A study to assess the impact of pharmaceutical care services to cancer patients in a tertiary care hospital

Introduction Clinical pharmacist can enthusiastically involve in oncology department through utilizing the skills and knowledge to support wide variety of functions in patient care. The impact of pharmaceutical care services in oncology department were analysed through various approaches including the analysis of knowledge level of patients towards the disease and its management through patient counselling, monitoring of performance status, observing of ADR and drug safety. Incidence of cancer was scrutinized during the study. Methodology: A Prospective interventional study was conducted from November 2019 to March 2020 with the support of institutional ethical approval at oncology department of Lourdes hospital, Ernakulam. 133 patients were included with all type of cancer. Data collected through Performa with KAP questionnaire and direct interview was conducted. Statistical significance was evaluated through p value of <0.001 Result: 123 patients were completed both questionnaire. Among this 69.91% were females and most of the patients belonged to 50 – 65yeras age group and carcinoma was frequently reported type. End of the study showed significant change in the knowledge level of patients after interaction with the clinical pharmacist. 26 ADRs were reported including solitary and multiple ADRs. Recommendations associated with drug reconstitution, administration were frequently given to the nurses. Most of the interventions to improve therapeutic outcome of the patients were accepted by the oncologist. Conclusion Clinical pharmacist can actively participate in all aspects of the oncology department in association with physician and other health care providers to improve the therapeutic outcome and quality of life of patients.

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Combining employment and care-giving: how differing care intensities influence employment patterns among middle-aged women in Germany

Ageing and Society ◽

10.1017/s0144686x18001423 ◽

2018 ◽

Vol 40 (5) ◽

pp. 925-943 ◽

Cited By ~ 1

Author(s):

Nadiya Kelle

Keyword(s):

Cox Regression ◽

Labour Force ◽

Ageing Population ◽

Care Providers ◽

Unpaid Care ◽

Care Services ◽

Care Giving ◽

Employed Women ◽

The Impact ◽

The Relationship

AbstractGiven an ageing population and increased participation by women in the labour force, the relationship between unpaid care and the availability of women to the labour force is gaining in importance as an issue. This article assesses the impact of unpaid care on transitions into employment by women aged between 45 and 59 years. It uses the German Socio-Economic Panel (SOEP) from the years 2001–2014 to estimate Cox regression models for 6,201 employed women. The results indicate that women with higher caring responsibilities and women with lower caring responsibilities are heterogeneous in terms of the socio-economic characteristics that they exhibit: higher-intensity care providers tend to have a lower level of educational attainment and a weaker attachment to the labour force than women with less-intensive caring responsibilities. Furthermore, while women with more-intensive caring roles are highly likely to exit the labour market altogether, female carers with less-intensive roles seem to be able to combine work and care better. These results highlight the importance of providing more affordable institutional and professional care services, especially for low- and medium-income families.

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Evaluation of Pharmaceutical Care Services Provided to South Indian Asthma Patients in a Tertiary Care Hospital

Asian Journal of Scientific Research ◽

10.3923/ajsr.2020.126.131 ◽

2020 ◽

Vol 13 (2) ◽

pp. 126-131

Author(s):

Meeran Sahina Begum ◽

Santhosh Kumar Sanchana ◽

Elangovan Sandhiya ◽

Mathivanan Koushik M Raja ◽

Muhasaparur Ganesan Rajanandh

Keyword(s):

Pharmaceutical Care ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Care Hospital ◽

Care Services ◽

South Indian ◽

Asthma Patients

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Problem and Pathological Gambling: A Consumer Perspective

CNS Spectrums ◽

10.1017/s1092852900006015 ◽

1998 ◽

Vol 3 (6) ◽

pp. 48-57 ◽

Cited By ~ 2

Author(s):

Laura M. Letson

Keyword(s):

Health Care ◽

Health Care Providers ◽

Health Care Services ◽

Public Awareness ◽

The United States ◽

Care Providers ◽

Compulsive Gambling ◽

Care Services ◽

Consumer Perspective ◽

The Impact

AbstractThe growth of gambling across the United States over the past decade has created significant difficulties for pathological gamblers. The rise in problem gambling, coupled with an increasing strain on social and health care services for treatment of gamblers and their families, has resulted in an urgent need for innovative interventions that target patients, health care providers, educational institutions, government, media, and the gambling industry. This article describes the impact of gambling from a consumer-protection perspective, and offers approaches to promoting public awareness of compulsive gambling as a pervasive problem that affects multiple areas of society.

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Assessment of facility-based emergency care services for road traffic injuries in tertiary care hospital, Larkana

Journal of Shifa Tameer-e-Millat University ◽

10.32593/jstmu/vol3.iss1.72 ◽

2020 ◽

Vol 3 (1) ◽

pp. 16-26

Author(s):

Mansoor Ahmed Qazi ◽

Saima Rafi

Keyword(s):

Health Care Providers ◽

Emergency Care ◽

Road Traffic ◽

Tertiary Care ◽

Care Hospital ◽

Care Providers ◽

Road Traffic Injuries ◽

Record Keeping ◽

Care Services ◽

Emergency Care Services

Background: Road traffic injuries are considered as main public health problem; strenuous efforts are required for its prevention. Facility based emergency care for road traffic injuries is considered as an important but challenging component of post-crash care response. It demands healthcare providers to make quick life-and-death decisions based on minimal information. The objective of our study was to explore the challenges for emergency services for road traffic injuries within Tertiary care hospital. Methodology: Qualitative methods were used including 15 interviews and 02 focus group discussions. Topic guide was developed for all the participant’s interviews, in order to explore the challenges for effective emergency care services at tertiary care level in Larkana city, Sindh. Topic guide was developed for all the participant’s interviews. Results: After making the transcripts of qualitative data, thematic analysis framework was used to analyze the transcripts, by which two main themes; recognition of causes and adverse consequences of road traffic accidents and health system challenges for delivering emergency care were extracted. Results suggest that improvement in documentation and record keeping system, security for health care providers, provision of timely interventions and proper training for health professionals at hospital level can be helpful for the provision of effective emergency care services. Conclusion: An integrated trauma care system along with the improvement in documentation, efficient record keeping system, security for health care providers, provision of timely interventions and training for health professionals is needed for effective post-crash care management at the hospital level.

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Clinical profile and management of breast cancer in women in a rural based tertiary care hospital our experience

International Surgery Journal ◽

10.18203/2349-2902.isj20170216 ◽

2017 ◽

Vol 4 (2) ◽

pp. 697

Author(s):

Ambikavathy Mohan ◽

Chandan Kumar

Keyword(s):

Breast Cancer ◽

Risk Factors ◽

Breast Carcinoma ◽

Health Care Providers ◽

Diagnostic Methods ◽

Care Hospital ◽

Care Providers ◽

Increased Risk ◽

The Impact ◽

Women In India

Background: Breast cancer is the second most common cancer among women in India and accounts for 7% of global burden of breast cancer and one-fifth of all cancers among women in India. The risk factors are related to lifestyle, early menarche, nulli parity, prolonged use of oral contraceptive pills, hormone replacement therapy, not breast‑feeding, alcohol, obesity, lack of exercise, and induced abortion. A woman who attains menopause after fifty five years of age has an increased risk of ovarian, breast, and uterine cancers. The risk is greater if a woman also began menstruating before twelve years of age. A longer exposure to estrogen increases a woman’s risk of breast cancers.Methods: This is a prospective observational study, conducted in the department of surgery, between December 2013 and June 2015(2 years). Patients diagnosed as breast carcinoma and admitted in surgical wards were included, Data pertaining to demography, clinical and pathological tumor profile, and treatment details were collected prospectively for each patient based on patient interviews and medical records. To analyse the Prevalence of breast cancer, clinical presentation, risk factors, diagnostic methods, treatment protocols, difference between pre and post‑menopausal breast cancer women regarding risk factors, assess the impact of treatment given and women’s knowledge about breast cancer.Results: A total number of 25 cases of breast carcinoma based on detailed history, clinical examination, Trucut biopsy, ultrasonography breast and axilla, ultrasound abdomen, mammogram and chest x-ray were analysed. All of them received three cycles of anterior chemotherapy consisting of 5- Fluorouracil 500 mg/m2,Adriamycin 50 mg/m2 Cyclophosphamide 80 mg/m2 (FAC regimen) administered intravenously followed by modified radical mastectomy. There were no recurrences seen on follow up till date.Conclusions: Late stage at presentation of breast cancer is a challenge to the health care providers. Cancer awareness programmes, multidisciplinary approach and evidence‑based strategies for early detection and effective management of the disease can go a long way in prevention.

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A PROSPECTIVE STUDY OF DRUG–DRUG INTERACTIONS AND ADVERSE DRUG REACTIONS AMONG STROKE PATIENTS IN A TERTIARY CARE HOSPITAL

Asian Journal of Pharmaceutical and Clinical Research ◽

10.22159/ajpcr.2016.v9s3.13651 ◽

2016 ◽

Vol 9 (9) ◽

pp. 100

Author(s):

Kavitha Samy P ◽

Athira Jith ◽

Chaithanya T Kumar ◽

Joffey Sara Joy ◽

Sambath Kumar R

Keyword(s):

Prospective Study ◽

Drug Interactions ◽

Adverse Drug Reactions ◽

Clinical Pharmacist ◽

Prescription Data ◽

Care Hospital ◽

Care Providers ◽

Drug Reactions ◽

Stroke Patients ◽

A Prospective Study

ABSTRACTObjective: Our study attempts to get an insight into the drug–drug interactions (DDIs) and adverse drug reactions (ADRs) among stroke patients fromthe Neurology Department in a private hospital.Methods: In a prospective study spanning 6 months (May to October 2015), we have analyzed the prescription data of 221 patients with bothischemic and hemorrhagic stroke. Gender, age, social habits, length of stay, drug utilization pattern, DDIs reported from the database and clinicallyobserved, and ADRs of individual drugs were observed among the patients. Of 221 cases, 208 (94.11%) were ischemic, 12 (5.43%) were hemorrhagic,and 1 (0.45%) was transient ischemic attack.Results: A number of 140 patients were males and 80 were females. The mean age of the patients was between 41 and 70 years. In ischemic patients,357 major, 282 moderate, and 38 mild DDIs were reported using a specific database, while in hemorrhagic patients, 10 major, 7 moderate, and 1 mildinteraction were reported using a specific database. 18 DDIs were observed clinically and confirmed with evidence. 8 DDI-induced ADRs and 10 ADRscaused by individual drugs were observed in our study population. 18 DDIs were observed clinically and confirmed with evidence. 8 DDI-inducedADRs and 10 ADRs caused by individual drugs were observed in our study population.Conclusion: Drugs if wrongly prescribed may cause negative outcomes and pose significant challenge to health-care providers and may contribute tomorbidity and mortality. Clinical pharmacist can play an important role in identifying and resolving drug-related problems through pharmaceuticalcare practices.Keywords: Stroke, Drug–drug interactions, Adverse drug reactions, Clinical pharmacist.

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EVALUATION OF IMPACT OF PHARMACEUTICAL CARE ON IMPROVING KNOWLEDGE AND MEDICATION ADHERENCE IN CKD PATIENTS

International Journal of Pharmacy and Pharmaceutical Sciences ◽

10.22159/ijpps.2017v9i1.15053 ◽

2016 ◽

Vol 9 (1) ◽

pp. 63

Author(s):

Bebit Baby ◽

Chippy Lee Antony ◽

Shivil Wilson ◽

Theertha Xavier ◽

T. Tamilselvan

Keyword(s):

Medication Adherence ◽

Pharmaceutical Care ◽

Patient Counselling ◽

Information Leaflets ◽

High Adherence ◽

And Gender ◽

Collection Form ◽

The Impact

Objectives: Evaluation of the impact of pharmaceutical care on improving knowledge and medication adherence in Chronic Kidney Disease (CKD) patients.Methods: Patient data were recorded on a data collection form after informed consent. Their knowledge and medication adherence were evaluated by questionnaire and it was quantified. Patients were counselled using patient information leaflets. Re-assessment was made during follow-up.Results: Medication adherence among patients was classified as low, medium and high adherence. Knowledge was classified under three categories excellent, average and poor. There was a considerable improvement in knowledge and medication adherence irrespective of age and gender. The study was statistically significant with P<0.05.Conclusion: The efforts to increase awareness on CKD patients such as providing patient counselling and continuous education could enhance adherence to therapies and thus could improve clinical outcomes and quality of life.

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A Randomized, Single Centered, Parallel and Open labelled Interventional Study on Effectiveness of Clinical Pharmacists on Adverse Event Following Immunization (AEFI) in Pediatric Population

Current Drug Safety ◽

10.2174/1574886317666220103092844 ◽

2022 ◽

Vol 17 ◽

Author(s):

Ronit K. Arvind ◽

Faizan A. Beerwala ◽

Shashikala C. Wali ◽

Ashish S. Parihar ◽

Madiwalayya S. Ganachari ◽

...

Keyword(s):

Adverse Event ◽

Clinical Pharmacist ◽

Pediatric Population ◽

Pharmacist Intervention ◽

Care Hospital ◽

Patient Counselling ◽

Adverse Event Following Immunization ◽

Attitude And Practice ◽

Knowledge Attitude And Practice ◽

Clinical Pharmacist Intervention

Background: Adverse events are a major threat to any immunization programs, which in turn have proven to be a boon for developing nations like India. Hindering factors, such as inadequate knowledge, inappropriate attitude, incorrect practices, etc., of the guardian affect the vaccination rate. Aim: This study aims to assess the effectiveness of clinical pharmacist intervention on an adverse event following immunization in the pediatric population receiving immunization. Materials and Methods: Pediatric subjects <5 yrs of both genders receiving immunization in a tertiary care hospital during the period of 8 months were considered. Subjects were randomized into control and interventional groups. Pharmaceutical intervention was done in interventional group in the form of patient counselling, and a patient information leaflet. Adverse event following immunization was recorded and analysed for both groups along with Knowledge, Attitude, and Practice scores of guardians’ pre and post intervention through customized data collection forms. Microsoft excel and statistical software SPSS IBM version 22 was used to analyse the data. Results: The study was conducted on a total of 88 subjects (n) in which 79 were <2 years, 1 and 8 were between 2-4 years and 4-5 years respectively. Forty-ninesubjects (55.69%) were female, while 39 were male (44.31%) with a response and completion rate of 91.66%. 97.7% subjects received Bacillus Calmette-Guerin vaccination (majority), while 8.88% received pneumococcal special vaccine (minority). Adverse event following immunization was recorded in 31(35.22%) cases. Knowledge, Attitude and Practice scores increased by 42.17%, 52% and 12.67%, respectively in guardians after clinical pharmacist intervention. Conclusion: This studydemonstrates that educational inputs, awareness programs, and proper medical professional intervention can act as a helping factor to fight against AEFI and towards the success of an immunization program.

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What Do the Hospital Pharmacists Think about the Quality of Pharmaceutical Care Services in a Pakistani Province? A Mixed Methodology Study

BioMed Research International ◽

10.1155/2015/756180 ◽

2015 ◽

Vol 2015 ◽

pp. 1-6 ◽

Cited By ~ 3

Author(s):

Ghulam Murtaza ◽

Rozina Kousar ◽

Saira Azhar ◽

Shujaat Ali Khan ◽

Qaisar Mahmood

Keyword(s):

Qualitative Study ◽

Pharmaceutical Care ◽

Public Hospitals ◽

Care Providers ◽

Patient Counseling ◽

Health Awareness ◽

Hospital Pharmacists ◽

Care Services ◽

Awareness Programs

The objective of this study was to evaluate the perception of hospital pharmacists regarding quality of pharmaceutical care services in Khyber Pakhtunkhwa (KPK) Province, Pakistan, through qualitative as well as quantitative approach. For qualitative study, snow ball sampling technique was used. In quantitative part, a cross-sectional study was conducted in 112 hospital pharmacists (out of 128 accessed ones) from both private and public hospitals in six major divisions (divisions are the third tier of government in Pakistan, between the provinces and districts) of KPK. The qualitative study yielded five major themes during thematic analysis: (a) patients reporting, (b) lack of patient counseling, (c) lack of participation in health awareness programs, (d) pharmacists reducing the prescribing errors, and (e) insufficient number of pharmacists. A great proportion (67.9%) of the pharmacists was unsatisfied with their participation in health awareness programs. Findings of both phases revealed that hospital pharmacists in Pakistan are not actively participating in the provision of pharmaceutical care services. They are facing various hurdles for their active participation in patient care; major obstacles include the unavailability of sufficient number of pharmacists, lack of appropriate time for patient counseling, and poor relationship between pharmacists and other health care providers.

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