140/TCP.n.2024.5

Steven A Levenson

{"title":"Antipsychotics in Perspective: Past, Present, and Future.","authors":"Steven A Levenson","doi":"10.4140/TCP.n.2024.5","DOIUrl":"10.4140/TCP.n.2024.5","url":null,"abstract":"For more than half a century, there has been controversy and conflict over using psychotropic medications (\"psychotropics\") as strategies to modulate behavior, enhance mood, and address cognitive issues for nursing home residents. The current situation reflects a long history of investigation, reports, discussions, government and professional activity, and other attempted improvement. Although attention has focused primarily on the use of antipsychotics, particularly to manage symptoms associated with dementia, there are much broader issues. The use of all psychotropics has arguably been challenging and inconsistent. Although antipsychotic use in nursing homes has been reduced substantially, many controversies and concerns remain, such as the continuing significant use of other psychotropics. It is tempting to conclude that efforts to reduce the use of these medications might have been deliberately stymied, and that more drastic-if not coercive-measures are needed to correct these issues. However, many other compelling considerations must be defined accurately and addressed. Further improvement in the current situation requires reconsidering some current beliefs and approaches. A pause and reopening of meaningful discussion is needed. This 3-part series (in this and the next 2 issues of The Senior Care Pharmacist) will examine the history of the issues (this month), various perspectives on the issues (part 2), and lessons and recommended approaches for the future (part 3).","PeriodicalId":41635,"journal":{"name":"Senior Care Pharmacist","volume":"39 1","pages":"5-13"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139075407","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

Impact of Limited English Proficiency on Medication-Related Problems and Emergency Room Visits Among Community-Dwelling Older People. 英语水平有限对社区老年人用药相关问题和急诊就诊的影响。

Senior Care Pharmacist Pub Date : 2024-01-01 DOI: 10.4140/TCP.n.2024.14

Yujun Zhu, Susan Enguidanos

{"title":"Impact of Limited English Proficiency on Medication-Related Problems and Emergency Room Visits Among Community-Dwelling Older People.","authors":"Yujun Zhu, Susan Enguidanos","doi":"10.4140/TCP.n.2024.14","DOIUrl":"10.4140/TCP.n.2024.14","url":null,"abstract":"Background Older people have higher risk of experiencing medication-related problems (MRPs), leading to increased morbidity, health care use, and mortality. Few studies have examined the pathway between limited English proficiency (LEP) among older people and health service use through MRPs. Objective This study aimed to explore the association of LEP among Latino older people with MRPs and their relationship to emergency room (ER) visits. Methods Researchers used secondary enrollment data from a community medication program for older people (N = 180). Researchers conducted linear regression to examine the relationship between ethnicity/English proficiency and MRPs, and logistic regression to explore the association between MRPs and ER visits. Generalized structural equation modeling (GSEM) with bootstrapping was used to test the indirect effect between LEP Latino through MRPs to ER visits. Results The sample included 70% non-Latino participants, 12% English-speaking Latinos, and 18% LEP Latinos. Analysis LEP Latinos were associated with having 3.4 more MRPs than non-Latino participants, after controlling for covariates. Additionally, each additional MRP was associated with a 10% increased probability of having an ER visit. The GSEM results illustrated there was a significant indirect effect between LEP through MRPs to ER visits (β = 0.27, 95% CI 0.07-0.61). Conclusion Though LEP was not directly related to increased ER visits, it may have inhibited the ability of Latinos to read and understand medication instructions, contributing to their elevated risk of experiencing MRPs, thus indirectly increasing potential risks of having ER visits.","PeriodicalId":41635,"journal":{"name":"Senior Care Pharmacist","volume":"39 1","pages":"14-21"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139075411","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

Real-World Analysis of Long-Acting and NPH-Containing Insulins on Glycemic Control. 长效胰岛素和含 NPH 胰岛素的血糖控制真实世界分析

Senior Care Pharmacist Pub Date : 2024-01-01 DOI: 10.4140/TCP.n.2024.42

Genevieve Hale, Valerie Marcellus, Tina Benny, Cynthia Moreau, Elaina Rosario, Alexandra Perez

{"title":"Real-World Analysis of Long-Acting and NPH-Containing Insulins on Glycemic Control.","authors":"Genevieve Hale, Valerie Marcellus, Tina Benny, Cynthia Moreau, Elaina Rosario, Alexandra Perez","doi":"10.4140/TCP.n.2024.42","DOIUrl":"10.4140/TCP.n.2024.42","url":null,"abstract":"Introduction Affordability of insulin products has become a concern in the past several years as the average price of various insulin products has increased. While awaiting legislation at the federal level that would address issues leading to high insulin costs, providers may have shifted prescribing practices to prescribe the lowest-priced insulin products to achieve patients' treatment goals. Objective To compare the prevalence of hypoglycemic events between patients receiving lower-cost neutral protamine Hagedorn (NPH)-containing human insulins and higher-cost long-acting insulin analogs in Medicare Part D enrollees within a management services organization, as well as assessing glycemic control and changes in body mass index. Methods This was a multicenter, retrospective study conducted at three primary care clinics. The co-primary outcomes were percent difference of documented mild and severe hypoglycemic events between individuals receiving NPH-containing human insulin and long-acting insulin. Results A total of 72 patients met inclusion criteria and were receiving NPH-containing human insulins or the long-acting insulin analogs, 15 and 57 patients, respectively. Severe hypoglycemic events occurred in 3.5% vs 0% of the long-acting insulin analog and NPH-containing human insulin group, respectively (P = 0.999). Mild hypoglycemic episodes were experienced by 31.6% versus 33.3% of long-acting insulin analog and NPH, respectively (P = 0.539). For secondary outcomes, no difference was observed in glycemic control outcomes across insulin groups. Conclusion Among Medicare Part D patients with type 2 diabetes mellitus, the use of NPH-containing human insulins was not associated with an increased risk of mild or severe hypoglycemia-related episodes or reduced glycemic control compared with long-acting insulin. Study findings suggest that lower-cost, NPH-containing human insulins may be an alternative to higher-cost, long-acting insulin analogs.","PeriodicalId":41635,"journal":{"name":"Senior Care Pharmacist","volume":"39 1","pages":"42-49"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139075413","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

Federal and State Programs and Resources for Chronic Kidney Disease. 慢性肾脏疾病的联邦和州计划和资源。

Senior Care Pharmacist Pub Date : 2023-12-01 DOI: 10.4140/TCP.n.2023.524

Paul Baldwin

引用次数: 0

The Effect of Pharmacist-Initiated Deprescribing Interventions in Older People: A Narrative Review of Randomized Controlled Trials. 药师主动处方干预对老年人的影响:一项随机对照试验的述评。

Senior Care Pharmacist Pub Date : 2023-12-01 DOI: 10.4140/TCP.n.2023.506

Michelle Nguyen, Manju T Beier, Diana N Louden, Darla Spears, Shelly L Gray

{"title":"The Effect of Pharmacist-Initiated Deprescribing Interventions in Older People: A Narrative Review of Randomized Controlled Trials.","authors":"Michelle Nguyen, Manju T Beier, Diana N Louden, Darla Spears, Shelly L Gray","doi":"10.4140/TCP.n.2023.506","DOIUrl":"10.4140/TCP.n.2023.506","url":null,"abstract":"Background Polypharmacy is common among older people and may be associated with adverse drug events (ADEs) and poor health outcomes. Pharmacists are well-positioned to reduce polypharmacy and potentially inappropriate medications. Objective The objective of this narrative review was to summarize the results from randomized-controlled trials that evaluated pharmacist-led interventions with the goal or effect to deprescribe medications in older individuals. Data Sources We searched Medline, Embase, CINAHL Complete, APA PsycInfo, Web of Science Core Collection, and Cochrane Central Register of Controlled Trials. Data Synthesis Of the 25 studies included, the interventions were conducted in nursing facilities (n = 8), outpatient/community dwellings (n = 8), or community pharmacies (n = 9). Interventions were categorized as comprehensive medication reviews (n = 10), comprehensive medication reviews with pharmacist follow-up (n = 11), and educational interventions provided to patients and/or providers (n = 4). Pharmacist-led interventions had a beneficial effect on 22 out of 32 total medication-related outcomes (eg, number of medications, potentially inappropriate medications, or discontinuation). Most (n = 18) studies reported no evidence of an effect for other outcomes such as health care use, mortality, patient-centered outcomes (falls, cognition, function, quality of life), and ADEs. Discussion Interventions led to improvement in 69% of the medication-related outcomes examined across study settings. Five studies measured ADEs with none accounting for adverse drug-withdrawal events. Large well-designed studies that are powered to find an effect on patient-centered outcomes are needed. Conclusion Pharmacist-led interventions had a significant beneficial effect on medication-related outcomes. There was little evidence of benefit on other outcomes.","PeriodicalId":41635,"journal":{"name":"Senior Care Pharmacist","volume":"38 12","pages":"506-523"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138470963","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