Can community pharmacy successfully bridge the gap in care for housebound patients?

Kayyali, Reem; Funnell, Gillian; Harrap, Nicola; Patel, Anil Amrutlal

doi:10.1016/j.sapharm.2018.06.011

Cited by 9 publications

(14 citation statements)

References 16 publications

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“…Additionally, simply seeing a smile during communication has been reported to increase cerebral blood flow [17]. Further, conversations improve the ability to think and focus, as well as revitalize the psyche; increased activity during visits leads to the maintenance of daily activity [18] and improved mood [19].…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of the activities of supporters trained to prevent dementia

Sawami¹,

Kawaguchi²,

Kimura³

et al. 2020

Iberoam J Med

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Introduction: We held a class for supporters in dementia prevention to nurture people who can carry out activities that prevent dementia and restrict its advancement. The objective was for enrollees who have completed the class to be able to visit the homes of older adults who have difficulty leaving their homes and help them carry out activities that prevent dementia. The trained supporters then evaluated the cognitive and psychological effects of interaction. Method: The participants were local residents of Nara and Aichi Prefectures. In the supporter training to prevent dementia, we held 12 training sessions a year at Nara Medical University in Nara Prefecture and Shubun University in Aichi Prefecture. Supporters gather older people in the community to practice dementia prevention activities, and visit the homes of older adults who have difficulty leaving their homes to help the latter carry out activities that prevent dementia. Results: A total of 128 people were enrolled in the training for supporters in dementia prevention. Pre- and post-training supporter evaluations showed significant improvements in both dementia-related skills and availability (p=0.000). In terms of the comparisons before and after visiting 31 older adults people with difficulty leaving their homes, the results of the immediate recall test for cognitive function among the older adults who participated in the activities designed to prevent dementia improved from 4.5 to 7.2, whereas the results of the belated recall test improved from 3.9 to 6.6 (p=0.000). Conclusion: Training for supporters in dementia prevention significantly improved skills. A characteristic of the older adults who had difficulty leaving their homes was that their levels of activity and conversation were low, but the change to their daily lives, increased conversation, and improved activity through the visits of the supporters affected their minds and bodies and significantly improved their cognitive function.

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Section: Discussionmentioning

confidence: 99%

Effectiveness of the activities of supporters trained to prevent dementia

Sawami¹,

Kawaguchi²,

Kimura³

et al. 2020

Iberoam J Med

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“…Social relationships can influence older adults’ quality of life as much as their physical health [ 47 ]. Recent studies have found that community pharmacist intervention can help to prevent social isolation and improve older adult care [ 48 ].…”

Section: Ageing and The Elderlymentioning

confidence: 99%

“…Despite their qualifications and close contact with society, the potential role of pharmacists in promoting active and healthy ageing is neglected in these programs. Their integration into multidisciplinary teams can contribute to the rational use of medicines, improve health literacy, improve the social integration of older adults, and maintain the sustainability of health care systems [ 39 , 48 , 65 ].…”

Section: Ageing and The Elderlymentioning

confidence: 99%

Pharmacist Intervention in Portuguese Older Adult Care

et al. 2022

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Healthy ageing has become one of the most significant challenges in a society with an increasing life expectancy. Older adults have a greater prevalence of chronic disease, with the need for multiple medications to appropriately control these issues. In addition to their health concerns, ageing individuals are prone to loneliness, dependence, and economic issues, which may affect their quality of life. Governments and health professionals worldwide have developed various strategies to promote active and healthy ageing to improve the quality of life of older adults. Pharmacists are highly qualified health professionals, easily accessible to the population, thus playing a pivotal role in medication management. Their proximity to the patient puts them in a unique position to provide education and training to improve therapeutic adherence and identify medication-related problems. This paper aims to address the importance of Portuguese community pharmacists in the medication management of older adults, emphasising their intervention in health promotion, patient education, medication-related problems, deprescription, dose administration aids, and medication review and reconciliation. We also discuss home delivery services and medication management in long-term care facilities.

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“…Apoteker di komunitas perlu menyediakan pelayanan untuk melaksanakan pemantauan terapi obat setelah pasien pulang dari rumah sakit. Di sisi lain, pasien yang mengalami penyakit kronis membutuhkan pengaturan obat ketika berada di rumah (Kayyali et al, 2019). Berdasarkan kondisi tersebut maka terdapat peluang dan tantangan besar bagi apoteker untuk melakukan terobosan dalam melaksanakan praktik kefarmasiannya.…”

Section: Pendahuluanunclassified

Pemantauan Apoteker terhadap Perubahan Obat DM Tipe 2 Pasien Prolanis dengan Partisipasi Edukatif dan Pemetaan Situasi

Nurfauzi¹,

Nugroho²

2021

Pharm. : j. farm. Indones.

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Apoteker merupakan salah satu profesi yang dapat berperan penting dalam pemantauan penggunaan obat yang rutin digunakan oleh pasien peserta Program Pengelolaan Penyakit Kronis (Prolanis). Berdasarkan ketentuan rujuk balik Prolanis, maka seharusnya fasilitas kesehatan primer meneruskan obat dari fasilitas kesehatan rujukan. Namun, seringkali obat yang diperoleh setelah rujuk balik berbeda dengan obat yang diperoleh dari rumah sakit. Penelitian ini bertujuan untuk memantau perubahan terhadap pengobatan yang terjadi di rumah pasien, memberikan edukasi dalam penggunaan obat dan memetakan situasi di fasilitas kesehatan primer sehingga menggunakan rancangan observasional deskriptif disertai dengan metode kualitatif yaitu partisipatori aktif, survey dan wawancara mendalam. Penelitian ini melibatkan enam fasilitas kesehatan tingkat pertama di Kabupaten Cilacap beserta pengelola Prolanisnya. Kriteria inklusi untuk pasien adalah telah mengikuti Prolanis dengan durasi lebih dari 1 tahun, mendapatkan obat, serta dalam kondisi sadar. Kehamilan dan atau hemodialisa merupakan kriteria eksklusi pasien. Pengambilan data obat di rumah pasien dikomparasikan dengan data dari RS dan fasilitas kesehatan tingkat pertama. Separuh (50%) pasien terpantau oleh apoteker mengalami perubahan penggunaan obat ketika berada di rumah. Hasil wawancara dan pemetaan situasi menunjukkan bahwa apoteker berpeluang melakukan pemantauan obat dalam program Perawatan Kesehatan Masyarakat (Perkesmas) di rumah pasien, tetapi selama ini belum dilibatkan dalam kegiatan tersebut. Selain Perkesmas, pasien mendapatkan penyuluhan oleh dokter, pendataan keluarga sehat oleh perawat dan bidan serta konseling oleh petugas gizi. Pengelola Prolanis tidak mengetahui tingkat kepatuhan pasien terhadap penggunaan obat di rumah karena belum ada home care khusus untuk melayani obat pasien Prolanis di rumah. Meskipun ada edukasi yang telah diberikan oleh dokter dan pemberian informasi obat oleh apoteker di fasilitas kesehatan tingkat pertama, dokter dan perawat yang mengelola Prolanis menyatakan bahwa pengetahuan pasien tentang obat masih kurang. Situasi yang dapat menimbulkan ketidakpatuhan pasien menurut dokter adalah tidak adanya pendamping pasien di rumahnya dan ketidakhadiran pasien di fasilitas kesehatan tingkat pertama karena tidak ada yang mengantar. Perawat menganggap bahwa pola hidup pasien Prolanis perlu diperbaiki melalui upaya kolaboratif dengan apoteker. Dalam penelitian ini, apoteker telah berpartisipasi untuk memberikan edukasi terhadap obat yang mengalami perubahan dalam Prolanis, yaitu obat untuk penyakit Diabetes Mellitus (DM) Tipe 2. Berdasarkan temuan pemetaan situasi dan adanya perubahan obat DM, baik penambahan, pengurangan, maupun penggantian membuat apoteker perlu melakukan pemantauan dan edukasi terhadap penggunaan obat DM Tipe 2 pada pasien Prolanis.

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Can community pharmacy successfully bridge the gap in care for housebound patients?

Cited by 9 publications

References 16 publications

Effectiveness of the activities of supporters trained to prevent dementia

Effectiveness of the activities of supporters trained to prevent dementia

Pharmacist Intervention in Portuguese Older Adult Care

Pemantauan Apoteker terhadap Perubahan Obat DM Tipe 2 Pasien Prolanis dengan Partisipasi Edukatif dan Pemetaan Situasi

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