Involvement of Neuropsychiatric Pharmacists in a Memory Disorder Clinic

Massey, Angela J.; Ghazvini, Patty

doi:10.4140/tcp.n.2005.514

Cited by 6 publications

(7 citation statements)

References 4 publications

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“…Patients referred to specialist aged care and memory disorder clinics are likely to be at high risk for MRPs due to factors such as polypharmacy and cognitive dysfunction [5–11]. Although they are not usually referred primarily for a comprehensive medication review, this might be an opportune time to conduct such a review [12]. Several studies have demonstrated clinical and cost benefits associated with clinical pharmacy services in outpatient clinics for older people [13–18], but there has been no Australian study conducted in the aged care outpatient setting and no study internationally conducted in a memory disorder clinic.…”

Section: Introductionmentioning

confidence: 99%

Medication-related problems in patients referred to aged care and memory clinics at a tertiary care hospital

Elliott

Woodward

2010

Australasian Journal on Ageing

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Section: Introductionmentioning

confidence: 99%

Medication-related problems in patients referred to aged care and memory clinics at a tertiary care hospital

Elliott

Woodward

2010

Australasian Journal on Ageing

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“…Another example exists in patients being treated for other neurological disorders such as Parkinson’s disease, multiple sclerosis, or cerebrovascular disease, in which pharmacists can assist in recommending and monitoring effectiveness of treatment choices. 18…”

Section: Clinic Modelsmentioning

confidence: 99%

Psychiatric Services

Lynum

Hill

2015

Journal of Pharmacy Practice

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Deinstitutionalization in the 1960s shifted the care of the mentally ill from state-funded institutions to community settings. Unfortunately, funding to support the treatment needs of this population has continued to be minimized, and countless individuals have not received much needed care. This has resulted in a large increase in mentally ill patients surfacing in jails, homeless shelters, and emergency departments. Subsequently, the federal government has begun to prioritize funding to address the mental health needs of our communities. Pharmacists are in a unique position to influence treatment outcomes for patients with mental illnesses, and the current state of health reform provides avenues for the pharmacist to become an essential part of the health care delivery team in numerous ambulatory care clinical settings. The challenges with adherence, medical and psychiatric comorbidities, polypharmacy with psychotropics, potential for life-threatening adverse effects, and the ever-present need for patient education are but a few reasons why pharmacists can be utilized to provide Medication Therapy Management services for these patients.

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“…1-4 Conversely, there is a paucity of literature describing the role of a pharmacist in interdisciplinary memory clinics, and less is known of a pharmacist practicing in interdisciplinary, primary care–based memory clinics. 5-7 It is important to disseminate the pharmacist’s role in new clinic models in appropriate detail to guide others on how to address challenges or to assist in the development of similar models. The purpose of this article is to describe how clinical pharmacists provide collaborative care to patients presenting with cognitive concerns in a primary care–based, interdisciplinary memory clinic.…”

Section: Introductionmentioning

confidence: 99%

An Interdisciplinary Memory Clinic

2014

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Pharmacists have developed innovative practices in various settings as singular providers or as members of multidisciplinary or interdisciplinary teams. Examples include pharmacists practicing in heart failure, hypertension, or hyperlipidemia clinics. There is a paucity of literature describing pharmacists in interdisciplinary memory clinics and specifically pharmacists practicing in interdisciplinary, primary care-based memory clinics. New practice models should be disseminated to guide others in the development of similar models given the complexity of this population. Patients with dementia are more difficult to manage because of cognitive impairment, behavioral and psychological symptoms, the common presence of multiple comorbidities, and related polypharmacy and caregiver issues. These challenges require expertise in neurodegenerative disorders and geriatrics. The purpose of this article is to describe the role of clinical pharmacists providing care to patients with cognitive complaints in a primary care-based, interdisciplinary memory clinic, with a focus on how the pharmacist practices and is integrated in this collaborative care setting. Patients are assessed using an interdisciplinary approach, with team consensus for assessment and planning of care. Pharmacists' activities include assessment of (1) appropriateness of medications based on frailty, (2) medications that can impair cognition and/or function, (3) medication adherence and management skills, and (4) vascular risk factor control. Pharmacists provide education regarding medications and diseases, ensure appropriate transitions in care, and conduct home visits. Pharmacist participation in this clinic represents a novel opportunity to advance pharmacy practice in primary care, interdisciplinary models. Work is ongoing to describe outcomes attributable to pharmacist participation in this clinic.

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Involvement of Neuropsychiatric Pharmacists in a Memory Disorder Clinic

Abstract: Pharmacists have valuable skills to assist in the management of diagnosis and management of dementia.

Cited by 6 publications

References 4 publications

Medication-related problems in patients referred to aged care and memory clinics at a tertiary care hospital

Medication-related problems in patients referred to aged care and memory clinics at a tertiary care hospital

Psychiatric Services

An Interdisciplinary Memory Clinic

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