Implementation and Systematization of a Comprehensive Medication Management (Cmm) Service Delivered to Women With Breast Cancer

Ribeiro, Miguel; Mendonça, Simone Araújo Medina; Filardi, Agnes Fonseca Ribeiro; Anjos, Anna Cláudia Yokoyama dos; Oliveira, Djenane Ramalho de

doi:10.22159/ajpcr.2018.v11i1.21537

Cited by 8 publications

(9 citation statements)

References 6 publications

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“…As stressed by Rosenthal et al (46), staying in one's own familiar environment and avoiding leaving one's comfort zone is ingrained in pharmacist's culture. In addition, as revealed in other studies (16,(47)(48)(49), action research encouraged individual and group reflections on new circumstances and allowed for the conception of the most fitting organizational model for an efficient implementation of CMM services.…”

Section: Quantitative Resultsmentioning

confidence: 89%

Implementation of medication management services at the primary healthcare level – a pilot study

et al. 2019

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This study employed a mixed-method approach to enable the implementation of comprehensive medication management (CMM) services in Croatia’s primary care setting. Drug therapy problems (DTPs) and factors associated with their occurrence were determined in patients with chronic diseases from January 2018 to April 2019. The pre-implementation stage established the foundations for the early implementation stage, in which the practice was set up, the patients’ recruitment initiated and various challenges identified. During the study period, 86 patients were recruited for CMM provision. Overall, 2.8 DTPs (± 1.6) per patient were identified and the majority (96.2 %) presented with at least one DTP. Multiple regression analysis showed that type 2 diabetic patients (p = 0.025) and patients using five or more medications (p = 0.011) should be prioritized to receive CMM services as potentially they have a higher number of DTPs, and could, therefore, obtain a greater benefit from the service.

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Section: Quantitative Resultsmentioning

confidence: 89%

Implementation of medication management services at the primary healthcare level – a pilot study

et al. 2019

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“…This relationship was also identified by Ribeiro et al (2018), who concluded that educational support and the development of service management skills by pharmacists are essential to achieve results and overcome barriers [66]. On this aspect, it is important to point out that, although the educational environment is fundamental for the implementation process, initiatives of universities or other institutes should consider the local autonomy and that of professionals for the continuity of the pharmaceutical care service.…”

Section: Discussionmentioning

confidence: 97%

Implementation of pharmaceutical care for older adults in the brazilian public health system: a case study and realistic evaluation

Silva

Fegadolli

2020

BMC Health Serv Res

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Background: Pharmaceutical care services have been recognized as the most highly regarded professional pharmacy practice model that allows the identification, intervention, and resolution of drug related problems. This practice provides significant clinical outcomes and can reduce direct and indirect costs for health systems. However, its implementation can be complex and challenging, needing study experiences that aims at overcoming obstacles, especially in free and universal healthcare systems. The objective of this study is to evaluate the implementation of Ambulatory Care Pharmacy services for older adults at Paulista Institute of Geriatrics and Gerontology (IPGG), which is recognized in the city of São Paulo for offering pharmaceutical care services for over 10 years continuously. This initiative and process is independent of external academic interventions or educational institutions. It is hoped that the results may also contribute to advancing the implementation of pharmaceutical care service in similar health systems. Design: This is a case study using multiple sources of data. Qualitative and quantitative data were collected from institutional documents, by participant observation and interviews. Initial themes were identified by content analysis and analyzed under the context-mechanism-outcome configurations (CMO Configurations) in realistic evaluation. Setting: Geriatrics and Gerontology Institute of São Paulo (known as IPGG). Participants: Eleven health professionals and three pharmaceutical care service users.Results: Three CMO configurations were identified and accepted: "Scenario Construction mediated by educational processes", "Contribution to complex needs resolution", and "Organizational Visibility". The CMO (Context-Mechanism-Outcomes) configuration "Logistic activities discourage clinical pharmaceutical services implantation" was denied due to the influence of accepted CMOs. Conclusions: Educational processes which value transdisciplinary knowledge exchanges provide resources required to overcome important obstacles present during pharmaceutical care implementation. Thus, providing and seeking knowledge to build and offer context-consistent clinical health services as well as fulfilling organizational environment requirements can be the key to implement pharmaceutical care service.

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“…This is a prospective study that was developed in the Oncology sector of a highly complex university hospital in the state of Minas Gerais, Brazil. This hospital is a reference for more than 3 million people in 86 municipalities of the Northern Triangle of Minas Gerais 21 and is an important reference in the treatment of women with breast cancer in the region.…”

Section: Methodsmentioning

confidence: 99%

“…This service is offered by pharmacists according to the theoretical framework of Pharmaceutical Care Practice, which was developed by Cipolle, Strand and Morley 22 and Ramalho de Oliveira. 23 This service was previously proposed by Ribeiro 21 to constitute a field of clinical practice and a structure for the production of knowledge in the care of women undergoing breast cancer treatment. 24,25 A total of 81 patients were included in the study, with a minimum age of 18 years old and who received treatment with taxanes (paclitaxel or docetaxel) according to one of the protocols: ACT (doxorubicin, cyclophosphamide and paclitaxel) or ACT-H (doxorubicin, cyclophosphamide, paclitaxel and trastuzumab), both with 80 mg/m 2 of paclitaxel per week during 12 weeks.…”

Section: Participantsmentioning

confidence: 99%

Hand-foot syndrome and nail disorders secondary to treatment with paclitaxel: Is there a relationship with the presence of fungi?

Pereira

Filho²,

Moreira

et al. 2021

J Oncol Pharm Pract

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Introduction This study aimed to evaluate the frequency of nail disorders and the presence of fungi on the nails of the hands and feet of patients with hand-foot syndrome secondary to treatment with paclitaxel. Methods Prospective study, carried out from October 2018 to December 2019, which included 81 patients undergoing treatment for breast cancer using paclitaxel and had signs and or symptoms of hand-foot syndrome with or without nail disorders. The data were collected through interviews guided by a structured questionnaire, information from medical records and reports of mycological exams. Results The average age of women was 54.7 ± 7.4 years. Nail disorders occurred in 69 patients (85.2%), and of these, 43 (62.3%) were positive for fungi. The fungi were yeasts ( n = 38; 69%), dermatophytes ( n = 15; 27.2%) and non-dermatophyte filamentous fungi ( n = 8; 14.5%). Conclusions Nail disorders were the most frequent manifestations in patients with hand-foot syndrome treated with paclitaxel and occurred in 85.2% of them. It was evidenced that fungi are present on the nails of these patients and can occur in up to 65.28%. The most prevalent fungi were Candida and Trichophyton. The nail lesion was associated with the type of treatment protocol used by the patient. The results of the study point to the need to select safe management alternatives for patients, so they can prevent nail lesions and prevent the proliferation of fungi, consequently reducing negative life impact during treatment.

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Implementation and Systematization of a Comprehensive Medication Management (Cmm) Service Delivered to Women With Breast Cancer

Cited by 8 publications

References 6 publications

Implementation of medication management services at the primary healthcare level – a pilot study

Implementation of medication management services at the primary healthcare level – a pilot study

Implementation of pharmaceutical care for older adults in the brazilian public health system: a case study and realistic evaluation

Hand-foot syndrome and nail disorders secondary to treatment with paclitaxel: Is there a relationship with the presence of fungi?

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