Reflection #1: Kwame Quansah, PharmD 2019
Dr. Meyers stumbles into long term care and geriatric pharmacy when he went to say "hi" to his friend at a conference. He has never set foot at a nursing home and he was very curious about what that field had to offer. Now he works for Brookdale Senior Living, which operates 1100 facilities and 72 of these have skilled nursing facilities. He encouraged the audience to find out about long term care in their community. There is a great need for consultant pharmacists in this field. Consultant pharmacists have an opportunity to engage with other professionals and works with patients on a long-term basis. He explained Medication Regimen Review which constitutes clinical findings, recommendations and results. This put together, will produce results such as a reduction in falls and hospitalizations. It is important to know the board of pharmacy regulations and provide guidance on these regulations to the community. There are six regulations that currently deal with all areas in the field of consulting pharmacy. F329, F332, F333, F428, F425 and F431 are the various regulations . Beyond all these, our real role is in medication safety. Economics, transition of care and education also play important parts.
Reflection #2: Ryan Tran, PharmD Candidate 2020
In geriatric practice, a pharmacist can act as a consultant who performs medication regimen review. Medication review is looking at the use of medications, assessing their appropriateness, providing recommendations, presenting clinical findings and suggesting changes to the staffing, education and approach to treatments. In addition to the regular responsibility of optimizing therapeutic outcomes while minimizing adverse effects, some other key responsibilities of a consultant pharmacist are to prevent any medication error, find any irregularity in practice, and co-operate with other health professions to improve patients’ health. Pharmacological therapy for elderly patients is far more challenging than young adult patients due to poly-pharmacy, sensory, physical impairment, and multiple comorbid conditions that influence their pharmacokinetics and pharmacodynamics. Despite the challenges, geriatric practice is a good career option for many pharmacy students to consider because of the lack of pharmacists in geriatrics, the multiple subclasses of specialty, and the growing number of geriatric patient population.