The Role of a Pharmacist on the Home Care Team: A Collaborative Model Between a College of Pharmacy and a Visiting Nurse Agency
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CE TEST QUESTIONS
GENERAL PURPOSE: To provide information on the use of a pharmacist in identifying medication-related problems for home care clients.
LEARNING OBJECTIVES: After reading this article and taking this test, you should be able to:
- Discuss the use of a pharmacist on a home care team.
- Identify problems with medication use in the home.
- As noted in the article, a consensus-based guideline for medication use in home care is the
- Home Health Criteria.
- Milliman Care Guidelines.
- New York Personal Care Services Program.
- Springhouse Home Care Guidelines.
- Pharmaceutical care services typically include a review of all of the following “high-risk” medications except
- nonsteroidal anti-inflammatory drugs.
- cardiovascular medications.
- The most common problem identified by pharmacists in a study by Hsia Der and colleagues was that clients were taking
- medications without food.
- unnecessary medications.
- friends or family members' medications.
- doses that were too high.
- Meredith and colleagues report that medication use improved in how many more clients who had care from a pharmacist and nurse than from a nurse alone?
- This pharmacist–nurse collaboration had the greatest impact on
- therapeutic duplication.
- improper dosing.
- ineffective medications.
- prescription renewals.
- One of the most common medication problems identified in the study by Vink and colleagues was
- not understanding how to use a medication.
- drug side effects.
- not being able to afford a medication.
- suboptimal therapy.
- This research also revealed that the majority of pharmacist recommendations involved
- encouraging medication compliance.
- using more over-the-counter medications.
- discontinuing a drug.
- assisting patients to get financial aid.
- A criterion that prompts an offer for a pharmacist home visit is when the client
- has had a medication-related problem.
- has recently been hospitalized.
- is currently undergoing cancer treatment.
- is taking 9 or more medications.
- Reasons that clients refused a pharmacist visit included all the following except
- a perceived lack of benefit.
- fear of offending their primary care physicians.
- lack of insurance reimbursement.
- wanting to limit the number of persons entering their homes.
- When a medication dose is too low, it is classified as a problem with the medication's
- If the pharmacist has recommendations for optimizing drug therapy after the home visit, the pharmacist first
- changes the patient's prescriptions.
- instructs the patient how to modify his or her medication use.
- schedules another home visit to assess the effectiveness of the changes.
- contacts the client's prescriber.
- A vast majority of clients in the agency noted in this article see the pharmacist
- only once.
- once per week.
- once per month.
- once per year.
- According to the data gathered since the inception of the pharmacy program, on average, the agency's clients
- had 4 medication-related problems.
- were taking drugs prescribed by 6 different practitioners.
- had 9 medical conditions.
- were taking 18 different medications.
- One of the 10 most common medications implicated in medication-related problems for this agency's clients is
- One of the most common medication-related problems identified with these clients was
- not taking albuterol often enough.
- using acetaminophen at doses that were too high.
- taking atenolol too frequently.
- using fluticasone-salmeterol at a dose that was too high.