The Use of Pharmacy Technicians in Patient Counseling

2020 ◽  
pp. 33-36
Author(s):  
Harvey M. Rappaport ◽  
Kelly S. Straker ◽  
Tracy S. Hunter ◽  
Joseph F. Roy
Keyword(s):  
Patient Counseling ◽  
Pharmacy Technicians

Documentation of Pharmaceutical Care Activities in Community Pharmacies by Doctor of Pharmacy Students

1995 ◽  
Vol 8 (2) ◽  
pp. 83-88 ◽  
Author(s):  
Robert J. Anderson ◽  
Diane Nykamp ◽  
Randell K. Miyahara
Keyword(s):  
Community Pharmacists ◽  
Value Added ◽  
Pharmacy Students ◽  
Third Party ◽  
Utilization Review ◽  
Patient Counseling ◽  
Pharmacy Technicians ◽  
Reimbursement Incentives ◽  
The Cost

The practice of pharmacy is evolving from a product-related focus to one that is more patient-oriented and outcome-directed. This new focus can reduce the cost and/or improve the quality of care. Pharmacists often detect and resolve medication-related problems, though few reimbursement incentives exist for the amount of time and effort it takes. With statutory restrictions on the total use of pharmacy technicians and state-mandated OBRA patient counseling and prospective drug utilization review, community pharmacists are pressed for time more than their hospital colleagues to document their daily interventions for improving drug therapy for their patients. PharmD students can assist the community pharmacist in documenting these medication-related problems. Documentation of these "cognitive" or "value-added services," including their outcome on cost and care, is critically necessary for future reimbursement consideration by third-party payers. Copyright © 1995 by W.B. Saunders Company

Survey Regarding Provisions of a 3-Day Supply of an Antihypertensive

2014 ◽  
Vol 27 (4) ◽  
pp. 364-368
Author(s):  
David W. Seal ◽  
Je'Laune Walton ◽  
Sherifa Williams ◽  
Robert Wilson ◽  
Joshua Smith-Benson
Keyword(s):  
Blood Pressure ◽  
Informed Consent ◽  
Outcome Measures ◽  
Antihypertensive Medication ◽  
Community Setting ◽  
Community Pharmacists ◽  
Community Pharmacies ◽  
Patient Counseling ◽  
Pharmacy Technicians ◽  
Emergency Supply

Objective: To evaluate the provisions made by pharmacists when dispensing an emergency supply of an antihypertensive medication to patients in a community setting. Participants: Pharmacists and nonpharmacists (pharmacy technicians or interns) who were employed with community pharmacies and have witnessed or dispensed an emergency supply of an antihypertensive medication. Those who agreed to participate in this study via informed consent. Intervention: A short questionnaire was used to assess the provisions made by community pharmacists from the perspectives of both the pharmacists and the nonpharmacists. Main outcome measures: Availability of blood pressure machines, evaluation of blood pressure readings, and patient counseling sessions or assessments prior to dispensing the emergency supply of an antihypertensive were the major outcome measures. Results Among the participants, 92% of the pharmacists and 79% of the nonpharmacists reported they have witnessed or dispensed an emergency supply of an antihypertensive medication. Of those, 82% of the pharmacists and 78% of the nonpharmacists recognized there were blood pressure machines available. However, 78% of the pharmacists and 72% of the nonpharmacists acknowledged the patient’s blood pressure was not checked. Conclusion/Implication: This observational study demonstrates that provisions when dispensing an emergency supply of an antihypertensive medication are inconsistent. Further evaluation is warranted.

scholarly journals Pharmaceutical Consultation in Hospitals at Northern Border Region, Saudi Arabia

2021 ◽  
pp. 9-14
Author(s):  
Nawaf M. Alotaibi
Keyword(s):  
Saudi Arabia ◽  
Active Role ◽  
Border Region ◽  
Patient Counseling ◽  
Northern Border ◽  
Medication Dosage ◽  
Pharmacy Technicians ◽  
Administrative Responsibilities

Background: Pharmacists' traditional position as drug dispensers has recently developed into a more active role in risk evaluation and management. Dispensing is often handled by pharmacy technicians in Saudi Arabia because pharmacists are so preoccupied with their managerial and administrative responsibilities. Pharmacists' meetings with patients are limited to medication dosage and frequency, as well as rare adverse effects and drug interactions. Methods: We conducted a quantitative questionnaire study in Saudi Arabia to look into the role of hospital pharmacists in patient counseling, the assessment of pharmacists' patient counseling opinions, and the possible determinants of personal consultation. Results: The number of patient inquiries was found to be very low, ranging from 5 to 20 per month. The amount of private pharmaceutical consultations was also poor. This finding showed that people trust pharmacists. Conclusion: Reorganizing the pharmacist's operations will help to enhance pharmaceutical consultations. This will help patients make better decisions about their medications and improve their quality of life.

Pharmacy Technicians and Medication Therapy Management

2008 ◽  
Vol 24 (6) ◽  
pp. 336-339 ◽  
Author(s):  
Mary F Powers ◽  
David R Bright
Keyword(s):  
Program Implementation ◽  
Medication Therapy Management ◽  
Professional Judgment ◽  
Patient Counseling ◽  
Pharmacy Staff ◽  
Major Barrier ◽  
Therapy Management ◽  
Medication Therapy ◽  
Phone Calls ◽  
Pharmacy Technicians

Background: Although cognitive services have become more widely accepted among pharmacists since Medicare Part D provided a benefit to allow for billing of services, not all pharmacists have incorporated services into their practices. Objective: To identify opportunities for pharmacy technicians to aid pharmacists in medication therapy management (MTM). Methods: Articles were identified through searches of MEDLINE/PubMed (1950–July 2008) and review of MTM resources from the American Pharmacists Association. Articles describing medication therapy management and pharmacy technicians were included. Results: As the pharmacy profession embraces extensive patient counseling in the form of MTM, many aspects of the practice of pharmacy need to evolve to ensure MTM program success. Time constraints limit the ability of pharmacists to handle administrative tasks and represent a major barrier to MTM program implementation. Technicians can do some of the work to reduce this barrier. With proper training, technicians can assist pharmacists in the tasks that do not require the professional judgment of a pharmacist, freeing pharmacists to focus on clinical activities and enabling an MTM program to be more sustainable. For example, technicians can help in areas such as scheduling and patient reminders through phone calls. Medication histories and health histories can also be documented by technicians, as can chart construction, filing, and the documentation of release forms and health histories. Additional steps can be taken to further increase efficiency in the MTM process and include creation of a flow map and cross training of all pharmacy staff. Conclusions: Through developing new roles, technicians can help pharmacists provide pharmaceutical care and develop a successful MTM program.

The Use of Pharmacy Technicians in Patient Counseling

2020 ◽  
pp. 33-36
Author(s):  
Harvey M. Rappaport ◽  
Kelly S. Straker ◽  
Tracy S. Hunter ◽  
Joseph F. Roy
Keyword(s):  
Patient Counseling ◽  
Pharmacy Technicians

A feature-based hybrid recommender system for risk prediction : Machine learning approach (Preprint)

2020 ◽  
Author(s):  
Uzair Bhatti
Keyword(s):  
Machine Learning ◽  
Risk Prediction ◽  
Predictive Accuracy ◽  
Correct Diagnosis ◽  
Recommendation Systems ◽  
Data Integrity ◽  
Machine Learning Algorithms ◽  
Patient Counseling ◽  
Hybrid Filtering ◽  
Novel Algorithm

BACKGROUND In the era of health informatics, exponential growth of information generated by health information systems and healthcare organizations demands expert and intelligent recommendation systems. It has become one of the most valuable tools as it reduces problems such as information overload while selecting and suggesting doctors, hospitals, medicine, diagnosis etc according to patients’ interests. OBJECTIVE Recommendation uses Hybrid Filtering as one of the most popular approaches, but the major limitations of this approach are selectivity and data integrity issues.Mostly existing recommendation systems & risk prediction algorithms focus on a single domain, on the other end cross-domain hybrid filtering is able to alleviate the degree of selectivity and data integrity problems to a better extent. METHODS We propose a novel algorithm for recommendation & predictive model using KNN algorithm with machine learning algorithms and artificial intelligence (AI). We find the factors that directly impact on diseases and propose an approach for predicting the correct diagnosis of different diseases. We have constructed a series of models with good reliability for predicting different surgery complications and identified several novel clinical associations. We proposed a novel algorithm pr-KNN to use KNN for prediction and recommendation of diseases RESULTS Beside that we compared the performance of our algorithm with other machine algorithms and found better performance of our algorithm, with predictive accuracy improving by +3.61%. CONCLUSIONS The potential to directly integrate these predictive tools into EHRs may enable personalized medicine and decision-making at the point of care for patient counseling and as a teaching tool. CLINICALTRIAL dataset for the trials of patient attached

scholarly journals The Emerging Role of Community Pharmacists in Remote Patient Monitoring Services

Pharmacy ◽  
2020 ◽  
Vol 8 (3) ◽  
pp. 166
Author(s):  
Amina Abubakar ◽  
Jessica Sinclair
Keyword(s):  
Medication Management ◽  
Community Pharmacists ◽  
Healthcare Team ◽  
Remote Patient Monitoring ◽  
Patient Counseling ◽  
State Evaluation ◽  
Remote Patient ◽  
Enhance Patient Care ◽  
Pharmacist Services

Remote physiologic monitoring (RPM) services involve the transmission of patient-collected physiologic data to the healthcare team. These data are then analyzed to determine what changes may be needed to enhance patient care. While pharmacists may not be recognized as billing providers through some payers, there are opportunities for pharmacist collaboration with providers to enhance patient access to RPM services. Community pharmacist services are traditionally tied to a product, but pharmacists are skilled in medication management, disease state evaluation, and patient counseling, which are skills that can contribute to an elevated RPM program.

Recovery of Vocal Cord Motion Among Pediatric Patients

2021 ◽  
pp. 000348942110333
Author(s):  
Courtney Ann Prestwood ◽  
Ashley B. Brown ◽  
Romaine F. Johnson
Keyword(s):  
Vocal Cord ◽  
Spontaneous Recovery ◽  
Vocal Cord Paralysis ◽  
Pediatric Population ◽  
Current Evidence ◽  
Symptom Improvement ◽  
Patient Counseling ◽  
Early Recovery ◽  
Kaplan Meier ◽  
Recovery Group

Objectives: Patients with vocal cord paralysis can experience feeding, respiratory, and vocal problems leading to disability and decreased quality of life. Current evidence suggests waiting a period of 12 months for spontaneous recovery before permanent interventions. This study aims to determine the time to recover spontaneously and vocal cord movement in a pediatric population and create a model for evidence-based patient counseling. Study Design: Retrospective longitudinal cohort study. Methods: The report is a single institution longitudinal study on vocal cord paralysis recovery. Patients were categorized based on spontaneous recovery with vocal cord movement or no recovery. Recovery rates were determined using the Kaplan-Meier method. Results: Of 158 cases of vocal cord paralysis over a 4-year period, 36 had spontaneous recovery with symptom improvement and motion return. The average recovery was 8.8 months for those who recovered, and 78% recovered within 9 months. Two groups emerged from the data: an early recovery group with spontaneous recovery before 12 months and a late recovery group after 12 months. Children with dysphonia and paralysis due to cardiac surgery were less likely to recover, and children with aspiration were more likely to recover. Children with gastrointestinal comorbidities were less likely to recover; however, those who did recover were more likely to have recovered after 12 months. Based on our model, there is about a 3% chance of recovery between 9 and 12 months. Conclusions: Patients should be counseled about earlier interventions. Waiting the conventional 12 months for only a 3% chance of spontaneous recovery without intervention or laryngeal EMG may not be the preferred option for some patients and their families.

scholarly journals Postprocedural Endophthalmitis or Postprocedural Intraocular Inflammation: A Diagnostic Conundrum

2021 ◽  
pp. 418-424
Author(s):  
Aisha Al Busaidi ◽  
Ahmed Al-Hinai
Keyword(s):  
Pars Plana Vitrectomy ◽  
Povidone Iodine ◽  
Complete Recovery ◽  
Neovascular Glaucoma ◽  
Intraocular Inflammation ◽  
Aqueous Samples ◽  
Patient Counseling ◽  
Pars Plana ◽  
Culture Negative ◽  
Office Procedures

We experienced an atypical endophthalmitis occurring post consecutively performed in-office procedures; an intravitreal injection (IVI) of ranibizumab followed by an anterior chamber (AC) paracentesis performed twice in an eye with neovascular glaucoma (NVG). A 52-year-old diabetic male who was asymptomatic developed signs of endophthalmitis and decreased vision without pain in his left eye a few days post-IVI and AC paracentesis. The condition worsened after an initial vitreous tap and injection of antibiotics. Cultures of vitreous and aqueous samples were negative. Complete resolution occurred after a pars plana vitrectomy with IVI of antibiotics and steroid with removal of a dense “yellowish-brown” fibrinous plaque. The absence of pain, presence of a peculiar colored fibrin, mild-to-moderate vitritis without retinitis, negative cultures, and complete recovery despite the fulminant presentation; favor a diagnosis of inflammation over infection. We hypothesize that a micro-leak from a 26-gauge AC tap tract might have served as an entry port for 5% povidone-iodine from the ocular surface thus inciting inflammation. However, an exuberant inflammatory response that can be typically seen in NVG eyes after intraocular procedures cannot be excluded. Various causes of inflammation post-procedures, both toxic and nontoxic should be considered in atypical culture-negative fulminant endophthalmitis cases with good outcome posttreatment. Any minor ocular procedure may carry a risk of such complication. Patient counseling and care must be exercised in performing these procedures.

Improving Your Patient Counseling Skills

1993 ◽  
Vol 33 (4) ◽  
pp. 65-68
Author(s):  
Kenneth Leibowitz
Keyword(s):  
Counseling Skills ◽  
Patient Counseling
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