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Medication and Fall Prevention . Presented by Susan Beresford BSCPharm. Objectives:. Role of Pharmacists Increase awareness of resources (MRP) Impact of Medications Community Resources – let’s connect the dots!. Role of Pharmacist. Educate client on:
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Medication and Fall Prevention Presented by Susan Beresford BSCPharm
Objectives: • Role of Pharmacists • Increase awareness of resources (MRP) • Impact of Medications • Community Resources – let’s connect the dots!
Role of Pharmacist Educate client on: ♥ chronic conditions and lifestyle modification ♥ review medications ♥ partner in the management of client’s health Be aware of “Red Flags” ♥ type of medication / chronic condition ♥ client’s use of mobility device ♥ any vision issues
Medication Review Program At KINBURN PHARMASAVE
Objectives of the MRP • ID and address Drug Related Problems (DRP) • ID problems that a PhC cannot address and guide patients to seek help with another health professional • Give patients guidance in resolving their presenting problems. • Arrange for ongoing care. • Reinforcement and follow up on proper medication use.
Physician Involvement in MRP • Participation is voluntary and unfunded. • Can recommend a patient for the service. • Pharmacist will contact you to tell you of an enrolled patient. (FAX?) • Pharmacist will consult with you before any recommendations are made impacting on a prescription medicine. • All recommendations will be sent to you in a timely manner. ( education, compliance issues, training)
Types of Recommendations • Type of recommendations will vary patient to patient. • Appropriate OTC / Natural / Herbal use • Education / tools to improve daily management of medications. • Pharmacist will not independently make any recommendations on a prescription medication.
Eligible Patients • MSI • Patient must agree to MRP. • Not Nursing home or blister pack patient. • Taking 4 or more medicines OR a medication that potentially puts them at risk. • Have at least one of the following diseases- asthma, arthritis, diabetes, congestive heart failure, chronic obstructive lung disease, hyperlipidemia or hypertension.
Patients Who Would Benefit • Patients having trouble managing their medications. • Patients who have had significant changes made to their drug regimen in the past 100 days. • Patients on meds that require monitoring or follow up. • Patients recently discharged from hospital.
What Patients Receive • Initial private consultation with a Pharmacist lasting between 45 to 60 minutes. • Complete updated list of medications, including over the counter medications and supplements. • Review of the patient’s understanding and usage of their medications. • Follow up with a Pharmacist that would include possible interventions to improve patient’s medication management and promote health.
References • Medication Review Program sponsored by the Pharmacy Association of Nova Scotia and supported by MSI • Pharmasave Medication Review Program
Impact of Medications • Dizziness / confusion • Light headedness • Slowed reaction time • Decreased awareness of surroundings • Blurred vision • Decrease in Blood Pressure BUT WHICH ONES AFFECT YOU AS AN INDIVIDUAL?
Planning • TEAM UP • Daytime • Community Centres, Nursing Homes, Sponsoring group’s offices, Special events • Advertise • Involve the community – announce in churches, other community groups than the sponsor group. • Have a weather date • Have a healthy snack for the break – if two 1 hour sections to the presentation
Presenting in the Community • Welcome, acknowledge the team • Keep it informal • Expectations • Parking lot • Try to keep the topic / information general, not patient specific information: “Please speak to YOUR Pharmacist…” • Emphasize the importance of having one pharmacy – let people know what we can do for them when we have all the information • Thank all participants, team
References • Safe Medicines for Seniors a Workshop for Caregivers, The Canadian Healthcare Association, Ottawa, 2006 • www.phac-aspc.gc.ca/seniors-aines/publications/public/injury-blessure/pathways-voie/section2-eng.php • www.phac-aspc.gc.ca/seniors-aines/publications/public/injury-blessure/pathways-voie/section1-eng.php