Medication therapy in older adults

2022 ◽  
pp. 479-498
Author(s):  
S.W. Johnny Lau ◽  
Danijela Gnjidic ◽  
Darrell R. Abernethy
Keyword(s):  
Older Adults ◽  
Medication Therapy

Description of an Established, Fee-for-Service, Office-Based, Pharmacist-Managed Pharmacogenomics Practice

2019 ◽  
Vol 34 (10) ◽  
pp. 660-668 ◽  
Author(s):  
Michael J. Schuh ◽  
Sheena Crosby
Keyword(s):  
Older Adults ◽  
Tertiary Care ◽  
Medication Therapy Management ◽  
Third Party ◽  
Medical Team ◽  
Medical Clinic ◽  
Fee For Service ◽  
Therapy Management ◽  
Medication Therapy ◽  
Ambulatory Practice

OBJECTIVE: To describe an established, pharmacist-managed, fee-for-service, office-based pharmacogenomics (PGx) practice.<br/> SETTING: Multi-specialty, academic, tertiary care medical clinic and hospital.<br/> PRACTICE DESCRIPTION: Physician office-based PGx fee-for-service (FFS) pharmacist practice. Patients seen are complex and most are older adults.<br/> INNOVATION: Established service in a new area of ambulatory practice that is financially self-sustaining. Patients who received PGx testing were seen within the medication therapy management polypharmacy practice since 2015, with the PGx practice becoming official in 2018.<br/> MAIN OUTCOME MEASUREMENTS: Growth of practice, evaluated by referred patient consults ordered per month by providers.<br/> RESULTS: Because of insufficient third-party payment for PGx services, the practice was developed as a selfpay, FFS practice and growing because of patient and provider demand.<br/> CONCLUSION: It is quite possible pharmacists in greater numbers can expand PGx services into ambulatory and inpatient areas they may have never otherwise entered now that PGx has grown in use and relevance. PGx presents additional opportunities and service lines for pharmacists to practice how they were trained and assist them in collaborative integration onto the medical team.

Geropharmacology

2008 ◽  
Vol 19 (2) ◽  
pp. 134-151
Author(s):  
Catherine G. Ferrario
Keyword(s):  
Older Adults ◽  
Critical Care ◽  
Continuing Education ◽  
Adverse Reactions ◽  
Critical Care Nurses ◽  
Potentially Inappropriate Medications ◽  
Advanced Practice ◽  
Medication Therapy ◽  
Life Threatening ◽  
Inappropriate Medications

In the first part of this 2-part continuing education series, sources of medication errors were discussed. A predominant source of errors was the prescribing of potentially inappropriate medications for older adults. In this second part, drug classifications and drugs posing problems for older adults and cautions for advanced practice acute care and critical care nurses in their medication therapy management are highlighted. Cautions are advanced for anticholinergics, antihypertensives, analgesics, and psychotropics because of the severity of adverse reactions, including anticholinergic symptoms; mental status changes (especially confusion, sedation, delirium, and cognitive impairment); orthostatic hypotension; gastrointestinal tract problems (especially hemorrhage); depression; and neurobehavioral disturbances (agitation and aggressiveness). Risks of life-threatening outcomes associated with medications and adverse reactions are highlighted.

scholarly journals CAN WE IMPROVE MEDICATION USE IN OLDER ADULTS? AN INTERDISCIPLINARY MEDICATION THERAPY INTERVENTION

2017 ◽  
Vol 1 (suppl_1) ◽  
pp. 321-322
Author(s):  
D. Moga ◽  
D. Rigsby ◽  
E. Abner ◽  
G. Jicha
Keyword(s):  
Older Adults ◽  
Medication Use ◽  
Medication Therapy ◽  
Therapy Intervention

Older Adults Without Medical Support Systems: How Pharmacists Can Help

2020 ◽  
Vol 35 (1) ◽  
pp. 3-12
Author(s):  
Monique Miller ◽  
Jeannette Y. Wick
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Medication Reconciliation ◽  
Support Systems ◽  
Medical Professionals ◽  
Financial Security ◽  
Medical Support ◽  
Medication Therapy ◽  
Medication Reviews ◽  
Close Family

The term "elder orphan" is an emerging description of an individual older than 65 years of age who lacks dependents or close family members on whom to rely for assistance, particularly in dealing with health problems. As the number of elder orphans continues to grow, this population is increasingly at risk. Some social determinants of health affect the elder-orphan population disproportionately, including financial security, housing, and transportation. Medication nonadherence may be a sign of increasing isolation and unaddressed problems. Elder orphans may have difficulty managing their health care, and pharmacists can help by identifying patients without support systems may be able to act as valuable assets to these patients. Brown-bag medication reviews, medication therapy management, and thorough medication reconciliation are excellent interventions to prevent medication misadventure. Identifying other medical professionals and services that can support the elder orphan is also prudent.

Factors affecting demand among older adults for medication therapy management services

2008 ◽  
Vol 4 (4) ◽  
pp. 309-319 ◽  
Author(s):  
John M. Brooks ◽  
Elizabeth J. Unni ◽  
Donald G. Klepser ◽  
Julie M. Urmie ◽  
Karen B. Farris ◽  
...  
Keyword(s):  
Older Adults ◽  
Medication Therapy Management ◽  
Factors Affecting ◽  
Therapy Management ◽  
Medication Therapy ◽  
Management Services

Diuretic Medication Therapy Use and Low Thiamin Intake in Homebound Older Adults

2006 ◽  
Vol 24 (4) ◽  
pp. 57-71 ◽  
Author(s):  
Beverly McCabe-Sellers ◽  
Joseph Sharkey ◽  
Barry Browne
Keyword(s):  
Older Adults ◽  
Medication Therapy ◽  
Homebound Older Adults

scholarly journals Acceptance of Pharmaceutical Services by Home-Dwelling Older Patients: A Case Study in a Portuguese Community Pharmacy

2021 ◽  
Vol 18 (14) ◽  
pp. 7401
Author(s):  
Ana Rita Paiva ◽  
Ana Isabel Plácido ◽  
Isabel Curto ◽  
Manuel Morgado ◽  
Maria Teresa Herdeiro ◽  
...  
Keyword(s):  
Older Adults ◽  
Community Pharmacy ◽  
Medication Management ◽  
Management Service ◽  
Daily Lives ◽  
Medication Therapy ◽  
Medication Consumption ◽  
Increased Risk ◽  
Beneficial Impact

Background: Aging-related comorbidities predispose older adults to polypharmacy and consequently an increased risk of adverse drug reactions and poor compliance. Pharmacists’ interventions can have a beneficial impact on the improvement of clinical outcomes. Thus, this work aimed to assess the acceptance of Portuguese home-dwelling older adults regarding a pharmaceutical service paid by patients for medication management and pharmacotherapy follow-up. We also intended to analyze medication, characterize the medication consumption profile, and identify the main difficulties of our sample during their daily medication management. Methods: A questionnaire on adherence and medication therapy management was applied to polymedicated patients ≥65 years old, in a community pharmacy. Results: Of the 88 participants, 92.2% would be willing to pay for a pharmacotherapy management service, and 75.6% answered that they would be willing to pay for an individual medication preparation service. In addition, 45.7% of the participants were categorized as lower adherents to a medication therapeutic regimen. Our sample reported that during their daily lives, they felt difficulty: to remember to take their pills (17%), to manage so many medicines (15.9%), and to swallow the pills (9.1%). Conclusions: Polymedicated older adults are willing to pay for a service to improve the management of their medicines, suggesting that they recognize the role of pharmacists in medication management. This study provides useful information for the conceptualization of a pharmacotherapy management service that includes medication review and a pharmacotherapy follow-up.

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