1. Presented by Susan Beresford BSCPharm

2. Objectives: Role of Pharmacists Increase awareness of resources (MRP) Impact of Medications Community Resources – lets connect the dots!

3. Role of Pharmacist Educate client on: chronic conditions and lifestyle modification review medications partner in the management of clients health Be aware of Red Flags type of medication / chronic condition clients use of mobility device any vision issues

4. At KINBURN PHARMASAVE

5. Objectives of the MRP ID and address Drug Related Problems (DRP) ID problems that a PhC cannot address and guide patients to seek help with another health professional Give patients guidance in resolving their presenting problems. Arrange for ongoing care. Reinforcement and follow up on proper medication use.

6. Physician Involvement in MRP Participation is voluntary and unfunded. Can recommend a patient for the service. Pharmacist will contact you to tell you of an enrolled patient. (FAX?) Pharmacist will consult with you before any recommendations are made impacting on a prescription medicine. All recommendations will be sent to you in a timely manner. ( education, compliance issues, training)

7. Types of Recommendations Type of recommendations will vary patient to patient. Appropriate OTC / Natural / Herbal use Education / tools to improve daily management of medications. Pharmacist will not independently make any recommendations on a prescription medication.

8. Eligible Patients MSI Patient must agree to MRP. Not Nursing home or blister pack patient. Taking 4 or more medicines OR a medication that potentially puts them at risk. Have at least one of the following diseases- asthma, arthritis, diabetes, congestive heart failure, chronic obstructive lung disease, hyperlipidemia or hypertension.

9. Patients Who Would Benefit Patients having trouble managing their medications. Patients who have had significant changes made to their drug regimen in the past 100 days. Patients on meds that require monitoring or follow up. Patients recently discharged from hospital.

10. What Patients Receive Initial private consultation with a Pharmacist lasting between 45 to 60 minutes. Complete updated list of medications, including over the counter medications and supplements. Review of the patients understanding and usage of their medications. Follow up with a Pharmacist that would include possible interventions to improve patients medication management and promote health.

11. References Medication Review Program sponsored by the Pharmacy Association of Nova Scotia and supported by MSI Pharmasave Medication Review Program

12. Impact of Medications Dizziness / confusion Light headedness Slowed reaction time Decreased awareness of surroundings Blurred vision Decrease in Blood Pressure BUT WHICH ONES AFFECT YOU AS AN INDIVIDUAL?

13. Planning TEAM UP Daytime Community Centres, Nursing Homes, Sponsoring groups offices, Special events Advertise Involve the community – announce in churches, other community groups than the sponsor group. Have a weather date Have a healthy snack for the break – if two 1 hour sections to the presentation

14. Presenting in the Community Welcome, acknowledge the team Keep it informal Expectations Parking lot Try to keep the topic / information general, not patient specific information: Please speak to YOUR Pharmacist… Emphasize the importance of having one pharmacy – let people know what we can do for them when we have all the information Thank all participants, team

15. References Safe Medicines for Seniors a Workshop for Caregivers, The Canadian Healthcare Association, Ottawa, 2006 www.phac-aspc.gc.ca/seniors- aines/publications/public/injury-blessure/pathways- voie/section2-eng.php www.phac-aspc.gc.ca/seniors- aines/publications/public/injury-blessure/pathways- voie/section1-eng.php