Medication Reconciliation and Patient Education at a Primary Care Office in South Florida

Mediation reconciliation is a process that is crucial for ensuring drug safety among patients who demonstrate low medication adherence. Medication reconciliation at the Primary Care office is achieved by educating patients about the purpose of prescribed medicines, drug-to-drug, and drug-to-food interactions. Besides, patients are consulted about interactions between conventional and complementary and alternative medicine, and the dangers of consuming substances (illicit drugs, alcohol, nicotine) together with prescribed drugs. This approach is planned to be accomplished by means of combining printed medication reconciliation lists followed by open-ended questions included to check patients’ pharmacovigilance and conduct patient engagement. In addition, the innovative approach of the present project is inclusion of patients’ significant others in the process of advancing their treatment adherence. Direct participation of patients and their family member in medication reconciliation is expected to bring significant positive results. This project is valuable for advanced nurse practicing because it demonstrates the new ways to improve nurse-patient interactions, advance communication with patients’ family members and in overall, advance their pharmacovigilance.

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Use of Supplementary Patient Education Material Increases Treatment Adherence and Satisfaction Among Acne Patients Receiving Adapalene 0.1%/Benzoyl Peroxide 2.5% Gel in Primary Care Clinics: A Multicenter, Randomized, Controlled Clinical Study

Dermatology and Therapy ◽

10.1007/s13555-017-0203-4 ◽

2017 ◽

Vol 7 (4) ◽

pp. 515-524 ◽

Cited By ~ 8

Author(s):

Timothy Myhill ◽

Warwick Coulson ◽

Paul Nixon ◽

Simon Royal ◽

Terry McCormack ◽

...

Keyword(s):

Primary Care ◽

Clinical Study ◽

Patient Education ◽

Benzoyl Peroxide ◽

Treatment Adherence ◽

Primary Care Clinics ◽

Patient Education Material ◽

Randomized Controlled ◽

Education Material ◽

Controlled Clinical Study

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Alcoholism Is Treatable In Primary Care Office

Internal Medicine News ◽

10.1016/s1097-8690(06)74037-9 ◽

2006 ◽

Vol 39 (16) ◽

pp. 33

Author(s):

MARY ANN MOON

Keyword(s):

Primary Care ◽

Primary Care Office

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Training in therapeutic patient education of French primary care physicians : practices and perceived needs

Education thérapeutique du patient - Therapeutic patient education ◽

10.1051/tpe/2012021 ◽

2012 ◽

Vol 5 (1) ◽

pp. 123-130 ◽

Cited By ~ 8

Author(s):

Jérôme Foucaud ◽

Maryvette Balcou-Debussche ◽

Arnaud Gautier ◽

Xavier Debussche

Keyword(s):

Primary Care ◽

Patient Education ◽

Primary Care Physicians ◽

Therapeutic Patient Education ◽

Perceived Needs

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Lessons Learned From a Pilot Project on Telemedicine Advance Care Planning in an Urban Geriatric Primary Care Office

American Journal of Hospice and Palliative Medicine® ◽

10.1177/10499091211036978 ◽

2021 ◽

pp. 104990912110369

Author(s):

Olivia M. Seecof ◽

Molly Allanoff ◽

John Liantonio ◽

Susan Parks

Keyword(s):

Primary Care ◽

Pilot Study ◽

Medical Record ◽

Advance Care Planning ◽

Pilot Project ◽

Lessons Learned ◽

Care Planning ◽

Geriatric Population ◽

Advance Care ◽

Primary Care Office

Purpose: There is a dearth of literature regarding the documentation of advance care planning (ACP) in the geriatric population, despite the controversial, yet well-studied need for ACP. The purpose of this pilot study was to provide an update to a prior study from our institution that outlined the need for increased documentation of advance care planning (ACP) in an urban geriatric population. Methods: Our study involved using telemedicine to conduct dedicated ACP visits and an electronic medical record (EMR) note-template specifically designed for these visits in an attempt to increase the amount of documented ACP in the EMR in this population. Results: The study did not yield significant results due to the inability to schedule enough patients for these dedicated visits. Discussion: While our study was ultimately unsuccessful, 3 crucial lessons were identified that will inform and fuel future interventions by the authors to further the study of documentation of ACP.

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431 - DEMENTIA IN PRIMARY CARE AND DOCTOR-PATIENT-CARER INTERACTIONS: PRELIMINARY FINDINGS

International Psychogeriatrics ◽

10.1017/s1041610220002847 ◽

2020 ◽

Vol 32 (S1) ◽

pp. 147-147

Author(s):

Conceição Balsinha ◽

Steve Iliffe ◽

Sónia Dias ◽

Manuel Gonçalves-Pereira

Keyword(s):

Primary Care ◽

Family Carer ◽

Family Carers ◽

Medical Encounter ◽

Triadic Interactions ◽

Patient Interactions ◽

The Family ◽

Different Types ◽

Third Person ◽

Ongoing Project

INTRODUCTION: Primary care visits of persons with dementia involve different types of communication, bringing together the patient, the family carer and the general practitioner (GP). A particular challenge is the necessary involvement of a third person (the carer) in patient-doctor encounters (or the patient in carer-doctor encounters, as dementia advances). These triad dynamics should be better understood, as health outcomes are expected to result from or be mediated by them.OBJECTIVE: Our aim is to explore triadic dynamics in Portuguese primary care consultations with persons with dementia, their family carers and GPs.METHODS: This is the first part of an ongoing project (Dementia in Primary Care: the Patient, the Carer and the Doctor in the Medical Encounter - Bayer Investigation Grant | NOVAsaúde Ageing 2018). Consultations with persons with dementia, their carers and GPs (purposive sampling) are audio-recorded, transcribed verbatim and thematically analysed. We report the analysis of interactions of the first six consultations, using NVIVO® software.RESULTS: The most frequent type of interaction was between GPs and carers, followed by interactions involving the whole triad. The patients who had more recent relationships with their GPs tended to participate less, irrespective of the stage of dementia. Carers were the ones most often initiating triadic interactions, and GPs the ones most often terminating them by directly addressing the patients. Doctor-carers interactions were very sparse in some consultations.DISCUSSION AND CONCLUSION: These preliminary findings suggest that doctor-patient interactions may be limited in a number of GPs’ consultations, seemingly compromising patient-centred approaches. Nevertheless, even when GPs were involved in triadic interactions they often tried to address the patient directly. We are looking forward to complete this part of the project: to our knowledge, there is practically no evidence from live-recorded primary care consultations about these triadic dynamics.

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