Adding a Sixth Step: Emphasizing Pharmacists’ Roles in Managing Polypharmacy

Grotta, Lauren Della; Panjwani, Sehrish; Castelli, Gregory

doi:10.22454/fammed.2021.700569

Cited by 2 publications

(1 citation statement)

References 2 publications

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“…11 Pharmacists have been shown to reduce polypharmacy within primary care teams with a call to action for greater integration of pharmacists practicing within primary care. 12 Prior literature has explored interprofessional teams deprescribing medications such as proton pump inhibitors, sedativehypnotics, and anticholingerics [13][14][15] . Pharmacist involvement within primary care teams has shown to increase patient access, encourage proper medication use, improve quality of care, and decrease physician workload.…”

Section: Introductionmentioning

confidence: 99%

Student Pharmacist Led Fish Oil Deprescribing Initiative at a Veterans Affairs Hospital and Rural Clinics

Wopat,

Dunkerson,

Moss

et al. 2023

Innov Pharm

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Background: Polypharmacy impacts one-third of older adults and has been shown to lead to adverse health effects. One contributor to polypharmacy includes omega-3 fatty acid (fish oil) due to the lack of evidence supporting clinical benefit. Pharmacists can identify and reduce polypharmacy, inspiring this student led deprescribing initiative to introduce a standard of care process for deprescribing fish oil. Purpose/Objectives: The overall objectives of this evaluation are to assess the need for a fish oil deprescribing process, to analyze the role of student pharmacists in deprescribing, and to evaluate the effectiveness of a fish oil deprescribing service. Methods: This project integrated three doctor of pharmacy students in their third year of pharmacy school who were enrolled in a yearlong class about improving healthcare for rural populations and the quality improvement research process. Four primary care clinic patient panels who were prescribed fish oil were assessed. Chart reviews were conducted, and patients were contacted to deprescribe their fish oil by the student and offer statin or lipid therapy modifications, if applicable. Results: A generated report identified 106 patients who had active prescriptions for fish oil. After application of exclusion criteria, 68 patients were included in the evaluation. A total of 76.2% of patients accepted at least one therapy modification offered by the pharmacy student. Conclusion: This evaluation demonstrates the positive impact of the integration of student pharmacists for deprescribing in a primary care setting. Opportunities exist to further explore student pharmacist roles within ambulatory care clinic models.

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Section: Introductionmentioning

confidence: 99%

Student Pharmacist Led Fish Oil Deprescribing Initiative at a Veterans Affairs Hospital and Rural Clinics

Wopat,

Dunkerson,

Moss

et al. 2023

Innov Pharm

View full text Add to dashboard Cite

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Optimizing Medication Therapy in Elderly Patients

Shahbar,

Katlan,

Almutairy

et al. 2024

Advances in Medical Diagnosis, Treatment, and Care

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The aging population in Saudi Arabia presents significant challenges for healthcare providers, with older adults facing multiple chronic conditions and polypharmacy. Age-related changes impact drug metabolism, emphasizing the need for comprehensive medication management and pharmacist involvement in deprescribing. The chapter addresses common geriatric diseases like hypertension, diabetes, heart failure, and dyslipidemia, offering tailored strategies for treatment. Individualized approaches are vital due to variations in health status and comorbidities among elderly patients. Hypertension significantly contributes to cardiovascular events, requiring personalized treatment decisions. Thrombotic and bleeding risks rise with age, necessitating a multidisciplinary approach to cardiovascular disease management, with direct oral anticoagulants showing promise. Integration of palliative care into healthcare systems ensures quality end-of-life care, with efforts to minimize unnecessary medications and reduce adverse drug events.

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Adding a Sixth Step: Emphasizing Pharmacists’ Roles in Managing Polypharmacy

Cited by 2 publications

References 2 publications

Student Pharmacist Led Fish Oil Deprescribing Initiative at a Veterans Affairs Hospital and Rural Clinics

Student Pharmacist Led Fish Oil Deprescribing Initiative at a Veterans Affairs Hospital and Rural Clinics

Optimizing Medication Therapy in Elderly Patients

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