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Senior Care Pharmacist最新文献

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Robert J. Miller Research & Education Poster Abstracts: Presented at the ASCP Annual Meeting & Exhibition Gaylord Rockies Resort & Convention Center, Aurora, Colorado November 7-10, 2024. Robert J. Miller研究与教育海报摘要：于2024年11月7日至10日在美国科罗拉多州奥罗拉盖洛德落基山脉度假和会议中心举行的ASCP年会和展览上发表。
Q2 Medicine
Senior Care Pharmacist
Pub Date : 2024-12-01 DOI: 10.4140/TCP.n.2024.462
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引用次数: 0
Ethics and the Development of Professional Identity. 伦理与职业认同的发展。
Q2 Medicine
Senior Care Pharmacist
Pub Date : 2024-12-01 DOI: 10.4140/TCP.n.2024.438
Jenny Inker
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引用次数: 0
Examining the Decline: The Legislative Struggles of the 118th Congress. 审视衰落：第118届国会的立法斗争。
Q2 Medicine
Senior Care Pharmacist
Pub Date : 2024-12-01 DOI: 10.4140/TCP.n.2024.458
Leigh Davitian
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引用次数: 0
Health Care Ethics, 4Ms, and Remembering What Really Matters. 卫生保健伦理，4Ms，记住什么才是真正重要的。
Q2 Medicine
Senior Care Pharmacist
Pub Date : 2024-12-01 DOI: 10.4140/TCP.n.2024.436
Chris Alderman
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引用次数: 0
Examining the impact of Anticholinergic Burden on Hospitalized Older People Receiving Concomitant Cholinesterase inhibitors. 检查抗胆碱能负担对住院老年人同时使用胆碱酯酶抑制剂的影响。
Q2 Medicine
Senior Care Pharmacist
Pub Date : 2024-12-01 DOI: 10.4140/TCP.n.2024.449
Jiajie Guan, John Noviasky, Jonathan H Watanabe

Background: Cholinesterase (ChE) inhibitors enhance central cholinergic function and are considered as standard treatments to ameliorate symptoms relating to Alzheimer's disease. Though anticholinergic medications directly antagonize the effects of ChE inhibitors, they are commonly prescribed among hospitalized adults. Objective: To determine the impact of high anticholinergic burden (ACB) on length of stay (LOS) and 30-day readmission rates among hospitalized patients receiving concomitant ChE inhibitors. Methods: This was a retrospective cohort study conducted at a tertiary care academic medical center involving hospitalized patients on medical floors who received any Food and Drug Administration-approved ChE inhibitors during their hospital stay from October 1, 2022, to September 30, 2023. The primary outcome of the study was to compare hospital LOS among patients with high (ACB ≥ 3) versus low (ACB < 3) ACB. The secondary outcome was to assess the impact of ACB burden on 30-day readmission rates. Results: Among hospitalized adults, patients with high ACB exposure had a significantly longer hospital LOS (median: 5.50 vs 4.25 days; P < 0.001) than patients with low ACB exposure, after adjusting for covariates. Analysis of secondary outcome revealed that though the high ACB group had a higher 30-day readmission rate compared with the lower ACB group (6.8% vs. 2.2%), the difference was not statistically significant (OR = 3.46, 95% CI 0.85-14.08; P = 0.083). Conclusion: A high ACB exposure among older individuals taking concurrent ChE inhibitors is associated with a longer hospital stay.

背景：胆碱酯酶（ChE）抑制剂增强中枢胆碱能功能，被认为是改善阿尔茨海默病相关症状的标准治疗方法。虽然抗胆碱能药物直接拮抗胆碱抑制剂的作用，但它们通常在住院成人中使用。目的：探讨高抗胆碱能负荷（ACB）对合并使用ChE抑制剂的住院患者住院时间（LOS）和30天再入院率的影响。方法：这是一项在三级医疗学术医疗中心进行的回顾性队列研究，涉及从2022年10月1日至2023年9月30日期间在医疗楼层接受任何食品和药物管理局批准的ChE抑制剂的住院患者。本研究的主要结局是比较ACB高（ACB≥3）和低（ACB < 3） ACB患者的医院LOS。次要结局是评估ACB负担对30天再入院率的影响。结果：在住院成人中，高ACB暴露的患者的住院LOS明显更长(中位数：5.50 vs 4.25天；在调整协变量后，P < 0.001)比低ACB暴露的患者。次要结局分析显示，虽然高ACB组的30天再入院率高于低ACB组（6.8%比2.2%），但差异无统计学意义(OR = 3.46, 95% CI 0.85-14.08；P = 0.083)。结论：在同时服用ChE抑制剂的老年人中，高ACB暴露与更长的住院时间有关。
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引用次数: 0
Ethical Geriatric Pharmacy: Combating Ageism and Enhancing Patient Care. 伦理老年药学：打击老年歧视和加强病人护理。
Q2 Medicine
Senior Care Pharmacist
Pub Date : 2024-12-01 DOI: 10.4140/TCP.n.2024.441
Madeline M Yuzwa

While there is existing literature on medical ethics and geriatric care, this paper offers a unique perspective by examining the specific ethical challenges and obligations faced by pharmacists caring for older people. It provides a comprehensive ethical framework tailored to this specialized area of pharmacy practice. The findings and recommendations presented in this paper have significant implications for enhancing patient-centered, ethically grounded care for older people in pharmacy settings. It offers practical guidance for navigating complex ethical dilemmas and upholding the highest standards of care for this vulnerable population.

虽然已有关于医学伦理和老年护理的文献，但本文通过研究药剂师照顾老年人所面临的具体伦理挑战和义务，提供了一个独特的视角。它提供了一个全面的道德框架量身定制的这一专业领域的药房实践。本文提出的研究结果和建议对加强以患者为中心、以伦理为基础的药房老年人护理具有重要意义。它为应对复杂的道德困境和维护对弱势群体的最高护理标准提供了实用指导。
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引用次数: 0
Leading Pharmacists Who Experience Patient Loss. 经历病人流失的主要药剂师。
Q2 Medicine
Senior Care Pharmacist
Pub Date : 2024-12-01 DOI: 10.4140/TCP.n.2024.445
Marlene Nguyen, Donna M Breese, Kristin Kellett

Health care providers, at some point in their careers, will experience grief and loss of a patient. Grief is a natural response that many people experience, especially working in those fields such as community pharmacy, hospitals, hospice, and others. Pharmacists serve as community leaders and need to be properly trained early on how to deal with grief and loss both personally and within their teams. Pharmacist leaders can lead their team through hard times by developing a toolbox of skills. These skills include emotional intelligence, communication, and leadership skills to work through personal grief.

卫生保健提供者，在他们职业生涯的某个阶段，会经历悲伤和失去病人。悲伤是许多人都会经历的一种自然反应，尤其是在社区药房、医院、临终关怀等领域工作的人。药剂师是社区的领导者，需要及早接受适当的培训，学习如何处理个人和团队内部的悲伤和损失。药剂师领导可以通过发展技能工具箱来带领他们的团队度过困难时期。这些技能包括情商、沟通能力和克服个人悲伤的领导能力。
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引用次数: 0
Notes on the Consultant Pharmacist Practice Model: At Home and Abroad. 关于顾问药剂师实践模式的说明：国内外。
Q2 Medicine
Senior Care Pharmacist
Pub Date : 2024-11-01 DOI: 10.4140/TCP.n.2024.398
Chad Worz
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引用次数: 0
Pharmacist Innovators: Redefining Roles, Elevating Care, Making Their Mark. 药剂师创新者：重新定义角色，提升护理水平，创造自己的印记。
Q2 Medicine
Senior Care Pharmacist
Pub Date : 2024-11-01 DOI: 10.4140/TCP.n.2024.432
Leigh Davitian
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引用次数: 0
How Should the Scope of Pharmacy Practice Be Decided? 应如何决定药学实践的范围？
Q2 Medicine
Senior Care Pharmacist
Pub Date : 2024-11-01 DOI: 10.4140/TCP.n.2024.396
Chris Alderman
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引用次数: 0
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