" As Taiwan's aging society deepens, pharmacists play an increasingly important role in long-term care and home pharmaceutical services in Taiwan. Professor Tan Yanhui from the Pharmacy Care Development Center of the Taiwan Pharmacists Association introduced the role of pharmacists in long-term care and home pharmaceutical services in Taiwan. What role can be played in home pharmacy services
Professor Tan Yanhui
Professor Tan Yanhui
Pharmaceutical Care Development Center of the Taiwan Pharmacists Association. Chief Executive Officer
Pharmaceutical Care Business Group, Baolong International Business Co., Ltd. President
The meaning of pharmaceutical care in Taiwan
Pharmaceutical service is a broad term. If it refers to direct care of patients' medication, it is called pharmaceutical care in Taiwan. The All-Federation of Pharmacists Association specially established the "Pharmaceutical Care Development Center" at the end of 2009. Pharmacological care is recognized as the professional behavior of pharmacists who directly take care of individual patients' drug treatment. It is defined by an independent practicing pharmacist. , focuses on the drug treatment of a specific patient, responsible for the assessment of all conditions and medications, formulation and implementation of care plans, and tracking of efficacy. ensures that the patient's drug treatment meets the indications , is effective, safe and highly compliant, thereby improving their quality of life.
Pharmacists serve in diverse social institutions
Multiple social institutions (complex Social institutions are composed of doctors, nurses, consulting pharmacists, other health care professionals, assistants, etc. Therefore, decisions about drug treatment should be made by each professional based on the resident's physiological state and the complexity of the indications, after constructive communication and discussion, and then deciding on the most suitable drug treatment for the resident.
A nursing home is a medical team or a combination of medical professionals (multidisprine), This includes the role of the pharmacist.
The role of pharmacists in long-term care institutions
Evaluate whether the administration environment and equipment are appropriate;
Evaluate the correctness of the administration process and execution (including controlled drugs);
Confirm whether the drugs are implemented Storage and collection procedures (including first aid and controlled drugs);
provides drug information to residents, family members, and medical and nursing staff;
performs drug treatment assessments, discusses the appropriateness and safety of residents’ drug treatments, and identifies, solves, and prevents drug treatment problems;
participates in inter-professional meetings within the institution to provide professional advice on pharmaceutical care.
The role of pharmacists in home-based cases
Patients' medication confusion
Often a patient may be cared for by multiple doctors, and each doctor may prescribe medicine correctly, but may not know the medicines prescribed by other doctors.
Patients mostly get their medicines at pharmacies in different places without professional staff. A record of all medications taken by the patient at home.
After returning home, patients face many kinds of medicines and buy health food or traditional Chinese medicines by themselves. They have many doubts and often do not take medicines on time.
The role of the pharmacist
If the pharmacist can obtain all medication information from the pharmacy, home or long-term care institution, he can avoid drug treatment problems such as duplication of medication, treatment contraindications, interactions, and too high or too low dosage.
Pharmacists should have a service platform to help the public eliminate doubts or solve drug treatment problems, so as to achieve medication safety and promote health.
For cases with poor coordination and stable medication, pharmacists should deliver them in meal bags to increase the safety of medication (reduce taking the wrong medicine); convenience (easy to carry, simple to use, save time in taking medication); correctness (Reduce repeated medication and interactions); relieve residents' worries (know whether they have taken medicine); increase residents' independence (no need for relatives to help take medicine); efficacy (able to take the correct medicine on time).
Pharmaceutical care talks about the patient care process
Discover problems
Assessment
＊Collect patient data, understand medication needs/evaluate the condition
＊Collect all medication experiences/organize current medication files
＊Assess drug therapy problems (drug therapy) problems）
＊Establish disease care priorities
Solve problems
Develop and implement care plans (Care Plan)
＊Judgment service (for doctors)
＊Medication compliance consultation service/special dosage form guidance (for patients)
＊Self-care consultation service
＊Medication dispensing service
＊Remaining drug inspection/waste drug removal
＊Adverse reaction detection service
＊Drug delivery/medication guidance
Whether the tracking problem is solved
Tracking evaluation (Follow-up and Evaluation）
＊Record physician prescribing/changes in patient medication behavior
＊Evaluate disease control progress
＊Occurrence of drug side effects
* Evaluate whether there are any new problems
The future of pharmacists is created by themselves, and the pharmacist service system is improved.
provides high-quality and friendly pharmaceutical services to realize greater value for pharmacists.
Article source: The 11th Straits Forum Health Sub-forum "Clinical Drug Management and Rational Use of Drugs" sub-venue
Editor of this article: Li Lin
