Senior Care Pharmacist最新文献_第9页

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

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