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|The Consultant Pharmacist|
IN THIS ISSUE
January 2017 | Volume 32 | Number 1
Last Year's Big Story: Antibiotic Stewardship
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.
Long-Term Care and Cultural Competence
Health care providers need to be culturally competent to deliver effective health care to diverse populations. Over the years, health care systems and providers have become much more aware of the needs of minority populations and accommodate language differences and individuals’ ingrained beliefs that may affect health care. However, the needs of smaller minority populations may languish or be overshadowed by the unique needs of individual groups.
Clostridium difficile Infection in Older Adults: Systematic Review of Efforts to Reduce Occurrence and Improve Outcomes
This review found that there are a limited number of C. difficile studies designed for older adults; however, the findings suggest that these guidelines are adequate and appropriate. Exposure to antibiotics and C. difficile infections remain the two major risk factors, reinforcing the importance of antibiotic stewardship and infection control. Senior care pharmacists are encouraged to work with facility personnel to adopt or revise prevention measures, particularly ways to control the use of antibiotics.
Review of the Next Generation of Long-Acting Basal Insulins: Insulin Degludec and Insulin Glargine
Long-acting insulin analogues are the preferred insulin products for older adults with type 2 diabetes mellitus. Insulin degludec and insulin glargine U-300 are both new-generation, long-acting insulins. When compared with the standard of care, long-acting insulin products insulin glargine U-100 and insulin degludec had similar glucose-lowering effects, longer half-lives and durations of action, and a more even distribution over a 24-hour period.
Impact of Pharmacists in Optimizing Geriatric Pharmacotherapy in Primary Care Within a Veterans Affairs Medical Center
Pharmacists’ recommendations improved geriatric pharmacotherapy in primary care by decreasing the overall instances of suboptimal prescribing. There was a 27% reduction of the use of high-risk medications, a 44% reduction of omissions of care, and a 74% reduction of incomplete medication monitoring after pharmacists’ recommendations. Although the sample size was limited, the investigators believe that this study demonstrated the value of pharmacist involvement to identify drug-related problems in the geriatric patient population.
Lean Methodology Reduces Inappropriate Use of Antipsychotics for Agitation at a Psychiatric Hospital
The lean methodology interventions led to a 90% reduction in the rate of antipsychotic prescribing with an indication of agitation and a 10% rate reduction in overall antipsychotic prescribing. By addressing the root causes of inconsistent documentation of behavioral symptoms, inconsistent documentation of nonpharmacological interventions, inconsistent consideration of alternative treatments, and inconsistent completions of verbal consents, researchers were able to enact dramatic change in the culture of the hospital in a short period of time
Predictions on Health Care Policy? Unlikely
An update on health care policy from ASCP's director of policy and advocacy.
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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.
2017 ASCP Integrated Media Kit
Nonmembers can access online abstracts to journal articles. Full articles are available for $35.00 each.
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