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Recommendations in Long Term Care – 5 Recent Examples

Med Ed 101

I write recommendations to nurses and providers of long term care and assisted living facilities. In my work as a consultant pharmacist (which I love!), I wanted to share some of the most recent recommendations I’ve found that can help you identify potential drug therapy problems in your practice.

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Apixaban Diltiazem Interaction

Med Ed 101

I recently came across a clinical issue in my practice as a consultant pharmacist to assisted living and long-term care facilities. The item in question was how to manage the apixaban diltiazem interaction. Apixaban Diltiazem Interaction Defined Apixaban is significantly metabolized by CYP3A4.

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Medications That Cause Low Blood Pressure (Non-Antihypertensives)

Med Ed 101

One of the most common medication review requests I get from clinical staff in long term care and assisted living facilities is identifying medications that may be contributing to falls. Identifying low blood pressure as a potential contributing factor is usually pretty obvious.

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Opinion: Certified nursing assistants do important work. They deserve to be paid a living wage for it

STAT

With so many unknowns , the assisted living facility where she lived, like most others, had a strict no-visitors policy. In mid-April 2020, as Covid-19 shutdowns and lockdowns were being put in place across the U.S., my grandmother’s health started to decline.

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High-Dose Potassium – Case Scenario

Med Ed 101

WL is a 77 year old male in an assisted living facility. I get a little nervous when I see high-dose potassium. Here’s a case scenario where a patient is on a higher dose. He has a history of CHF, anxiety, pain, GERD, BPH, and constipation.

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Pet Peeves in Hospice Care

Med Ed 101

Working in assisted livings and long term care facilities for a large chunk of my career, its safe to say I’ve reviewed a few patients medications who are on hospice. I have three major pet peeves in hospice care that I feel like I encounter on a regular basis. Duplicate Therapy The first of those […].

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Stimulants and Elderly Patients – Case Study

Med Ed 101

A 76-year-old female resides in an assisted living. In this case, I outline a unique situation involving stimulants and elderly patients. I outline some of the potential complications and contributions to the prescribing cascade. She has a history of ADHD, anxiety, insomnia, diabetes, hypertension, back pain, and GERD.