Medication and Fall Prevention
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Transcript 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 Educate
Pharmacist
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
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/seniorsaines/publications/public/injury-blessure/pathwaysvoie/section2-eng.php
www.phac-aspc.gc.ca/seniorsaines/publications/public/injury-blessure/pathwaysvoie/section1-eng.php