Medication and Fall Prevention

Report
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

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