Vol. 2 No. 3 (2019): International Journal of Aging Research
Review Articles

Pharmacists in Aged Care Facilities

Abdul Kader Mohiuddin
Department of Pharmacy, World University of Bangladesh 151/8, Green Road, Dhanmondi, Dhaka – 1205, Bangladesh
Keywords
  • Elderly Patient; Home care; Medication Dispensing; Administration Routes; Transition of Care
How to Cite
Abdul Kader Mohiuddin. (2019). Pharmacists in Aged Care Facilities. International Journal of Aging Research, 2(3), 41. https://doi.org/10.28933/ijoar-2019-07-1805

Abstract

The expression “Home-based care” or basically home care might be characterized as a wide exhibit of various kinds of care gave in the home by a wide scope of gatherings. The continuum of various sorts of home-based care conveyed in the home shifts as far as various measurements, including sharpness, kind of care gave, and level of physician contribution. Home-based care incorporates both formal and casual individual care services, Medicare gifted home health, physician house calls, and even “emergency clinic at-home” services. Prescription related issues are essential among home care patients who take various drugs and have complex medical annals and medical issues. The destinations of home social protection organizations are to help individuals with improving limit and live with progressively noticeable opportunity; to propel the client’s optimal element of thriving; and to assist the patient with staying at home, keeping up a vital good way from hospitalization or admission to long haul care establishments. Home care is a game plan of care given by capable specialists to patients in their homes under the heading of a doctor. Home restorative services organizations join nursing care; physical, word related, and talk language treatment; and medical social organizations. Doctors may suggest patients for home therapeutic services organizations, or the organizations may be requested by relatives or patients. The extent of home human services benefits a patient can get at home is endless. Contingent upon the individual patient’s condition, care can reach out from nursing care to explicit medical organizations, for instance, research center workups. Essential investigations among home therapeutic services patients consolidate circulatory disease, coronary ailment, harm and hurting, musculoskeletal and connective tissue disease and respiratory disease.

References

  1. Web Patient-Centered Outcomes Research Institute. About Transitional Care
  2. Rydeman, Ingbritt. “Discharged From Hospital And In Need Of Home Care Nursing – Experience Of Older Persons, Their Relatives And Care Professionals.” (2012).
  3. Shannon R, Jenifer M, Tom L, Mary Ann B. The Role of a Pharmacist on the Home Care Team: A Collaborative Model Between a College of Pharmacy and a Visiting Nurse Agency. Home Healthcare Now February 2013, Volume 31 Number 2, p 80 – 87
  4. Setter SM, Corbett CF, Neumiller JJ. Transitional care: exploring the home healthcare nurse’s role in medication management. Home Healthc Nurse. 2012 Jan;30(1):19-26. doi: 10.1097/NHH.0b013e31823aa8c8. PubMed PMID: 22173616.
  5. Walus AN, Woloschuk DMM. Impact of Pharmacists in a Community-Based Home Care Service: A Pilot Program. Can J Hosp Pharm. 2017 Nov-Dec;70(6):435-442. Epub 2017 Dec 21. PubMed PMID: 29299003; PubMed Central PMCID: PMC5737186.
  6. Wolstenholme B. Medication-Related Problems in Geriatric Pharmacology. Aging Well Summer, 2011, Vol. 4 No. 3 P. 8
  7. Trang J, Martinez A, Aslam S, Duong MT. Pharmacist Advancement of Transitions of Care to Home (PATCH) Service. Hosp Pharm. 2015 Nov;50(11):994-1002. doi: 10.1310/hpj5011-994. Epub 2015 Nov 24. PubMed PMID: 27621507; PubMed Central PMCID: PMC4750850.
  8. Devik SA, Olsen RM, Fiskvik IL, Halbostad T, Lassen T, Kuzina N, Enmarker I. Variations in drug-related problems detected by multidisciplinary teams in Norwegian nursing homes and home nursing care. Scand J Prim Health Care. 2018 Sep;36(3):291-299. doi: 10.1080/02813432.2018.1499581. Epub 2018 Aug 23. PubMed PMID: 30139278.
  9. Flanagan PS, Barns A. Current perspectives on pharmacist home visits: do we keep reinventing the wheel? Integr Pharm Res Pract. 2018 Oct 1;7:141-159. doi: 10.2147/IPRP.S148266. eCollection 2018. Review. PubMed PMID: 30319952; PubMed Central PMCID: PMC6171762.
  10. McDerby N, Naunton M, Shield A, Bail K, Kosari S. Feasibility of Integrating Residential Care Pharmacists into Aged Care Homes to Improve Quality Use of Medicines: Study Protocol for a Non-Randomised Controlled Pilot Trial. Int J Environ Res Public Health. 2018 Mar 12;15(3). pii: E499. doi: 10.3390/ijerph15030499. PubMed PMID: 30720779; PubMed Central PMCID: PMC5877044.
  11. Corsonello A, Pedone C, Incalzi RA. Age-related pharmacokinetic and pharmacodynamic changes and related risk of adverse drug reactions. Curr Med Chem. 2010;17(6):571-84. Review. PubMed PMID: 20015034
  12. Mangoni AA, Jackson SH. Age-related changes in pharmacokinetics and pharmacodynamics: basic principles and practical applications. Br J Clin Pharmacol. 2004 Jan;57(1):6-14. Review. PubMed PMID: 14678335; PubMed Central PMCID: PMC1884408.
  13. Fernandez E, Perez R, Hernandez A, Tejada P, Arteta M, Ramos JT. Factors and Mechanisms for Pharmacokinetic Differences between Pediatric Population and Adults. Pharmaceutics. 2011 Feb 7;3(1):53-72. doi: 10.3390/pharmaceutics3010053. PubMed PMID: 24310425; PubMed Central PMCID: PMC3857037.
  14. Chen TF. Pharmacist-Led Home Medicines Review and Residential Medication Management Review: The Australian Model. Drugs Aging. 2016 Mar;33(3):199-204. doi: 10.1007/s40266-016-0357-2. PubMed PMID: 26961696.
  15. Payne RA, Abel GA, Avery AJ, Mercer SW, Roland MO. Is polypharmacy always hazardous? A retrospective cohort analysis using linked electronic health records from primary and secondary care. Br J Clin Pharmacol. 2014 Jun;77(6):1073-82. doi: 10.1111/bcp.12292. PubMed PMID: 24428591; PubMed Central PMCID: PMC4093932.
  16. Tong EY, Roman CP, Mitra B, Yip GS, Gibbs H, Newnham HH, Smit V, Galbraith K, Dooley MJ. Reducing medication errors in hospital discharge summaries: a randomised controlled trial. Med J Aust. 2017 Jan 16;206(1):36-39. PubMed PMID: 28076735.
  17. Deeks LS, Cooper GM, Draper B, Kurrle S, Gibson DM. Dementia, medication and transitions of care. Res Social Adm Pharm. 2016 May-Jun;12(3):450-60. doi: 10.1016/j.sapharm.2015.07.002. Epub 2015 Jul 11. PubMed PMID: 26265028.
  18. Ferrah N, Lovell JJ, Ibrahim JE. Systematic Review of the Prevalence of Medication Errors Resulting in Hospitalization and Death of Nursing Home Residents. J Am Geriatr Soc. 2017 Feb;65(2):433-442. doi: 10.1111/jgs.14683. Epub 2016 Nov 21. Review. PubMed PMID: 27870068.
  19. Sugathan S, Singh DSB, Hasni NAB. Reported Prevalence And Risk Factors Of Chronic Non Communicable Diseases Among Inmates Of Old-Age Homes In Ipoh, Malaysia. International Journal of Preventive and Therapeutic Medicine Vol 2 (4) / OCT-DEC, 2014
  20. Simonetti AF, Viasus D, Garcia-Vidal C, Carratalà J. Management of community-acquired pneumonia in older adults. Ther Adv Infect Dis. 2014 Feb;2(1):3-16. doi: 10.1177/2049936113518041. Review. PubMed PMID: 25165554; PubMed Central PMCID: PMC4072047.
  21. Stevenson SJ. The 5 Most Common Infections in the Elderly. Web A Place For Mom, Posted On 04 Aug 2017.
  22. Cascini S, Agabiti N, Incalzi RA, Pinnarelli L, Mayer F, Arcà M, Fusco D, Davoli M. Pneumonia burden in elderly patients: a classification algorithm using administrative data. BMC Infect Dis. 2013;13:559. Published 2013 Nov 25. doi:10.1186/1471-2334-13-559
  23. Manabe T, Teramoto S, Tamiya N, Okochi J, Hizawa N. Risk Factors for Aspiration Pneumonia in Older Adults. PLoS One. 2015 Oct 7;10(10):e0140060. doi: 10.1371/journal.pone.0140060. eCollection 2015. PubMed PMID: 26444916; PubMed Central PMCID: PMC4596873.
  24. CAPC Press Release. Palliative Care Continues Its Annual Growth Trend, According to Latest Center to Advance Palliative Care Analysis. February 28, 2018
  25. Hofmeister M, Memedovich A, Dowsett LE, Sevick L, McCarron T, Spackman E, Stafinski T, Menon D, Noseworthy T, Clement F. Palliative care in the home: a scoping review of study quality, primary outcomes, and thematic component analysis. BMC Palliat Care. 2018 Mar 7;17(1):41. doi: 10.1186/s12904-018-0299-z. Review. PubMed PMID: 29514620; PubMed Central PMCID: PMC5842572.
  26. Demler TL. Pharmacist Involvement in Hospice and Palliative Care. U.S. Pharmacist® March 17, 2016.
  27. Medscape Pharmacists (2007). Methadone, Pain Management, and Palliative Care. Available From: https://www.medscape.org/viewarticle/550895
  28. Mohiuddin AK. Community and Clinical Pharmacists in Transition Care. Glob J Pharmacia Sci. 2019; 7(2): 555706. DOI: 10.19080/GJPPS.2019.07.555706.
  29. Kristeller J. Transition of care: pharmacist help needed. Hosp Pharm. 2014 Mar;49(3):215-6. doi: 10.1310/hpj4903-215. PubMed PMID: 24715735; PubMed Central PMCID: PMC3971101.
  30. DelBoccio S, DelBoccio S, Smith DF, Hicks M, Voight Lowe P, Graves-Rust JE, Volland J, Fryda S. Successes and Challenges in Patient Care Transition Programming: One Hospital’s Journey. Online J Issues Nurs. 2015 Sep 30;20(3):2. PubMed PMID: 26882511.
  31. Wick JY. Pharmacist Home Visits Improve Heart Failure Management. PharmacyTimes JULY 29, 2015
  32. Anderson SL, Marrs JC. A Review of the Role of the Pharmacist in Heart Failure Transition of Care. Adv Ther. 2018 Mar;35(3):311-323. doi: 10.1007/s12325-018-0671-7. Epub 2018 Feb 27. Review. PubMed PMID: 29488151; PubMed Central PMCID: PMC5859692.
  33. Mason V. Pharmacist House Calls Improve Health of Virginia Mason Heart Failure Patients. Web Virginia Mason Medical Center. News Release, March 11, 2016
  34. Boylan P, Joseph T, Hale G, Moreau C, Seamon M, Jones R. Chronic Obstructive Pulmonary Disease and Heart Failure Self-Management Kits for Outpatient Transitions of Care. Consult Pharm. 2018 Mar 1;33(3):152-158. doi: 10.4140/TCP.n.2018.152. PubMed PMID: 29720300.
  35. Nguyen TS, Nguyen TLH, Van Pham TT, Hua S, Ngo QC, Li SC. Pharmacists’ training to improve inhaler technique of patients with COPD in Vietnam. Int J Chron Obstruct Pulmon Dis. 2018 Jun 11;13:1863-1872. doi: 10.2147/COPD.S163826. eCollection 2018. PubMed PMID: 29928117; PubMed Central PMCID: PMC6001739.
  36. Mekonnen AB, McLachlan AJ, Brien JA. Effectiveness of pharmacist-led medication reconciliation programmes on clinical outcomes at hospital transitions: a systematic review and meta-analysis. BMJ Open. 2016;6(2):e010003. Published 2016 Feb 22. doi:10.1136/bmjopen-2015-010003
  37. Aboumatar H, Naqibuddin M, Chung S, Chaudhry H, Kim SW, Saunders J, Bone L, Gurses AP, Knowlton A, Pronovost P, Putcha N, Rand C, Roter D, Sylvester C, Thompson C, Wolff JL, Hibbard J, Wise RA. Effect of a Program Combining Transitional Care and Long-term Self-management Support on Outcomes of Hospitalized Patients With Chronic Obstructive Pulmonary Disease: A Randomized Clinical Trial. JAMA. 2018 Dec 11;320(22):2335-2343. doi: 10.1001/jama.2018.17933. PubMed PMID: 30419103.
  38. Rinne ST, Lindenauer PK, Au DH. Intensive Intervention to Improve Outcomes for Patients With COPD. JAMA. 2018 Dec 11;320(22):2322-2324. doi: 10.1001/jama.2018.17508. PubMed PMID: 30419098.
  39. Rose L, Istanboulian L, Carriere L, Thomas A, Lee HB, Rezaie S, Shafai R, Fraser I. Program of Integrated Care for Patients with Chronic Obstructive Pulmonary Disease and Multiple Comorbidities (PIC COPD(+)): a randomised controlled trial. Eur Respir J. 2018 Jan 11;51(1). pii: 1701567. doi: 10.1183/13993003.01567-2017. Print 2018 Jan. PubMed PMID: 29326330.
  40. van der Molen T, van Boven JF, Maguire T, Goyal P, Altman P. Optimizing identification and management of COPD patients – reviewing the role of the community pharmacist. Br J Clin Pharmacol. 2017 Jan;83(1):192-201. doi: 10.1111/bcp.13087. Epub 2016 Nov 2. Review. PubMed PMID: 27510273; PubMed Central PMCID: PMC5225927.
  41. Wei X, Ma Z, Yu N, Ren J, Jin C, Mi J, Shi M, Tian L, Gao Y, Guo Y. Risk factors predict frequent hospitalization in patients with acute exacerbation of COPD. Int J Chron Obstruct Pulmon Dis. 2017 Dec 27;13:121-129. doi: 10.2147/COPD.S152826. eCollection 2018. PubMed PMID: 29343951; PubMed Central PMCID: PMC5749567.
  42. Boyle J, Speroff T, Worley K, Cao A, Goggins K, Dittus RS, Kripalani S. Low Health Literacy Is Associated with Increased Transitional Care Needs in Hospitalized Patients. J Hosp Med. 2017 Nov;12(11):918-924. doi: 10.12788/jhm.2841. Epub 2017 Sep 20. PubMed PMID: 29091980.
  43. Mansukhani RP, Bridgeman MB, Candelario D, Eckert LJ. Exploring Transitional Care: Evidence-Based Strategies for Improving Provider Communication and Reducing Readmissions. P T. 2015 Oct;40(10):690-4. PubMed PMID: 26535025; PubMed Central PMCID: PMC4606859.
  44. Batey C. The Pharmacist’s Role in Care for Elective Total Hip Arthroplasty/ Total Knee Arthroplasty. Transitions of Care America’s Pharmacist November 2016. Available From: http://www.ncpa.co/issues/APNOV16-TOC.pdf
  45. Patton AP, Liu Y, Hartwig DM, May JR, Moon J, Stoner SC, Guthrie KD. Community pharmacy transition of care services and rural hospital readmissions: A case study. J Am Pharm Assoc (2003). 2017 May – Jun;57(3S):S252-S258.e3. doi: 10.1016/j.japh.2017.02.019. Epub 2017 Apr 12. PubMed PMID: 28412054
  46. Sen S, Bowen JF, Ganetsky VS, Hadley D, Melody K, Otsuka S, Vanmali R, Thomas T. Pharmacists implementing transitions of care in inpatient, ambulatory and community practice settings. Pharm Pract (Granada). 2014 Apr;12(2):439. Epub 2014 Mar 15. Erratum in: Pharm Pract (Granada). 2014 Jul;12(3):508. PubMed PMID: 25035721; PubMed Central PMCID: PMC4100955.
  47. Farris KB, Carter BL, Xu Y, Dawson JD, Shelsky C, Weetman DB, Kaboli PJ, James PA, Christensen AJ, Brooks JM. Effect of a care transition intervention by pharmacists: an RCT. BMC Health Serv Res. 2014 Sep 18;14:406. doi: 10.1186/1472-6963-14-406. PubMed PMID: 25234932; PubMed Central PMCID: PMC4262237.
  48. Louis AJ, Arora VM, Matthiesen MI, Meltzer DO, Press VG. Screening Hospitalized Patients for Low Health Literacy: Beyond the REALM of Possibility? Health Educ Behav. 2017 Jun;44(3):360-364. doi: 10.1177/1090198116661478. Epub 2016 Aug 17. PubMed PMID: 27540034; PubMed Central PMCID: PMC5315685.
  49. Rowlands G, Protheroe J, Winkley J, Richardson M, Seed PT, Rudd R. A mismatch between population health literacy and the complexity of health information: an observational study. Br J Gen Pract. 2015 Jun;65(635):e379-86. doi: 10.3399/bjgp15X685285. PubMed PMID: 26009533; PubMed Central PMCID: PMC4439828.
  50. Cawthon C, Walia S, Osborn CY, Niesner KJ, Schnipper JL, Kripalani S. Improving care transitions: the patient perspective. J Health Commun. 2012;17 Suppl 3:312-24. doi: 10.1080/10810730.2012.712619. PubMed PMID: 23030579; PubMed Central PMCID: PMC3603351.
  51. Rak A, Raina R, Suh TT, Krishnappa V, Darusz J, Sidoti CW, Gupta M. Palliative care for patients with end-stage renal disease: approach to treatment that aims to improve quality of life and relieve suffering for patients (and families) with chronic illnesses. Clin Kidney J. 2017 Feb;10(1):68-73. doi: 10.1093/ckj/sfw105. Epub 2016 Dec 16. PubMed PMID: 28638606; PubMed Central PMCID: PMC5469574.
  52. Tonkin-Crine S, Okamoto I, Leydon GM, Murtagh FE, Farrington K, Caskey F, Rayner H, Roderick P. Understanding by older patients of dialysis and conservative management for chronic kidney failure. Am J Kidney Dis. 2015 Mar;65(3):443-50. doi: 10.1053/j.ajkd.2014.08.011. Epub 2014 Oct 8. PubMed PMID: 25304984; PubMed Central PMCID: PMC4339698.
  53. Aydede SK, Komenda P, Djurdjev O, Levin A. Chronic kidney disease and support provided by home care services: a systematic review. BMC Nephrol. 2014 Jul 18;15:118. doi: 10.1186/1471-2369-15-118. Review. PubMed PMID: 25033891; PubMed Central PMCID: PMC4127071.
  54. Bowman B, Zheng S, Yang A, Schiller B, Morfín JA, Seek M, Lockridge RS. Improving Incident ESRD Care Via a Transitional Care Unit. Am J Kidney Dis. 2018 Aug;72(2):278-283. doi: 10.1053/j.ajkd.2018.01.035. Epub 2018 Mar 3. PubMed PMID: 29510919.
  55. Pai AB, Cardone KE, Manley HJ, St Peter WL, Shaffer R, Somers M, Mehrotra R; Dialysis Advisory Group of American Society of Nephrology. Medication reconciliation and therapy management in dialysis-dependent patients: need for a systematic approach. Clin J Am Soc Nephrol. 2013 Nov;8(11):1988-99. doi: 10.2215/CJN.01420213. Epub 2013 Aug 29. PubMed PMID: 23990162; PubMed Central PMCID: PMC3817900.
  56. Kripalani S, Roumie CL, Dalal AK, Cawthon C, Businger A, Eden SK, Shintani A, Sponsler KC, Harris LJ, Theobald C, Huang RL, Scheurer D, Hunt S, Jacobson TA, Rask KJ, Vaccarino V, Gandhi TK, Bates DW, Williams MV, Schnipper JL; PILL-CVD (Pharmacist Intervention for Low Literacy in Cardiovascular Disease) Study Group. Effect of a pharmacist intervention on clinically important medication errors after hospital discharge: a randomized trial. Ann Intern Med. 2012 Jul 3;157(1):1-10. doi: 10.7326/0003-4819-157-1-201207030-00003. PubMed PMID: 22751755; PubMed Central PMCID: PMC3575734.
  57. Garza A. Transition of Care: An Opportunity for Community Pharmacists. PharmacyTimes December 22, 2017
  58. Dowel G. Pharmacists can help reduce avoidable hospital admissions in the community. The Pharmaceutical Journal, 9 October, 2013
  59. Grissinger M. Reduce readmissions with pharmacy programs that focus on transitions from the hospital to the community. P T. 2015 Apr;40(4):232-3. PubMed PMID: 25859115; PubMed Central PMCID: PMC4378513.
  60. Stover M. How Technology Solutions Are Shaping The Future Of Home Healthcare. Web healthworkscollective.com, October 30, 2018.
  61. Lofters A, Guilcher S, Maulkhan N, Milligan J, Lee J. Patients living with disabilities: The need for high-quality primary care. Can Fam Physician. 2016 Aug;62(8):e457-64. PubMed PMID: 27521411; PubMed Central PMCID: PMC4982744.
  62. Ellenbecker CH, Samia L, Cushman MJ, Alster K. Patient Safety and Quality in Home Health Care. In: Hughes RG, editor. Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Rockville (MD): Agency for Healthcare Research and Quality (US); 2008 Apr. Chapter 13. PubMed PMID: 21328733.
  63. Sautter JM, Tulsky JA, Johnson KS, Olsen MK, Burton-Chase AM, Lindquist JH, Zimmerman S, Steinhauser KE. Caregiver experience during advanced chronic illness and last year of life. J Am Geriatr Soc. 2014 Jun;62(6):1082-90. doi: 10.1111/jgs.12841. Epub 2014 May 6. PubMed PMID: 24803020; PubMed Central PMCID: PMC4070184.
  64. Bradley S, Kamwendo F, Chipeta E, Chimwaza W, de Pinho H, McAuliffe E. Too few staff, too many patients: a qualitative study of the impact on obstetric care providers and on quality of care in Malawi. BMC Pregnancy Childbirth. 2015 Mar 21;15:65. doi: 10.1186/s12884-015-0492-5. PubMed PMID: 25880644; PubMed Central PMCID: PMC4377843.
  65. Irani E, Hirschman KB, Cacchione PZ, Bowles KH. Home health nurse decision-making regarding visit intensity planning for newly admitted patients: a qualitative descriptive study. Home Health Care Serv Q. 2018 Jul-Sep;37(3):211-231. doi: 10.1080/01621424.2018.1456997. Epub 2018 Apr 13. PubMed PMID: 29578844; PubMed Central PMCID: PMC6035056.
  66. Riffin C, Van Ness PH, Wolff JL, Fried T. Family and Other Unpaid Caregivers and Older Adults with and without Dementia and Disability. J Am Geriatr Soc. 2017 Aug;65(8):1821-1828. doi: 10.1111/jgs.14910. Epub 2017 Apr 20. Erratum in: J Am Geriatr Soc. 2017 Nov;65(11):2549. PubMed PMID: 28426910; PubMed Central PMCID: PMC5555780.
  67. Landers S, Madigan E, Leff B, Rosati RJ, McCann BA, Hornbake R, MacMillan R, Jones K, Bowles K, Dowding D, Lee T, Moorhead T, Rodriguez S, Breese E. The Future of Home Health Care: A Strategic Framework for Optimizing Value. Home Health Care Manag Pract. 2016 Nov;28(4):262-278. Epub 2016 Oct 5. PubMed PMID: 27746670; PubMed Central PMCID: PMC5052697.