The Consultant Pharmacist

IN THIS ISSUE

June 2017 | Volume 32 | Number 6

Moving the Needle Just a Bit More

Editor-in-Chief, H. Edward Davidson, PharmD, MPH, gives a brief commentary on this issue of the journal and current new items of interest to consultant pharmacists.

Wandering: Unearthing New Tracking Devices

Wandering away from home or facilities is dangerous for patients with dementia and stressful for families and caregivers when those who go missing cannot be located. Up to 60% of Alzheimer’s disease patients wander, and up to 50% of those who are not found within 24 hours face serious injury or death. Currently, no effective drug therapies exist to abate wandering, which has multiple causes, but emerging technologies offer a promise of comfort in being able to easily locate a missing loved one.

Neda Leonard: Filling a Void

Neda Leonard, PharmD, owner of Consult A Pharmacist, LLC, provides pharmacy medication review and consultation services to older adults living in nursing facilities, assisted living communities, and independently in the community.

Donna Bartlett: Reaching Out Into the Community

Donna Bartlett, PharmD, BCGP, is an associate professor of pharmacy practice at MCPHS University Worcester, Worcester, Massachusetts, and a clinical pharmacist at the MCPHS Pharmacy Outreach Program, which reaches more than 8,000 individuals through a call center and outreach programs.

Cholecalciferol (D3) versus Ergocalciferol (D2) in Older Adults

There have been an increasing number of individuals, especially older adults, with vitamin D deficiency. This is in part a result of a reduction of sun exposure as people age, increase in use of sunscreen, and other factors. This article highlights the roles of cholecalciferol (vitamin D3) versus ergocalciferol (vitamin D2) supplementation for practicing pharmacists. In general, cholecalciferol may be a better option.

Marijuana Use in the Elderly: Implications and Considerations

The use and/or study of marijuana for numerous medical conditions have been steadily growing as more states legalize its use for medicinal purposes. It has been viewed as a potential alternative to traditional Food and Drug Administration-approved therapies for many conditions. The pharmacist’s role should be to educate patients and/or caregivers, in an unbiased manner, on the facts of marijuana use and evaluate the risk-versus-benefit profile of marijuana use on an individual patient basis.

Implementing Psychopharmacology Rounds in a Nursing Facility to Improve Antipsychotic Usage

Implementation of pharmacy-led interdisciplinary psychopharmacology rounds resulted in reduced overall use of antipsychotics, a higher rate of antipsychotics with an indication generally approved by the Centers for Medicare & Medicaid Services, a higher rate of antipsychotic indications on psychiatry consult matching the indication on the medication order, and an improved rate of ordering psychiatry consults.

Attitudes of Nursing Facilities' Staff Toward Pharmacy Students’ Interaction with Residents

This study investigated nursing staff’s perceptions of a student pharmacy practice rotation and students’ interaction with nursing facility residents. The staff had favorable attitudes toward pharmacy students’ visits with their residents in their facilities during the geriatric rotation. Nursing facility staff believed that the geriatric rotation was a great learning experience for the pharmacy students. As expected, nursing facility staff noted that pharmacy students learned about different medications used by the residents and their conditions.

Solving Long-Term Care: Mission Impossible?

An update on health care policy.

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The Consultant Pharmacist® is the official monthly peer-reviewed journal of the American Society of Consultant Pharmacists (ASCP). It is the only journal dedicated exclusively to the medication therapy needs of seniors. ASCP members receive The Consultant Pharmacist® as a member benefit. All articles (2004 to present) are free online for members.




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