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Joint commission on medication reconciliation
Medication reconciliation meaningful use
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Question: How can physical therapists act as a safeguard when reviewing patients’ medication list? Is it plausible to conduct a thorough medication history and medication reconciliation when we are under time constraints to complete our evaluations and how would you justify that with your documentation?
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Reviewing the patient medication list is an important part of the physical therapy chart review. By identifying a particular group of drugs that can cause a type of adverse events such as falls is indispensable. For example, a combination of the following medications such as narcotics (Vicodin), sedative hypnotics (Ambien) and ace inhibitor (Prinivil) can drastically increase the patient's fall
Louise C. Cope et al, investigated the impact of non-medical prescribing. Non-medical prescribing could be evaluated through the NMP, or other health practitioner such as GP, and patients. Currently there is limited information on how NMP has impacted other professions, such as radiographer, optometrists and physiotherapists. Personally, I think this is due to how recent these professions gained the right to prescribe. Most of the findings have been extremely positive, with limited disadvantages. Within this evaluation of NMP “students who are becoming NMPs felt that the programme provided them with adequate knowledge to prescribe with some stating that the period of learning in practice was ‘the most valuable part of the course’”
Three of them are: does the patient have a history of falls, is the patient at risk of falling, and to identify the cause of a fall (Recommendations 2011). The first recommendation the healthcare team should consider is, does the patient have a history of falls? During the initial assessment the healthcare team should ask the patient and family members present about fall history. Carefully examining the patient's chart for any indicators of past falls is also recommended. These can be clear indicators of the presence of fall risks. Once a patient has fallen once, the likelihood of a second fall is greatly increased. The second recommendation the healthcare team should consider is, is the patient at risk of falling? Both extrinsic and intrinsic factors should be considered. Examination of the patient's chart for a list of current medications being taken, fall history, any underlying conditions, neurological status, and psychological status should be done. Previous studies have shown that psychotropic, diuretic, digoxin, and Class 1a antiarrhythmic medications are associated with significantly increased risks of falls (Kehinde, Pope, & Amella, 2011). An examination of environmental status should also be done. For example, looking at lightning, cords on the floor, slippery floors, whether the call light is accessible, and whether the room
T-Writer, EW, met with client SM to work on his recovery goal of medication management.
Pharmacists and technicians provide patients with safe and accurate medication in a timely manner. This is not a task for pharmacists or technicians alone; it is a task that requires both personnel in order to be accomplished.
PICO Question: Among the elderly patients receiving care at Cary Medical Center on Med/Surg, who are currently taking multiple medications due to comorbidities, would reviewing medications at each provider visit reduce polypharmacy and its associated adverse reactions?
I learned a lot from this experience. As I mentioned earlier first time when I saw pharmacist doing medication reconciliation I felt it is difficult task to do and hence I started getting more information about medication reconciliation from my friends and pharmacist whenever I got a chance. I prepared myself before I expose myself in this area, which helped me to gain more confidence when I was performing medication reconciliation with standardized patient. I learnt how important is Pharmacist role in finding and solving medication related discrepancies. From this activity, I learnt that it is very important to communicate effectively with patients and other health care providers. If I am unable to communicate properly I will not be able to
PICO Question: Among the elderly patients receiving care at Cary Medical Center on Med/Surg, who are currently taking multiple medications due to comorbidities, would reviewing medications at each provider visit reduce polypharmacy and its associated adverse reactions?
Implementing technology in a clinical setting is not easy and cannot be successful without a well-organized system. It is important that healthcare providers understand the electronic medication administration record (eMAR) and its role in improving patient safety. One of the most significant aspects of healthcare is the safety of our patients. Medication errors account for 44,000-98,000 deaths per year, more deaths than those caused by highway accidents or breast cancer. Several health information technologies help to reduce the number of medication errors that occur. Once of these technologies is bar-code-assisted medication administration (BCMA). These systems are designed to ensure that the right drug is being administered via the right
Agyemang, REO, and A While. "Medication errors: types, causes and impact on nursing practice." British Journal of Nursing (BJN) 19.6 (2010): 380-385. CINAHL Plus with Full Text. EBSCO. Web. 7 Mar. 2011.
The MD is also responsible for documenting the annual histories and physicals of the patients and also the diagnoses and reason for every psychoactive medication use, the plan of tapering dosage and the use of all pharmacologic and non - pharmacologic interventions.
The ability to become reflective in practice has become a necessary skill for health professionals. This is to ensure that health professionals are continuing with their daily learning and improving their practice. Reflective practice plays a big part in healthcare today and is becoming increasingly noticed.
With the increased cost of manufacturing, pharmaceutical companies have been divesting in their smaller or less profit making operations and focus on large segments. Many Pharmaceutical companies sold their manufacturing sites to contract manufacturing organizations. The dynamics of interfacing with contract manufacturing organization added intricacy in pharmaceutical supply chain network of pharmaceutical companies.
If a patient is confused or thinking of altering their medication regimen the nurse and/or physician should be informed
Patient taking diazepam have high risk of falling and related complication (Leach, Pratt and Roughead, 2017). Gray (2006) depicted that older adults Physcian change dose (lower) of medication
The usage of pain medications has gone up severely over the years. It is guaranteed that some types of pain medications exist in your medicine cabinet. With a readily available supply of pain medications, it have brought up problems associated with abusing such medications that have led negligent American families into abandoning their health for comfort. Pain medications are administered in a variety of setting, from nurses at hospital beds to paramedics at vehicle collision scenes. Pain medication is a broad term as it varies from over-the-counter strength to prescription strength. Each type of medication will have different ingredients, which are paired with different side effects. Many painkillers can allow the patients to develop an addiction