Background: As pharmacists continue to transition into the provision of public health care, physical assessment and disease screening will become part of their everyday practice, in a similar manner that it has been f...Background: As pharmacists continue to transition into the provision of public health care, physical assessment and disease screening will become part of their everyday practice, in a similar manner that it has been for doctors and nurses. Objective: The aim was to describe the health assessment of undergraduate curricula across three disciplines involved in public health care and to explore the students’ perceived training in a variety of health assessments. Method: Instructors of courses related to health assessment in medicine, nursing, and pharmacy colleges in Qatar were invited to participate in the curriculum review process. Students’ perceived training in a variety of health assessments was assessed using a self-administered survey. Both descriptive and inferential statistics were used to analyze the survey responses. Results: A narrative description for the similarities and differences in the health assessment curricula across the three colleges was provided. Blood pressure, heart rate, and heart sounds were the health assessments that almost all students received training on, although there were differences in where the training was delivered. The health assessments that the students perceived having received least training on were measuring bone mineral density, blood cholesterol and international normalized ratio reported by only 37%, 41% and 44% of students, respectively. Conclusion: The study identified a close alignment between each of the health discipline’s scope of practice and the health assessment content taught in each individual program. It also identified possible curricular gaps towards learning the skills of patient assessment that may need to be addressed.展开更多
We evaluated the frequency and category distribution of drug therapy problems in young and elderly patients. A retro- spective study of the medical conditions, drug therapies, and drug therapy problems identified in 1...We evaluated the frequency and category distribution of drug therapy problems in young and elderly patients. A retro- spective study of the medical conditions, drug therapies, and drug therapy problems identified in 102 patients was performed. The patients were divided into young patient group （〈65 years of age） and elderly patient group （〉~ 65 years of age） in a hospital pharmacy setting. Inclusion criteria： patients who were referred by the treating doctors and received evaluation by the clinical pharmacists. Exclusion criteria： patients who were unable to or refused to be evaluated by the clinical pharmacists. We found that 1） Patients in young and elderly groups had a mean of 3 and 5 medical conditions per person, respectively （P = 0.001）. 2） On the average, they took 4 and 7 drug therapies per person, respectively. The elderly patients took a significantly higher number of drug therapies （P = 0.001）. 3） Totally 85 drug therapy problems in 7 categories were identified within 102 patients. 4） 36.8% of young patients experienced 1 to 4 drug therapy problems whereas 61.8% of elderly patient experienced I to 5 drug therapy problems. Drug therapy problems were significantly more prevalent in elderly patients （P = 0.017）. 5） The drug therapy problem by category had similar distribution in young and elderly patients. The elderly patients in this study encountered more drug therapy problems than young patients. Accordingly, more attention should be paid to elderly patients in pharmaceutical care practice.展开更多
The Ministry of Health and Family Planning of the People’s Republic of China issued a mandate to all hospitals to implement clinical pharmacy services by 2020.Implementation of clinical pharmacy services to provide p...The Ministry of Health and Family Planning of the People’s Republic of China issued a mandate to all hospitals to implement clinical pharmacy services by 2020.Implementation of clinical pharmacy services to provide pharmaceutical care is a priority.The Second Xiangya Hospital of Central South University in collaboration with the University of Alberta implemented a structured train-the-trainer program to train pharmacists to provide direct patient care in collaboration with physicians,to teach/mentor other pharmacists and students from Hunan province,and to conduct clinical pharmacy research.Following implementation of the program,the pharmacy department increased the number of clinical pharmacists,expanded the clinical pharmacy services,made changes to hospital policies,and received a financial award of five million renminbi(one million Canadian dollars)to support the department.展开更多
文摘Background: As pharmacists continue to transition into the provision of public health care, physical assessment and disease screening will become part of their everyday practice, in a similar manner that it has been for doctors and nurses. Objective: The aim was to describe the health assessment of undergraduate curricula across three disciplines involved in public health care and to explore the students’ perceived training in a variety of health assessments. Method: Instructors of courses related to health assessment in medicine, nursing, and pharmacy colleges in Qatar were invited to participate in the curriculum review process. Students’ perceived training in a variety of health assessments was assessed using a self-administered survey. Both descriptive and inferential statistics were used to analyze the survey responses. Results: A narrative description for the similarities and differences in the health assessment curricula across the three colleges was provided. Blood pressure, heart rate, and heart sounds were the health assessments that almost all students received training on, although there were differences in where the training was delivered. The health assessments that the students perceived having received least training on were measuring bone mineral density, blood cholesterol and international normalized ratio reported by only 37%, 41% and 44% of students, respectively. Conclusion: The study identified a close alignment between each of the health discipline’s scope of practice and the health assessment content taught in each individual program. It also identified possible curricular gaps towards learning the skills of patient assessment that may need to be addressed.
文摘We evaluated the frequency and category distribution of drug therapy problems in young and elderly patients. A retro- spective study of the medical conditions, drug therapies, and drug therapy problems identified in 102 patients was performed. The patients were divided into young patient group （〈65 years of age） and elderly patient group （〉~ 65 years of age） in a hospital pharmacy setting. Inclusion criteria： patients who were referred by the treating doctors and received evaluation by the clinical pharmacists. Exclusion criteria： patients who were unable to or refused to be evaluated by the clinical pharmacists. We found that 1） Patients in young and elderly groups had a mean of 3 and 5 medical conditions per person, respectively （P = 0.001）. 2） On the average, they took 4 and 7 drug therapies per person, respectively. The elderly patients took a significantly higher number of drug therapies （P = 0.001）. 3） Totally 85 drug therapy problems in 7 categories were identified within 102 patients. 4） 36.8% of young patients experienced 1 to 4 drug therapy problems whereas 61.8% of elderly patient experienced I to 5 drug therapy problems. Drug therapy problems were significantly more prevalent in elderly patients （P = 0.017）. 5） The drug therapy problem by category had similar distribution in young and elderly patients. The elderly patients in this study encountered more drug therapy problems than young patients. Accordingly, more attention should be paid to elderly patients in pharmaceutical care practice.
文摘The Ministry of Health and Family Planning of the People’s Republic of China issued a mandate to all hospitals to implement clinical pharmacy services by 2020.Implementation of clinical pharmacy services to provide pharmaceutical care is a priority.The Second Xiangya Hospital of Central South University in collaboration with the University of Alberta implemented a structured train-the-trainer program to train pharmacists to provide direct patient care in collaboration with physicians,to teach/mentor other pharmacists and students from Hunan province,and to conduct clinical pharmacy research.Following implementation of the program,the pharmacy department increased the number of clinical pharmacists,expanded the clinical pharmacy services,made changes to hospital policies,and received a financial award of five million renminbi(one million Canadian dollars)to support the department.
