Medication Counseling Behaviors and Attitudes of Rural Community Pharmacists

1984 ◽  
Vol 18 (5) ◽  
pp. 409-414 ◽  
Author(s):  
Holly L. Mason ◽  
Bonnie L. Svarstad
Keyword(s):  
Rural Community ◽  
Community Pharmacists ◽  
Medication Counseling

Innovative asthma health promotion by rural community pharmacists: a feasibility study

2005 ◽  
Vol 16 (1) ◽  
pp. 69-73 ◽  
Author(s):  
Vicky Kritikos ◽  
Bandana Saini ◽  
Sinthia Z. Bosnic-Anticevich ◽  
Ines Krass ◽  
Smita Shah ◽  
...  
Keyword(s):  
Health Promotion ◽  
Feasibility Study ◽  
Rural Community ◽  
Community Pharmacists

Patient Fall Risk Caused by Unintended Diphenhydramine Use

2020 ◽  
Vol 35 (3) ◽  
pp. 113-119 ◽  
Author(s):  
Kimberly C. McKeirnan ◽  
Kyle R. Frazier ◽  
Andrew A. Yabusaki
Keyword(s):  
Back Pain ◽  
Rural Community ◽  
Fall Risk ◽  
Critical Role ◽  
Community Pharmacists ◽  
Past Medical History ◽  
The Past ◽  
Patient Reported ◽  
Medication Complexity

A 62-year-old patient living in a rural community was referred to participate in a pharmacist-led home visit program because of concerns with the patient's increasing falls and medication complexity. The patient reported experiencing an increasing number of falls over the past few months, resulting in a recent hospitalization and mild head trauma. The patient's past medical history included diabetes mellitus type 2, hypertension, hyperlipidemia, gastroesophageal reflux disease, paroxysmal atrial fibrillation, unspecified back pain, and benign prostatic hyperplasia. During the comprehensive medication review, pharmacists determined the patient had inadvertently purchased an acetaminophen/ diphenhydramine combination medication, rather than his usual acetaminophen. According to the 2019 Beers criteria, use of acetaminophen/diphenhydramine for back pain without insomnia is not the best option and may contribute to falls. With an estimated four to eight tablets per day, the patient was taking 200-400 mg of diphenhydramine daily. Pharmacist recommendations included contacting the prescribing physician to obtain a prescription for acetaminophen. By asking the local pharmacy to dispense acetaminophen as a prescription, the risk of the patient inadvertently purchasing an inappropriate product is reduced. After removing the diphenhydramine from the patient's regimen, the falls ceased. This case demonstrates the effects of inappropriate diphenhydramine use in an especially vulnerable population. It also highlights the critical role that rural community pharmacists can play in improving their patients' health care.

scholarly journals A GLOBAL PICTURE OF EXTENDED PHARMACY SERVICES, PERCEPTIONS, AND BARRIERS TOWARD ITS PERFORMANCE: A SYSTEMATIC REVIEW

2017 ◽  
Vol 10 (11) ◽  
pp. 417 ◽  
Author(s):  
Nazri Nordin ◽  
Mohamed Azmi Ahmad Hassali, ◽  
Azmi Sarriff
Keyword(s):  
Community Pharmacy ◽  
Health Care Professionals ◽  
Literature Search ◽  
Pharmacy Practice ◽  
Community Pharmacists ◽  
Database Searching ◽  
Medication Counseling ◽  
Community Pharmacy Practice ◽  
Wide Range ◽  
Negative Perceptions

  Objective: The aims of this review were to observe extended services performed in the community pharmacy settings, perceptions among community pharmacists (CPs), general practitioners (GPs), and customers of these extended services and barriers toward its performance.Methods: A literature search was conducted, using Google Scholar as database, searching for full access texts. The inclusive texts fulfilled the inclusion criteria.Results: A total of 22 texts had been systematically reviewed, noting a wide range of extended services performed in community pharmacy settings. Medication counseling or review and promoting health educations were noted as the most extended services performed. It is also noted that CPs indicated that these extended services could establish working relationship with other health-care professionals. However, it is noted that among the barriers toward extended services were lack of knowledge, skills, and time to perform.Conclusion: As a conclusion, the community pharmacy practice is evolving, transforming into more patient-oriented even though there are some negative perceptions among the customers and GPs toward these extended services. Barriers to the performance of these extended services should be intervened.  

scholarly journals Community pharmacists’ knowledge of COPD, and practices and perceptions of medication counseling of COPD patients

2018 ◽  
Vol Volume 13 ◽  
pp. 2065-2074 ◽  
Author(s):  
Juha Markus Heikkilä ◽  
Stina Parkkamäki ◽  
Johanna Salimäki ◽  
Sari Westermarck ◽  
Marika Pohjanoksa-Mäntylä
Keyword(s):  
Community Pharmacists ◽  
Medication Counseling ◽  
Copd Patients

scholarly journals ASSESSMENT OF EDUCATIONAL INTERVENTION ON KNOWLEDGE, ATTITUDE, AND PRACTICES OF RURAL COMMUNITY PHARMACISTS OF MYSURU DISTRICT TOWARD ADVERSE DRUG REACTION REPORTING

2018 ◽  
Vol 11 (10) ◽  
pp. 242
Author(s):  
Srikanth M S ◽  
Adepu R
Keyword(s):  
Adverse Drug Reaction ◽  
Drug Reaction ◽  
Rural Community ◽  
Educational Intervention ◽  
Adverse Drug Reaction Reporting ◽  
Community Pharmacists ◽  
Adverse Drug Reaction Monitoring ◽  
The Mean ◽  
Spss Software ◽  
The Impact

Objective: A prospective interventional study was conducted to evaluate the impact of educational intervention on knowledge, attitude, and practices (KAP)(of rural community pharmacists toward adverse drug reaction (ADR) reporting.Methods: A validated KAP questionnaire was administered on the enrolled community pharmacists in the study. SPSS software package version-19 was used to calculate the influence of educational intervention on KAP scores of the participants. Pre-training KAP scores were compared with the post-training KAP scores.Results: About 49 community pharmacists have participated in the study, 95.91% (n=47) were males, and 4.08% (n=2) were females. The mean±SD age of the participants was 40.93±7.84 years. The mean ± SD score in the knowledge component was significantly increased from 4.87±2.015 to 7.09 ± 0.68 (n=49, p<0.05). After the educational intervention, 77.55% (n=38) of participants could correctly define the ADRs, and 73.46% (n=36) of participants were aware of the consequence of ADRs. About 57.34% of participants disagree with the statement reporting of ADRs incurs the addtional workload with post education intervention. At the end of the study, the participants’ knowledge was significantly increased and participant pharmacists felt responsible toward ADR reporting.Conclusion: Educational interventional program have shown a tremendous change in knowledge and awareness of the respondents towards adverse drug reaction monitoring and reporting. It is well understood that there is a need for promoting the pharmacovigilance activities among community pharmacists.

scholarly journals PHARMACISTS’ DISTRIBUTION IN NIGERIA; IMPLICATION IN THE PROVISION OF SAFE MEDICINES AND PHARMACEUTICAL CARE

2017 ◽  
Vol 9 (10) ◽  
pp. 49 ◽  
Author(s):  
Oseni, Yejide Olukemi ◽  
Yejide Olukemi Oseni
Keyword(s):  
Community Pharmacy ◽  
Rural Community ◽  
Rural Areas ◽  
Distribution System ◽  
Drug Distribution ◽  
Community Pharmacists ◽  
Community Pharmacies ◽  
Negative Effects ◽  
Political Will ◽  
Poor Access

Objective: The aim of the study was to appraise the distribution of pharmacists in the six (6) zones of Nigeria; determine the number of community pharmacies per population in each zone and in selected States; and assess the implication of pharmacists’ distribution in the provision of safe medicines and pharmaceutical care.Methods: Data analysis of pharmacists and community pharmacies in 6 zones of Nigeria was done using 2013 register and interviews conducted for pharmacists on the issue were analysed.Results: About fifty six percent (56.2%) of all registered pharmacists works in the community pharmacies. Distribution of community pharmacists shows Southwest (SW) 41.7%, Northcentral (NC) 20.6%, Southsouth (SS) 15.5%, Southeast (SE) 12.9%, Northwest (NW) 6.7% and Northeast (NE) 2.5%. In SW zone where pharmacists are highly concentrated, rural / urban distribution of community pharmacies revealed urban 89.9% and rural 10.1%, and a community pharmacy serviced 36,836 of the population. Inequitable distribution is due to low turn-out of graduate pharmacists, dearth of pharmacists abroad, poor remuneration, poor political will to employ pharmacists at the PHC level and poor amenities in the rural areas. This has led to irrational use of medicines, non-professionals in practice, chaotic drug distribution system, poor access to safe medicines and negative effects on health indicators.Conclusion:  Improvement in country economy, increase number of faculties of pharmacy and improved facilities in the existing ones to increase turn-out of graduate pharmacists coupled with incentives for establishment of rural community pharmacy will increase access to safe medicines and care in Nigeria.

scholarly journals Identifying Barriers and Facilitators at Affect Community Pharmacists' Ability to Engage Children in Medication Counseling: A Pilot Study

2017 ◽  
Vol 22 (6) ◽  
pp. 412-422 ◽  
Author(s):  
Olufunmilola Abraham ◽  
Dayna S. Alexander ◽  
Loren J. Schleiden ◽  
Delesha M. Carpenter
Keyword(s):  
Pharmacy Practice ◽  
Community Pharmacists ◽  
Barriers And Facilitators ◽  
Pharmacy Staff ◽  
Practice Experience ◽  
Medication Counseling ◽  
Interview Guide ◽  
Child Friendly ◽  
Communication Approach ◽  
Staff Experiences

OBJECTIVES This study aimed to describe the barriers and facilitators that influence community pharmacists' ability to provide medication counseling to pediatric patients. METHODS Semistructured interviews (n = 16) were conducted with pharmacy staff at 3 community pharmacies in 2 Eastern states. The interview guide elicited pharmacy staff experiences interacting with children and their perceived barriers and facilitators to providing medication counseling. Transcripts were reviewed for accuracy and a codebook was developed for data analysis. NVivo 10 was used for content analysis and identifying relevant themes. RESULTS Ten pharmacists and 6 pharmacy technicians were interviewed. Most participants were female (69%), aged 30 to 49 years (56%), with ≥5 years of pharmacy practice experience. Eight themes emerged as barriers to pharmacists' engaging children in medication counseling, the most prevalent being the child's absence during medication pickup, the child appearing to be distracted or uninterested, and having an unconducive pharmacy environment. Pharmacy staff noted 7 common facilitators to engaging children, most importantly, availability of demonstrative and interactive devices/technology, pharmacist demeanor and communication approach, and having child-friendly educational materials. CONCLUSIONS Findings suggest that pharmacy personnel are rarely able to engage children in medication counseling because of the patient's absence during medication pickup; however, having child-friendly materials could facilitate interactions when the child is present. These findings can inform programs and interventions aimed at addressing the barriers pharmacists encounter while educating children about safe and appropriate use of medicines.

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