Pharmacists should have an embedded role in care homes, says the Royal Pharmaceutical Society, with overall responsibility and accountability for medicines and their use. Read The Pharmaceutical Journal's special report on using pharmacy expertise to advance the care of patients based in care homes.
Features and learning
Anticipatory prescribing enables patients in the last days and weeks of their lives to have their symptoms managed at home. Pharmacists are ideally positioned to provide practical support and advice to other healthcare professionals on the prescribing and administration of anticipatory medicines and to facilitate timely supply.
Communicating with palliative care patients nearing the end of life, their families and carersSubscription
Pharmacists are becoming increasingly involved in palliative care and can be a source of important information and support for patients at the end of life. Health professionals caring for patients with advanced illness should develop skills for communicating with patients, and their families and carers.
Covert administration of medicines in care homesSubscription
Pharmacists and healthcare professionals should be familiar with covert administration of medicines, a complex process requiring multidisciplinary assessment, to ensure its appropriate use in care homes.
Guidance, strategies and communication tools to support transfer of care of frail older people
Evidence is emerging that some dementia cases could be prevented by leading a healthy lifestyle but long-term studies are needed to confirm the strength of the association.
Devising ways to improve medicines adherenceSubscription
There are many reasons why patients do not take their medicines as prescribed. Discovering the specific cause of non-adherence is the best way to improve it.
Around 10% of older people, and almost a third of care home residents, develop a urinary tract infection each year.
Researchers observe higher accuracy rates when multi-compartment containers are used instead of original packaging to administer tablets to care-home residents.
Deaths from Alzheimer’s disease have risen by more than 50% in a 15-year period and are expected to increase further, a report from the US Centers for Disease Control and Prevention (CDC) is warning.
Training nursing home staff to understand the personhood of patients with dementia reduces off-label prescribing of antipsychotics, New England study results show.
Bisphosphonates are prescribed to prevent fractures in osteoporosis, but new research suggests that, paradoxically, they can also cause tiny cracks in bone
More than 40% of off-label prescriptions for antidepressants have no strong evidence for the indication, increasing risks of adverse drug events, large study shows.
Using data from nearly 400,000 patients, researchers found that simvastatin in particular was associated with a lower risk of Alzheimer’s disease.
Researchers say benzodiazepines should only be used in the short term after study shows that they cause an increased risk of hip fracture.
Researchers say nursing homes need a more sophisticated error recording system after a meta-analysis showed that some sort of medication error had affected 16–27% of residents.