Presented by Susan Beresford BSCPharm

Objectives:Role of PharmacistsIncrease awareness of resources (MRP)Impact of MedicationsCommunity Resources – let’s connect the

dots!

Role of PharmacistEducate client on: ♥ chronic conditions and lifestyle

modification ♥ review medications ♥ partner in the management of

client’s health

Be aware of “Red Flags” ♥ type of medication / chronic

condition ♥ client’s use of mobility device ♥ any vision issues

At KINBURN PHARMASAVE

Objectives of the MRPID and address Drug Related Problems

(DRP)ID problems that a PhC cannot address and

guide patients to seek help with another health professional

Give patients guidance in resolving their presenting problems.

Arrange for ongoing care.Reinforcement and follow up on proper

medication use.

Physician Involvement in MRPParticipation is voluntary and unfunded.Can recommend a patient for the service.Pharmacist will contact you to tell you of an

enrolled patient. (FAX?)Pharmacist will consult with you before any

recommendations are made impacting on a prescription medicine.

All recommendations will be sent to you in a timely manner. ( education, compliance issues, training)

Types of RecommendationsType of recommendations will vary patient to

patient.Appropriate OTC / Natural / Herbal useEducation / tools to improve daily

management of medications.Pharmacist will not independently make any

recommendations on a prescription medication.

Eligible PatientsMSIPatient must agree to MRP.Not Nursing home or blister pack patient.Taking 4 or more medicines OR a medication

that potentially puts them at risk. Have at least one of the following diseases-

asthma, arthritis, diabetes, congestive heart failure, chronic obstructive lung disease, hyperlipidemia or hypertension.

Patients Who Would BenefitPatients having trouble managing their

medications.Patients who have had significant changes

made to their drug regimen in the past 100 days.

Patients on meds that require monitoring or follow up.

Patients recently discharged from hospital.

What Patients Receive

Initial private consultation with a Pharmacist lasting between 45 to 60 minutes.

Complete updated list of medications, including over the counter medications and supplements.

Review of the patient’s understanding and usage of their medications.

Follow up with a Pharmacist that would include possible interventions to improve patient’s medication management and promote health.

ReferencesMedication Review Program sponsored by

the Pharmacy Association of Nova Scotia and supported by MSI

Pharmasave Medication Review Program

Impact of MedicationsDizziness / confusionLight headednessSlowed reaction timeDecreased awareness of surroundingsBlurred visionDecrease in Blood PressureBUT WHICH ONES AFFECT YOU AS AN

INDIVIDUAL?

Planning TEAM UPDaytimeCommunity Centres, Nursing Homes,

Sponsoring group’s offices, Special eventsAdvertiseInvolve the community – announce in

churches, other community groups than the sponsor group.

Have a weather dateHave a healthy snack for the break – if two 1

hour sections to the presentation

Presenting in the CommunityWelcome, acknowledge the teamKeep it informalExpectationsParking lotTry to keep the topic / information general, not

patient specific information: “Please speak to YOUR Pharmacist…”

Emphasize the importance of having one pharmacy – let people know what we can do for them when we have all the information

Thank all participants, team

ReferencesSafe Medicines for Seniors a Workshop for

Caregivers, The Canadian Healthcare Association, Ottawa, 2006

www.phac-aspc.gc.ca/seniors-aines/publications/public/injury-blessure/pathways-voie/section2-eng.php

www.phac-aspc.gc.ca/seniors-aines/publications/public/injury-blessure/pathways-voie/section1-eng.php