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I recently came across a clinical issue in my practice as a consultant pharmacist to assistedliving and long-term care facilities. The item in question was how to manage the apixaban diltiazem interaction. Apixaban Diltiazem Interaction Defined Apixaban is significantly metabolized by CYP3A4.
One of the most common medication review requests I get from clinical staff in long term care and assistedliving facilities is identifying medications that may be contributing to falls. Identifying low blood pressure as a potential contributing factor is usually pretty obvious.
With so many unknowns , the assistedliving facility where she lived, like most others, had a strict no-visitors policy. In mid-April 2020, as Covid-19 shutdowns and lockdowns were being put in place across the U.S., my grandmother’s health started to decline.
Before my father-in-law died, he had his wounds dressed right in my living room. My stepmom was diagnosed with Alzheimer’s and needed support to stay in her home before finally settling into an assistedliving facility five miles from my home. Read the rest…
In the state of Florida, CVS and Walgreens were tapped to administer the Covid-19 vaccine across assistedliving and long-term care facilities. When they didn’t…
WL is a 77 year old male in an assistedliving facility. I get a little nervous when I see high-dose potassium. Here’s a case scenario where a patient is on a higher dose. He has a history of CHF, anxiety, pain, GERD, BPH, and constipation.
Working in assistedlivings and long term care facilities for a large chunk of my career, its safe to say I’ve reviewed a few patients medications who are on hospice. I have three major pet peeves in hospice care that I feel like I encounter on a regular basis. Duplicate Therapy The first of those […].
A 76-year-old female resides in an assistedliving. In this case, I outline a unique situation involving stimulants and elderly patients. I outline some of the potential complications and contributions to the prescribing cascade. She has a history of ADHD, anxiety, insomnia, diabetes, hypertension, back pain, and GERD.
It’s no secret that I’ve spent a ton of time in long-term care and assistedliving facilities helping the healthcare team take care of some challenging residents. I outline my top 5 pet peeves in geriatric psych management. Believe me, it was hard to narrow it down to five!
In long term care and assistedliving facilities I would help monitor medication errors that occurred and try to come up with […]. Whenever humans are involved in a process, there is bound to be errors. As a clinical pharmacist who helps patients and other healthcare professionals safely use medications, I see a lot of mistakes.
As a consultant pharmacist who has worked extensively in long term care and assistedliving, I am routinely asked if we can reduce someone’s medications. In geriatrics, we put a premium on trying to simplify medication use. Reducing medications is something I consider in virtually every patient I work with.
As a consultant pharmacist who has worked extensively in long term care and assistedliving, I am routinely asked if we can reduce someone’s medications. On a previous post, I laid out some strategies to reduce medication use. Reducing medications is something I consider in virtually every patient I work with.
It can also be incredibly helpful in other settings such as ambulatory care, community, assistedliving, and hospital pharmacy. In long term care consulting, learning how to review and interpret medical records is an absolute must. The post Using Start Dates to Stop Polypharmacy appeared first on Med Ed 101.
Whether it be at a clinic, long term care facility, assistedliving facility, or hospital, it can be easy for staff to have a cavalier attitude about the access to medications. I’ve worked within the walls of numerous types of settings that have access to life-saving and life-threatening medications.
He currently lives in an assistedliving. In this case of a 72-year-old male, I want to discuss levofloxacin risks as there can be numerous. He has a past medical history of arrhythmia, depression, GERD, hypertension and gout. His current medications besides […].
I’ve seen so many mistakes in my practice as an MTM pharmacist, AssistedLiving Consultant, LTC Consultant, and in community pharmacy. Transitions of care are a big deal and something I care about deeply.
dementia-care certified owner of AssistedLiving Locators of Bel Air in Maryland. How Medicare covers vaccines “Medicare Part D plans (prescription benefits) typically cover most vaccines for preventable diseases, such as shingles,” says Ryan Majchrzak, Pharm.D.
That’s according to Timothy Carey, Director of Data and Performance Analytics at BaneCare, which has created a closed feedback loop for users of its short-term rehabilitation, long-term care, adult day health, and assistedliving facilities.
million people, as well as assistedliving facilities, general hospitals, behavioural health providers and custodial care settings. The company says it will focus on deployment into skilled nursing facilities, of which there are around 15,500 in the US providing long-term care for more than 1.35
Community Lunch: Cards for Chatham Commons AssistedLiving Facility. This year IMPACT employees gathered for a hybrid in-person and virtual holiday event to make holiday cards for residents of the Chatham Commons AssistedLiving facility. We gathered over lunch to decorate holiday cards for over 50 residents and staff!
As medication regimens become more complex, older adults may struggle to maintain their autonomy, leading to a greater need for assistedliving or long-term care facilities. This loss of independence can be particularly distressing for individuals who value their ability to live independently (Gnjidic et al.,
Launched in 2019, Matchwell’s AI enabled marketplace and SaaS solution efficiently matches licensed and certified staff with healthcare organizations across a variety of clinical settings ranging from hospitals to skilled and assistedliving facilities, home health, clinics, and schools.
Other work roles outside of being a clinician for a long time have been as an OT Director-Ohio, Rehab Director-Ohio and Wisconsin, Area Assistant Administrator-Wisconsin, and an OT Lab Instructor for UMN. My faculty roles have been at the University of Minnesota, Mount Mary University and St.
Improves blood sugar “As an antioxidant , alpha-lipoic acid works to neutralize free radicals in the body, thus reducing inflammation,” says Nancy Mitchell , a registered nurse and a contributing writer at AssistedLiving. But it is also needed to assist in breaking down carbohydrates into glucose for energy.”
“Neuropathy causes patients to lose sensation or sensitivity in their legs, which makes it more difficult for them to notice they’ve been injured,” says Nancy Mitchell, RN, a geriatric nurse and healthcare writer with AssistedLiving Center. “If If a wound goes untreated, it could progress into a gangrenous infection.
These patients reside in long-term care facilities, assistedliving communities, and at home. SCPC represents 300 long-term care pharmacies across the country who collectively serve more than one million people who need long-term care every day.
Alzheimer’s is a neurodegenerative disease and the most commonly developed form of dementia,” said Nancy Mitchell, RN, a contributing writer at AssistedLiving Center. Two-thirds of caregivers also live with the person they care for who has dementia. The other 15% lived in nursing facilities.
Supportive Living Program (SLP) The Supportive Living Program (SLP) targets disabled or seniors who require a Nursing Facility Level of Care but choose to live in state-approved residential settings such as board and care homes, assistedliving facilities, or memory care units.
Assistedliving facilities At an assistedliving facility, nurses play a critical role in caring for individuals who can no longer reside safely at home, including older adults, those recovering from major surgeries or accidents, and those requiring ongoing residential care for a disability. of the nursing population.
As a geriatric pharmacist working in long term care and assistedliving facilities, I spend a lot of time trying to figure out which medications I should recommend to reduce. Polypharmacy is a big problem but deprescribing needs to be done the right way.
Respite choices for seniors with mental health issues include: Adult daycare centers In-home care by paid professionals or volunteers Memory care facilities Residential care homes Long-term care and assistedliving options Assistedliving facilities may be the right choice when seniors require more support than family members can provide at home.
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