The health care team accepted 84.2% of the recommendationsmade by the clinical pharmacists.Conclusions: The results suggested that clinical pharmacist-led cognitiveservices in a home health care services team could reduce medication-relatedproblems in older adults on polypharmacy.
📌 3 Key Takeaways
🎯
Objective & Hypothesis:Introduction: This study aimed to evaluate the frequency and types ofmedication-related problems in older adults receiving home health care servicesthat were identified through clinical pharmacist-led medication review.Materials and Methods: This pilot study was conducted in patients ≥65 yearsof age who were on polypharmacy and receiving home health care services fromMay 15th, 2019 through October 30th, 2019 in Turkey.
📊
Key Findings & Data:Scores on the drug burden index, medication regimen complexityindex, and medication appropriateness index, present of potentially inappropriatemedications, and the medication-related problems were assessed.Results: Among 100 older adults (74 females) with a mean age of 78.5±7.9 years,the median number of medications used was 7 (interquartile range: 5-9); the medianscores of the drug burden index, medication regimen complexity, and medicationappropriateness index were 0.5 (interquartile range: 0-0.8), 21 (interquartile range:17-31), and 13 (interquartile range: 6-16.9), respectively.
💡
Conclusion & Impact:The health care team accepted 84.2% of the recommendationsmade by the clinical pharmacists.Conclusions: The results suggested that clinical pharmacist-led cognitiveservices in a home health care services team could reduce medication-relatedproblems in older adults on polypharmacy.
🔬Design:Review & Systematic Survey
📍Scope:2019 Verileri
⚙️Variables:Domain Parameters
Abstract
Introduction: This study aimed to evaluate the frequency and types ofmedication-related problems in older adults receiving home health care servicesthat were identified through clinical pharmacist-led medication review.Materials and Methods: This pilot study was conducted in patients ≥65 yearsof age who were on polypharmacy and receiving home health care services fromMay 15th, 2019 through October 30th, 2019 in Turkey. A multidisciplinary homecare team, including physicians, nurses and clinical pharmacist, performed thehome visits. Scores on the drug burden index, medication regimen complexityindex, and medication appropriateness index, present of potentially inappropriatemedications, and the medication-related problems were assessed.Results: Among 100 older adults (74 females) with a mean age of 78.5±7.9 years,the median number of medications used was 7 (interquartile range: 5-9); the medianscores of the drug burden index, medication regimen complexity, and medicationappropriateness index were 0.5 (interquartile range: 0-0.8), 21 (interquartile range:17-31), and 13 (interquartile range: 6-16.9), respectively. The problems identifiedwere those related to ‘drug selection’ (66%), ‘education and information’ (58%) and‘monitoring’ (33%). The health care team accepted 84.2% of the recommendationsmade by the clinical pharmacists.Conclusions: The results suggested that clinical pharmacist-led cognitiveservices in a home health care services team could reduce medication-relatedproblems in older adults on polypharmacy.
🔖
Cite This Article
OKUYAN, B., SANCAR1, M., SÖYLEMEZ, S. L., VARLIKLI, O., MEDİŞOĞLU, M. S., MEMİŞ, S., AKÇAY, B., VAROL, H. (2022). A PILOT STUDY OF CLINICAL PHARMACISTLED MEDICATION REVIEW IN OLDER ADULTS ON POLYPHARMACY AND RECEIVING HOME HEALTH CARE SERVICES. Türk Geriatri Dergisi, Cilt: 23 - Sayı: 4, 515–523. https://ajindex.com/articles/623585
Meredith S, Feldman PH, Frey D, et al. Possible medication errors in home healthcare patients. J Am Geriatr Soc 2001;49(6):719-24. (PMID: 11454109)
Meredith S, Feldman P, Frey D, et al. Improving medication use in newly admitted home healthcare patients: A randomized controlled trial. J Am Geriatr Soc 2002;50(9):1484-91. (PMID: 12383144)
Reidt S, Morgan J, Larson T, Blade MA. The role of a pharmacist on the home care team: a collaborative model between a college of pharmacy and a visiting nurse agency. Home Healthc Nurse 2013;31(2):80-7; quiz 8-9. (PMID: 23314201)
Chen TF. Pharmacist-Led Home Medicines Review and Residential Medication Management Review: The Australian Model. Drugs Aging 2016;33(3):199- 204. (PMID: 26961696)
Hilmer SN, Mager DE, Simonsick EM, et al. A drug burden index to define the functional burden of medications in older people. Arch Intern Med 2007;167(8):781-7. (PMID: 17452540)
Hanlon JT, Schmader KE, Samsa GP, et al. A method for assessing drug therapy appropriateness. J Clin Epidemiol 1992;45(10):1045-51. (PMID: 1474400)
Rankin A, Cadogan CA, Patterson SM, et al. Interventions to improve the appropriate use of polypharmacy for older people. Cochrane Database Syst Rev. 2018;9(9):CD008165. (PMID: 30175841)
Byrne CJ, Walsh C, Cahir C, Ryan C, Williams DJ, Bennett K. Anticholinergic and sedative drug burden in community-dwelling older people: a national database study. BMJ Open 2018;8(7):e022500. (PMID: 29982221)
Okuyan B, Babi B, Sancar M, et al. Validation of the Turkish version of medication regimen complexity index among elderly patients. J Eval Clin Pract 2016;22(5):732-6. (PMID: 26987572)
By the 2019 American Geriatrics Society Beers Criteria® Update Expert Panel. American Geriatrics Society 2019 Updated AGS Beers Criteria® for Potentially Inappropriate Medication Use in Older Adults. J Am Geriatr Soc 2019;67(4):674-94. (PMID: 30693946)
Bahat G, Ilhan B, Erdogan T, et al. Turkish inappropriate medication use in the elderly (TIME) criteria to improve prescribing in older adults: TIME-to-STOP/ TIME-to-START. Eur Geriatr Med 2020;11(3):491-98. (PMID: 32297261)
Williams M, Peterson G, Tenni P, Bindoff I, Stafford A. DOCUMENT: a system for classifying drug-related problems in community pharmacy. Int J Clin Pharm 2012;34(1):43-52. (PMID: 22101425)
Castelino RL, Bajorek BV, Chen TF. Retrospective evaluation of home medicines review by pharmacists in older Australian patients using th