Mise en place de revues de médication par le pharmacien d’officine en établissement pour personnes âgées dépendantes
Year: 2024
Type: dissertation
Abstract: The geriatric population in nursing homes is often polypharmacy. This polypharmacy can become risky. Therefore, community pharmacists and healthcare teams must identify and prevent these risky situations. The implementation of medication reviews, discussed by a multidisciplinary team, allows observation of the impact on the overall quality of prescriptions and therapeutic optimization. This work took place between February and November 2023, and involved analyzing the files of 61 residents of the Seguin Nursing Home (Cestas). The follow-up of proposals made in multidisciplinary meetings (geriatrician, pharmacist, nurse) was carried out after one month and then after three months. The implementation of these Best Medication Practices (BMPs) led to few changes in the overall number of drugs per prescription, but rather to optimization by reducing potentially inappropriate prescriptions and adding new molecules more suitable to the overall patient context. This work thus concludes that the community pharmacist plays an important role in managing the iatrogenesis of dependent individuals, and also emphasizes the fundamental role of cooperation between healthcare professionals to improve the care pathway for each resident.
Source: HAL
Author: Roch-Dupland, Kilian
Institution: Université de Bordeaux
Language: French
Subfield: Geriatrics and Gerontology
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W7113539208