Role of the community pharmacist in detecting frailty and spatio-temporal disorientation among community-dwelling older people in France

Rhalimi, Mounir; Housieaux, E.; Mary, Aurélien; Detuncq, C.; Müller, André; Georgin, F.; Comby, Frédéric; Wehrlé, C.; Davoust, N.; Brazier, Michel

doi:10.1007/s40520-020-01673-2

Cited by 3 publications

(5 citation statements)

References 17 publications

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“…The British Geriatrics Society recommends that older people should be assessed for frailty during all encounters with health and social care professionals [ 26 ], including community pharmacists. Rhalimi and colleagues explored the role of community pharmacists in detecting the prevalence of frailty and spatio-temporal disorientation among community dwelling older adults [ 43 ]. They concluded it was feasible for community pharmacists to perform this screening and stated that knowledge of older adults’ frailty status was useful for community pharmacists as they may be able to detect more ADRs [ 43 ].…”

Section: Discussionmentioning

confidence: 99%

“…Rhalimi and colleagues explored the role of community pharmacists in detecting the prevalence of frailty and spatio-temporal disorientation among community dwelling older adults [ 43 ]. They concluded it was feasible for community pharmacists to perform this screening and stated that knowledge of older adults’ frailty status was useful for community pharmacists as they may be able to detect more ADRs [ 43 ]. Many pharmacists in our study also felt that having knowledge about a patient’s frailty status would be beneficial to them and the patient.…”

Section: Discussionmentioning

confidence: 99%

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‘I think we could probably do more’: an interview study to explore community pharmacists’ experiences and perspectives of frailty and optimising medicines use in frail older adults

Faulkner,

Hughes,

Barry

2024

Age and Ageing

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Background Community pharmacists potentially have an important role to play in identification of frailty and delivery of interventions to optimise medicines use for frail older adults. However, little is known about their knowledge or views about this role. Aim To explore community pharmacists’ knowledge of frailty and assessment, experiences and contact with frail older adults, and perceptions of their role in optimising medicines use for this population. Methods Semi-structured interviews conducted between March and December 2020 with 15 community pharmacists in Northern Ireland. Interviews were transcribed verbatim and analysed thematically. Results Three broad themes were generated from the data. The first, ‘awareness and understanding of frailty’, highlighted gaps in community pharmacists’ knowledge regarding presentation and identification of frailty and their reluctance to broach potentially challenging conversations with frail older patients. Within the second theme, ‘problem-solving and supporting medication use’, community pharmacists felt a large part of their role was to resolve medicines-related issues for frail older adults through collaboration with other primary healthcare professionals but feedback on the outcome was often not provided upon issue resolution. The third theme, ‘seizing opportunities in primary care to enhance pharmaceutical care provision for frail older adults’, identified areas for further development of the community pharmacist role. Conclusions This study has provided an understanding of the views and experiences of community pharmacists about frailty. Community pharmacists’ knowledge deficits about frailty must be addressed and their communication skills enhanced so they may confidently initiate conversations about frailty and medicines use with older adults.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

‘I think we could probably do more’: an interview study to explore community pharmacists’ experiences and perspectives of frailty and optimising medicines use in frail older adults

Faulkner,

Hughes,

Barry

2024

Age and Ageing

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“…Nevertheless, a relatively brief interview-based assessment of frailty could become an integral component of a pharmacist’s medication review, including in the community. 32 Since frailty is associated with a heightened risk for ADEs and intolerance of stressors, 33 its measurement could be of high importance when evaluating the risk-benefit ratio for each medication in a patient’s regimen. 18 …”

Section: Discussionmentioning

confidence: 99%

“…A study in France described the use of the Short Emergency Geriatric Assessment (SEGA) grid for assessing frailty in 218 pharmacies. 32 The SEGA grid includes 13 patient interview items, each scored 0 to 2 (reflecting impairment). Patients are classified by total score as “not very frail” (score < 8), “frail” (score between 8 and 12), or “very frail” (score > 12).…”

Section: Discussionmentioning

confidence: 99%

“…Nevertheless, a relatively brief interview-based assessment of frailty could become an integral component of a pharmacist's medication review, including in the community. 32 Since frailty is associated with a heightened risk for ADEs and intolerance of stressors, 33 its measurement could be of high importance when evaluating the risk-benefit ratio for each medication in a patient's regimen. 18 While pharmacists are well positioned to assess frailty and make meaningful medication interventions for vulnerable patients (such as deprescribing 19 ), there are several potential barriers to implementing a frailty assessment in routine patient care.…”

Section: Figurementioning

confidence: 99%

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Pharmacists’ knowledge, perceptions and practices regarding frailty: A cross-sectional survey across practice settings in Canada

Malik¹,

Nakhla

Guo

et al. 2023

Can Pharm J

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Background: Data on Canadian pharmacists’ knowledge and perceptions about frailty in older adults and its assessment in pharmacy practice are scarce. Methods: A cross-sectional survey of 349 Canadian pharmacists was conducted to evaluate pharmacists’ knowledge, perceptions and practices regarding frailty. Descriptive analyses summarized responses by practice setting, and a multivariable logistic regression model examined associations between respondent characteristics and the likelihood of assessing frailty. Results: Most respondents were female (70%), aged ≤34 years (47%), Canadian graduates (83%), from Ontario/Quebec (51%) and from urban centres (58%). Although a significant proportion agreed it is important for pharmacists to know (80%) and assess (56%) patient frailty status, only 36% reported assessing frailty in practice. Respondents exclusively practising in a community pharmacy were significantly less likely to agree that it is important for a pharmacist to know or assess frailty and to report assessing it. Factors associated with a greater likelihood of assessment included positive beliefs about the importance of knowing a patient’s frailty status and having a greater proportion of older patients with cognitive or functional impairment in practice. Discussion: Findings suggest that pharmacists generally agree with the importance of understanding frailty as it relates to the appropriate use of medications, but most do not assess it. Further research is needed to identify the barriers to assessing frailty, while guidance is needed on which of the available screening tools can best be integrated into a clinical pharmacy practice. Conclusion: There is an opportunity to improve pharmaceutical care for older adults by providing pharmacists the means and resources to assess frailty in practice.

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Recent developments in frailty identification, management, risk factors and prevention: A narrative review of leading journals in geriatrics and gerontology

Dent,

Hanlon,

Sim

et al. 2023

Ageing Research Reviews

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Role of the community pharmacist in detecting frailty and spatio-temporal disorientation among community-dwelling older people in France

Cited by 3 publications

References 17 publications

‘I think we could probably do more’: an interview study to explore community pharmacists’ experiences and perspectives of frailty and optimising medicines use in frail older adults

‘I think we could probably do more’: an interview study to explore community pharmacists’ experiences and perspectives of frailty and optimising medicines use in frail older adults

Pharmacists’ knowledge, perceptions and practices regarding frailty: A cross-sectional survey across practice settings in Canada

Recent developments in frailty identification, management, risk factors and prevention: A narrative review of leading journals in geriatrics and gerontology

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