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Prescribing in older people-work from QUB

Prescribing in older people-work from QUB. Carmel M. Hughes School of Pharmacy, QUB. Work done (1). RCT on pharmaceutical care provision in community pharmacy EU funded study. Took place in 7 countries Pilot work on pharmaceutical care of patients with heart failure in community pharmacy.

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Prescribing in older people-work from QUB

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  1. Prescribing in older people-work from QUB Carmel M. Hughes School of Pharmacy, QUB

  2. Work done (1) • RCT on pharmaceutical care provision in community pharmacy • EU funded study. Took place in 7 countries • Pilot work on pharmaceutical care of patients with heart failure in community pharmacy

  3. Work done (2) • Observational epidemiology using US data • Influence of legislation on prescribing of psychoactive drugs • Influence of internal factors (facility and staff characteristics) • Psychoactive meds, warfarin, antidepressants • RCT in nursing homes on pharmaceutical care provision (Fleetwood study) • Qualitative work on adherence to medication in nursing home setting • MRSA in nursing homes • Prevalence study and RCT

  4. Work on-going • Role of organisational culture on prescribing of psychoactive medication in nursing homes • N. Ireland and New Zealand • Antibiotic prescribing in nursing homes (ESAC project) • 21 countries • Pain management in community-dwelling and nursing home residents with dementia • Interventions to improve polypharmacy in older people (Cochrane review)

  5. Work being planned • End of life care for patients with dementia • Focus on prescribing of medications and how to withdraw • Complemented by a Cochrane review on withdrawal vs continuation of cholinesterase inhibitors and memantine in patients with dementia • Further work on infection control in nursing homes

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