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|The Consultant Pharmacist|
IN THIS ISSUE
September 2017 | Volume 32 | Number 9
Students' Perspectives on Nebulized Drugs and Nebulizer Maintenance
Potentially Inappropriate Medication Prescribing in U.S. Older Adults:
A great deal of effort goes into caring for residents to make the most of their quality of life.
Roughly 70% of baby boomers will reside in the home where they celebrated their 65th birthday for the remainder of their lives. A key point about aging in place is that it forces health care to move from a centralized institutional model to various decentralized, home-based models. These older adults will need a broader range of pharmacy services, including help selecting over-the-counter products and counseling on prescription drugs. Consultant pharmacists can and should become involved with aging-in-place programs in their communities.
Insomnia is common among older adults, resulting from multiple risk factors, including comorbidities and age-associated physiologic changes. Treatment plans should always include sleep-hygiene practices and avoidance of aggravating drugs. Nonpharmacologic approaches should be used before initiating drug therapy. Adverse drug events are common in older adults; therefore, use of hypnotics should be carefully evaluated and monitored.
Music therapy (MT) has demonstrated benefit throughout mild-severe stages of dementia. The extended impact is attributed to associated brain pathology. The literature citations show that adequately trained individuals should ideally conduct several forms of MT to obtain optimal benefit. While the literature conflicts, MT is noninvasive, poses little to no risk to patients, requires minimal training, and offers large potential for implementation in the patient-care setting.
Pharmacists’ Perception of Medicare Part D on the Pharmacist-Patient Relationship Financial concerns continue to be the most significant issue following Medicare Part D implementation. The degree to which pharmacists feel responsible for addressing patient Part D concerns is variable and dependent on a variety of factors. Pharmacists who felt a personal responsibility to address patient copayment issues reported a better pharmacy financial performance, a larger increase in prescription volume, and a better pharmacist-patient relationship since Part D implementation. Nationwide, Part D financial concerns remain significant.
Approved by ASCP Board of Directors on 9/5/2017
Sixty-two posters will be presented at the 2017 ASCP Poster Exhibit.
Lauren DePaul, PharmD, CMTM, is CEO/founder, Total Health Solutions, a company that monitors patient health care and medication therapy remotely through use of technology.
The Senate has begun its work to stabilize the individual insurance market.
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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.
2018 ASCP Integrated Media Kit
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