A shared medication scheme for community dwelling older patients with polypharmacy receiving home health care: role of the community pharmacist

Medication use problems among older adults at a primary care: A narrative of literature review

“…The variability in individual priorities underlines the need to involve older adults and primary health care providers in the shared decision making. Foubert et al 95 described that home visitation, discussion, and decision between home care nurses, physicians, and community pharmacists has managed to identify many drug‐related problems and subsequently improve medication safety. However, rational medication prescribing should include older adults in the process of shared decision making.…”

Nurse-pharmacist collaborations for promoting medication safety among community-dwelling adults: A scoping review

“…Polypharmacy, involvement of multiple healthcare providers, frequent transitions between care facilities, and changes to medication regimens, complicate chronic disease process management ( Alper et al., 2020 ; LeBlanc and Choi, 2015 ; Lyson et al., 2019 ). These situations result in medication discrepancies that may compromise the safety, health, and well-being of the community-dwelling adults ( Foubert et al., 2019 ). Interprofessional collaborative approaches that encourage patient engagement through assessment, education, and monitoring ( Engel and Prentice, 2013 ) enhance medication safety ( Flynn and Anderson, 2012 ).…”

“…Godfrey et al., 2013 ). Addressing adverse events, reviewing best possible medication histories, monitoring clinical indicators, proper handoffs during care transitions, and medication reconciliation can address the factors that compromise medication safety ( Alper et al., 2020 ; Foubert et al., 2019 ).…”

“…Community nursing services include case management and disease management for health promotion, with nurses delivering care in multiple settings, like client homes, nursing homes, assisted living, and community health centers ( Hunt, 2012 ). Community clients take more active roles in their medication management for chronic disease compared to hospitalized patients ( Foubert et al., 2019 ). They monitor for side effects like changes in cognition, vision, mood, and behavior patterns that can negatively influence their psychosocial well-being, ability to perform activities of daily living, and potentially impact their overall safety at home ( Foubert et al., 2019 ).…”

Clinical and Humanistic Outcomes of Community Pharmacy-Based Healthcare Interventions Regarding Medication Use in Older Adults: A Systematic Review and Meta-Analysis

“…A study by Kayyali et al [13] in the UK has reported problems among older adults such as difficulty in medication administration (40%), lack of monitoring of patients with diabetes, and risk of falling (14.3%). Another study by Foubert et al [14] conducted among community-dwelling older adults (patients) with polypharmacy and those receiving home health care with medication schemes' altercation (review) by community pharmacists showed that pharmacists' interventions enabled more complete and accurate medication schemes. Several reviews have highlighted the improvement in medication adherence among older adults following an intervention by community pharmacists [15][16][17].…”