Medication Therapy Management Service for Patients with Parkinson’s Disease: A Before-and-After Study

Diabetes mellitus is a chronic metabolic disorder that is characterized by hyperglycemia. Diabetes mellitus need appropriate therapeutic management, because it can cause complications. On of the services that can do to improve diabetes control is Medication Therapy Management (MTM). MTM is a new service that will help pharmacist to improve patient adherence and quality of life. This study aims to determine the effect of based services MTM on treatment adherence and quality of life in patients with diabetes mellitus. This study was an experimental study using a quasi-experimental with one group pretest and posttest design which was conducted in Tegalrejo, Jetis and Gedontengen Health Center Yogyakarta City. Variables measured were medication adherence using the Morisky-Green Levine Medication Adherence Scale (MGLS) questionnaire and quality of life using Diabetes Quality of Life Clinical Trial Questionnaire (DQLCTQ) before and after MTM services. The effect of MTM on medication adherence was analyzed using Wilcoxon test and the effect of MTM on quality of life using Paired T-Test. The patients participate in this study were 20 people, with average score of adherences before application of MTM was 2.20±0.410 to 1.80±0.616 after the application of MTM (P=0.005) and the average of the patient's quality of life was 73.82±7.918, increased to 76.42±5,623 after MTM service (P=0.033). Statistically mean, there is a difference in adherence and quality of life before and after MTM services. Therefore, it can be concluded that MTM-based services performed by pharmacists have a significant effect on improving medication adherence and quality of life for DM patients. Moreover, it can facilitate monitoring patient therapy, and identification of problems related to the treatment.

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PHP133 - TOWARDS IMPLEMENTING MEDICATION THERAPY MANAGEMENT SERVICE IN MALAYSIA: PERCEPTIONS AND CHALLENGES

Value in Health ◽

10.1016/j.jval.2018.09.1027 ◽

2018 ◽

Vol 21 ◽

pp. S172

Author(s):

N.K. Al-Tameemi ◽

A. Sarriff

Keyword(s):

Medication Therapy Management ◽

Management Service ◽

Therapy Management ◽

Medication Therapy

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Adrenal Insufficiency Caused by Chronic Corticosteroid Use, Identified through Medication Therapy Management

The Senior Care Pharmacist ◽

10.4140/tcp.n.2021.22 ◽

2021 ◽

Vol 36 (1) ◽

pp. 22-33

Author(s):

Tsuhua Susan Chen ◽

Shilun David Li

Keyword(s):

Adrenal Insufficiency ◽

Oral Prednisone ◽

Winter Season ◽

Medication Therapy Management ◽

Caucasian Woman ◽

High Dose ◽

Management Service ◽

Therapy Management ◽

Medication Therapy ◽

Chronic Corticosteroid

Objective: To report a case of adrenal insufficiency caused by chronic corticosteroid treatment. Summary: This case study describes a 71-year-old Caucasian woman diagnosed with secondary adrenal insufficiency (SAI). She had a long history of multiple medical problems that affected her quality of life. The pharmacist reviewed 18 years (2001-2018) of medical records, including her corticosteroid usage history. The patient had been receiving chronic medium-high dose inhaled corticosteroids for asthma, with intermittent oral prednisone for exacerbations. The pharmacist suspected a possible SAI or tertiary adrenal insufficiency (TAI) caused by hypothalamic pituitary adrenal axis suppression induced by chronic corticosteroid use. After discussions with the patient’s primary care physician and a screening adrenal function test, the patient was referred to an endocrinologist, and the diagnosis was confirmed. Low-dose hydrocortisone (<30 mg daily) was prescribed; the patient had improvements in mood, skin hyperpigmentation, and asthma symptoms, which eliminated the routine visits to the emergency room/ clinic during the winter season. Conclusion: The case illustrated the benefits of utilizing a pharmacist’s expertise. A consultant pharmacist can identify an underdiagnosed and rare condition, corticosteroid-induced adrenal insufficiency, through comprehensive medication review in a community medication therapy management service setting.

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