Studies have shown that patients fail to adhere and comply with medicines because of lack of understanding. [1] Gordon et al (2007) conducted a study which aimed to identify medication related problems and identify approaches to support patients to manage their medication. Problems with access to and the organisation of services was one of the findings highlighted from the study. Pharmacy can address the issues associated with organisation of services, patient education and engaging patients in decision making about their medicines in the home during consultation.
Seamless care is the transition of a patient from the hospital to home. It also comprises of care that is given to a patient in the health care system across the spectrum of caregivers and their environments. It is carried out without interruption. Pharmacy can contribute such that when one pharmacist ceases to be responsible for the patient's care, another has to take over. The clinical pharmacy team has to ensure timely access to specialist medicines and prompt symptom control. Pharmacy’s contribution to seamless care i...
will be referred to as ‘Peter’ in this essay which is in line with the
When doctors prescribe medication for their patients, a local retail pharmacy is most likely to be utilized to fill the order. However, there is a growing population of older Americans that are no longer able to live independently and must reside in nursing homes or assisted living facilities. In order for this vulnerable population to receive their medications, a different kind of pharmacy is needed, these are known as LTC, long term care pharmacies. Within these specialized pharmacies there are highly trained employees called CPhTs, certified pharmacy technicians who are overseen by state licensed RPHs, otherwise known as pharmacists.
In efforts to address the health care needs of an individual with MCC, health care systems benefit from using the Chronic Care Model (CCM) and Transitional Care Model (TCM) when developing a patient care plan. The CCM predicts an increase in patients with self-management skills and tracking systems, by streamlining medical care through partnerships between health systems and local community assets (Mackey, Parchman, & et al., 2012). The TCM “emphasizes recognition of patient's’ health goals, coordination and continuity of care during acute episodes of illness, and development of streamlined plan of care to prevent future hospitalizations” ("Transitional Care Model," 2014, para. 1). Both models are successful with active participation of
I learned a lot from this experience. As I mentioned earlier first time when I saw pharmacist doing medication reconciliation I felt it is difficult task to do and hence I started getting more information about medication reconciliation from my friends and pharmacist whenever I got a chance. I prepared myself before I expose myself in this area, which helped me to gain more confidence when I was performing medication reconciliation with standardized patient. I learnt how important is Pharmacist role in finding and solving medication related discrepancies. From this activity, I learnt that it is very important to communicate effectively with patients and other health care providers. If I am unable to communicate properly I will not be able to
This is supported by the CVS/Caremark program which offers ways of achieving pharmacy benefits and products as well as mail order services for prescriptions. The Caremark division facilitates payment arrangements for drug purchases along with other measures to monitor the cost of drugs for the customers. Accessibility is further emphasized through the CVS/MinuteClinic. With over 1100 locations, the benefits of this program can be access by anyone needing them. Through this program, CVS fulfills its mission of improving lives. “Our nurse practitioners diagnose illnesses, injuries and skin conditions, and provide a variety of wellness services, including vaccinations, physicals, and chronic condition monitoring” (https://www.cvshealth.com/about/our-offerings). In addition, the CVS/Specialty unit is established to deal with filling specialty prescriptions and to provide the tools and services for patients with specialty conditions to improve their
An Bord Altranais (2007) Guidance to Nurses and Midwives on Medication Management. (http://www.nursingboard.ie/en/policies-guidelines.aspx) (accessed 15th October, 2011) (Internet).
According to the American Nurse Association, nursing has the second greatest job growth in all US professions. However, the number of nursing shortage is only increasing as the years go by. During the hard times that many Americans have been facing in this economy, there have been lots of nurses whom have been let go from their work field, have re-entered their field just so they can provide for their families, or even nursing students whom have felt discouraged from entering their field professionally because of the nursing shortage situations. To specify in a field, the reason for nursing shortage in the OR can be because of lack of peroperative education or experience, nurses wanting to work in other areas, or the trouble of drawing nurses into this field.
The causes of non-adherence in chronic and acute patients include; behavioural and lifestyle choices, lack of adequate resources and lack of adequate healthcare education from healthcare professionals. According to Zhang, Lee & Meltzer (2014) patients often lack the ability to read and understand the instructions for their medication due to lack of education from their healthcare personnel. Therefore, patients are unable to meet their minimum adherence requirements leading to increased non-adherence rates. Therefore Zhang, Lee & Meltzer (2014) recommends that the prescription requirements should be simplified for patients to have a deeper understanding of their prescriptions. In addition, healthcare professionals should promote provider-patient relationships with the aim of explaining all the key information in regards to the healthcare
Through this experience at my community learning site I have gained better understanding of the needs of the elderly society in the means of their emotional level and medical problems. This community has seen its share of transition from an individual aspect. Transitioning to a nursing home, can be an exhausting, emotionally challenging process. While most elderly individuals hope to live out their lives in their own homes, mobility issues, health problems and outside forces often make that near impossible. Moving into a nursing home can be stressful situation for both ends of the family.
Non-adherence is an extremely basic marvel in all patients with medication taking conduct. Multifaceted nature of adherence is the consequence of an interchange of a scope of elements including persistent perspectives and qualities, disease attributes, social settings, get to and benefit issues. Obstructions to the successful utilization of solutions particularly incorporate poor supplier quiet correspondence, insufficient information about a medication and its utilization, not being persuaded of the requirement for treatment, dread of antagonistic impacts of the medication, long haul sedate regimens, complex regimens that require various prescriptions with fluctuating dosing calendars, cost and get to boundaries. It has likewise been watched
I woke up to the pungent smell of hospital disinfect, invading my nostrils. The room was silent apart from my heavy breathing and the beep beep sound you often hear in hospitals that indicates you're alive. I slowly opened my eyes, squinting in attempt to sharpen the blurred images before me. I glanced around and took in the deserted, blue and white colour schemed hospital bedroom. How long have I been here? I shut my eyes, trying to remember what had exactly happened. Then it all hits me with a bang. The memory of it all starts to occupy my thoughts.
I pleased to apply to the PharmD program as the program is one area that corresponds to my career dreams. Being part of this program gives one the opportunity to gain an excellent experience in working and collaborating with various health care providers in the ward. But more importantly, it facilitates a practical environment in dealing more closely with patients. Hence, it helps to provide the ultimate health care services to patients. Also, it permits me to carry on gaining different knowledge, skills, and values in addition to those I have already developed during my undergraduate studies. My interest in being a clinical pharmacist was first aroused during my SPEP rotation in the hospital setting where I was really impressed with the role of clinical pharmacists who provide a consistent process of patient care with healthcare teams to maintain the appropriateness, effectiveness and safety of the medication use. Unlike a pharmacist, a clinical pharmacist has a more diversified responsibilities and closeness to direct patient care. Moreover, provides
Pharmacy, as a profession, is the application of all branches of science to the production of medicinals’ and medicinal products (Shaw et al., 2000, p. 9). Community health, nuclear and retail pharmacy were the areas that I had in mind to pursue. The scope of practice and responsibilities of pharmacists in pharmacy setting differs tremendously either by size of organization or location as there could chain community pharmacy (retail), community health centers, and nuclear pharmacy. Community health centers (CHCs) are private, non-profit, consumer-directed healthcare corporations that provide high quality, cost effective, and comprehensive care to medically underserved and uninsured people (Torres et al., 2002,
A pharmacy is a place where we all receive health care from. Without a pharmacy, people would not have the opportunity to go to a specific place to take their prescribed medicines and discuss about their concerns to a pharmacists. A pharmacist listen to patients and help them the best way they can. Pharmacists are the ones who are able to see the patients record and receive messages from the doctor concerning their health, and accordingly give patients their medicines. In terms of pharmacy, it is said that medicines are ‘dispensed’. But, here I have a question. Are all medicines given to patients used in right ways? Can drugs be abused ? The answer to it is, yes drugs are being abused for many years now and not all patients take these medicines
Medicines are chemicals which are used to cure, stop or prevent diseases, illnesses and ease symptoms. Some medicines are produced in the laboratory by mixing chemicals, while others are found in nature, such as from plants. With the progression of medicines, doctors have been able to save lives and cure several diseases. Not taking medication can prevent a person from not doing everyday activities and also lead to other health problems. There are many reasons why people do not take medicines which include the cost, side effects and forgetfulness. Medicines can be available as over the counter where supervision is not needed; or from a pharmacy where a pharmacist will ask a series of questions. Some medicines require a prescription from a GP or other healthcare professional. In many countries, before a medicine can be used for treatment, it has to be licensed. This license can only be issued if the medicine meets the standards of safety and quality (League, 2014).