Talking With Your Pharmacist. Background Multiple meds & comorbidities increase with age Adults 60...
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Transcript of Talking With Your Pharmacist. Background Multiple meds & comorbidities increase with age Adults 60...
Talking With Your Pharmacist
BackgroundMultiple meds & comorbidities increase
with age
Adults 60 and older have an average of four chronic conditions with multiple medications
As the number of medications increases, so does risk of adverse drug effects and management problems
Med Coordination Partners Needed!
Medication coordination gaps between providers
Older adults are the most underused resource
Program is needed to enhance older adults’ medication communication and management skills
UW School of Pharmacy ProjectEncouraged by the Community-Academic
Aging Research Network (CAARN) Jane Mahoney and Jill Ballard
Med-Wise Project Co-Directors Beth Martin and Betty Chewning, UW School of PharmacyTogether designed the Med Wise Program
Wisconsin is lucky…and proudState law requires consultation on ALL prescriptions (new and refill)
Pharmacists are accessible
Pharmacist networks for quality care
Pharmacies offer MTM services… including immunizations, CMRs
Med Wise Program Goals
To increase older adults’ ability to manage their medications safely
To improve older adults’ skills to talk with their pharmacists (and other providers) about their medications
Med Wise Program3 group sessions to improve patient
communication and role played asking their questions with pharmacists!
Identify risks and benefits with medication use; pharmacists’ role & why updated medication list is key
Reinforce importance of own questions, ways to ask key questions, understand how to fit into schedule
Med Wise Program Was Piloted
Collaboration between UW School of Pharmacy & Portage County ADRC with Director, Janet Zander
Conducted 1 round of 3 classes with 7 older adults
In the dead of winter and still they came!
Summary of Key PointsTry to simplify your regimen schedule with
the help of your pharmacist and Med Chart.
For new medicines, ask 3 “magic” questions 3 P’s
For refills, tell your pharmacist about changes in symptoms and medicines in the past month.
Bring questions. Talk to your pharmacist.
We Learned So Much!Thank you Janet!
Branding, publicizing and recruiting
Shorten to 2 sessions and make 1.5 hours
Change the name from “Engaging” to “Talking To”
Important to have the pharmacist there for role plays
What Did Preliminary Data Suggest? (N=7)
Pre-post surveys suggested that people increased:Knowledge about pharmacists’ roles and lawsBelief in carrying updated medication listBelief in using the pharmacist for medication
questionsPerceived likelihood they would interact more
actively: Ask the RPh questions even when not asked Express their opinions when they disagree with the RPh Routinely ask a pharmacist questions Ask for more information until satisfied with answer Ask even when RPh & patient were busy
Next StepsTwo of the participants have undergone
training to offer the program; intend to train others from counties
Wrote a Baldwin grant proposal and just received word that we were fundedCollaboration between ADRC’s and CAARN Adams, Calumet, Green Lake, Marquette,
Outagamie, Portage, Waupaca, Waushara2 year funding begins July 1Goal to enroll 300 older adults in the 2 years
Bridging The Gaps Together