You need to know your limitations.’. Community pharmacies have consistently been early adopters of technology, from PBS Online, to the electronic transfer of prescriptions, to trialling e-health applications, and the electronic recording and reporting of pharmacist clinical interventions and services. OR There is some evidence that governments and private health providers are slowly embracing a more integrated approach to health service delivery through a greater focus on transitional care and referral pathways, as well as initiatives like the health care home, the reviews of private health insurance and the MBS, the focus on service delivery through PHNs and the emphasis on consumer-directed care in community based aged care and disabilities. Adelaide: Australian Medicines Handbook; 2020. Responses which frame their safety as your top priority can help reposition the flow of the conversation back to key issues. Like most western nations, Australia has an ageing population. ‘It’s about educating and being constructive with the patient. With some 350 million visits and around 300 million prescriptions dispensed annually, community pharmacy is a rich source of health data, which can be used to the benefit of individual patients and the betterment of the overall health system. The strongest risk factors contributing to problematic use were: younger age, substance dependence, mental health histories and higher opioid doses. F, Nielsen S, et al. Summarise the role of the pharmacist in supporting patients manage the symptoms of hypothyroidism and associated treatment. Mar 2018. ‘The future isn’t purely about drug supply, it’s about proper, health-directed services,’ Mr Kelly said. Australian Pharmacist. Finally, consumers themselves are increasingly self-gathering data on their own state-of-health using wearables, impregnated devices and through remote monitoring. At: Nurbhai M, Grimshaw J, Watson M, et al. Approach used to develop the White Paper: A six-step process was used to meet the objective of the report. 2017. Diabetes Obes Metab 2018;20:2585–97. They will be practising to full scope, operate as normative members of the health team and the rewards and recognition for pharmacists will be more appropriate to this role.’. ‘In some cases, the best option might be to taper off opioids, but these decisions should be made in collaboration with the patient and prescriber, following a comprehensive risk-benefit assessment, rather than relying on dose thresholds alone,’ she said. Several important trends are reshaping the pharmacy industry. Journal of Hypertension 2020;38:21–29. While the roles have been diverse, they all come back to the same thing: a desire to create connections, whether it’s with patients, other pharmacists or young students just starting out. I’ve always really enjoyed working in the community.’. , a program that works with children, their schools, families and communities to develop new approaches to learning and health. In 2018, we saw an increasing interes t in the use … Information was collected for two age groups: school students aged 17–18 and university students aged 17–25. profession of pharmacy in the future, with particular attention to opportunities that encourage the use of existing or expanded scopes of pharmacy practice within the health care system in ways that make a difference in people’s lives. Metronidazole 400 mg orally BD, Amoxicillin + clavulanate 875 mg + 125 mg orally BD, Amoxicillin + clavulanate 1 g + 0.2 g intravenously TDS or QID, Piperacillin + tazobactam 4 g + 0.5 g intravenously QID Switch to oral therapy as clinically appropriate, ADD vancomycin 25–30 mg/kg intravenously as loading dose, followed by 15–20 mg/kg BD intravenously, typically aiming for trough levels of 15–20 mg/L, Common adverse effects – dyspepsia, anorexia, fatigue, itch, QT interval prolongation, contraindicated with CYP3A4 substrates, Common adverse effects – anorexia, fatigue, QT interval prolongation, strong inhibitor of CYP2C19, moderate inhibitor of CYP2C9 and CYP3A4, Generally well tolerated, infrequent adverse effects – burning, stinging, itch, erythema, allergic contact dermatitis, Generally well tolerated, rare adverse effects – irritation, allergy, Use 4–6 drops in each ear post water exposure, Use 2–5 drops in each ear 2–4 times daily for prevention or treatment, Perforation of tympanic membrane; ear grommets; ear discharge, Earache, blocked or severely in" amed ear canals, discharge, ear grommets, eye, broken skin contact, ear perforation or risk of perforation, Use 2–3 drops in each ear prior to water exposure, Allergy to any of the ingredients, perforated eardrum, infection or other problems in the ear canal such as grommets, Dexamethasone 0.05%, framycetin 0.5%, gramicidin 0.005% ear drops – 3 drops instilled into the affected ear, 3 times daily for 7 days There will be increased attention to cost and abrupt cost increases. The key elements of management of diabetic foot ulcers include: pressure offloading, revascularisation, treatment of infection, metabolic control, wound care, and patient education. Melbourne: Therapeutic Guidelines; 2020. Aust Fam Physician 2005;34(3):147–50. Is staged supply an appropriate strategy for Pharmacist Only Medicines? A major Australian hospital-based study found that for every dollar spent on a clinical pharmacist to initiate changes in medicines therapy or management, about $23 was saved on length of stay, readmission probability, medicines, medical procedures and laboratory monitoring. Some are macro trends affecting all players. ‘That's why I'm engaged in the PharMIbridge program – it’s about providing evidence that what we do is worth it. ‘The outcomes from the services delivered by pharmacists should be tangible, measurable, and should impact on medicines use and health outcomes. ‘Vaccine Story is aimed at everyone involved in the process of transporting vaccines to remote communities,’ Mr Speare said. ‘It’s beginning the mentor process,’ he said. The benefits of secure electronic recording are embedded in pharmacy quality management with pharmacies working on the premise that if an intervention isn’t electronically recorded, it never occurred. In: eTG complete. Ms Jordan developed an opioid policy for the practice that included: agreements with GPs to work collaboratively with a colleague for long-term opioid users; pharmacist engagement with patients and family/carers; development of treatment plans; monitoring and performance data reports; and resource development for patients and GPs (e.g. ‘The roles of pharmacists should not be inhibited by only thinking of what pharmacists are currently doing – the challenge for the profession as a whole is to articulate what pharmacists practising to full scope of practice means. They need to be reassured that if they find the process difficult, they will be supported by their healthcare team and not abandoned. The role of a Pharmacist Prescriber would include strengthening the link between general practice and the community pharmacy as well as improving a patient’s access to the health system and ensure the most cost-effective outcomes. This must occur in a way that maintains the privacy and security of patients' personal health data. Vulvovaginal candidiasis can be an acute, chronic or recurrent condition caused by the Candida species. ‘This will provide a better opportunity to develop the evidence base for best practice models of care that will improve medicine safety for older Australians. At: Monteiro-Soares M, Russel D, Boyko EJ, et al. ‘PSA supports a staffing ratio of at least 0.5 FTE pharmacists per 100 residents,’ he said. As we heard during our discussion on the state of pharmacy in 2020, this has been a defining moment for the industry. Other significant recommendations include: a new Act based on human rights principles, a new planning regime for aged care that provides demand-driven access rather than the current rationed approach, a new and independent process for setting quality standards, a new and enforceable general duty of care on approved providers, compulsory registration of personal care workers, an independent pricing authority that will determine aged care prices appropriate to the provision of high-quality and safe aged care services. Describe the role of the pharmacist in assisting people to manage ear care, including preventive strategies for otitis externa. Melbourne: Therapeutic Guidelines; 2020. ‘For adults, pharmacists can consider using the Conceptualisation and development of the Conversational Health Literacy Assessment (, To ensure their services are ‘health literacy responsive’, the Organisational Health Literacy Responsiveness (. ) Canberra: Pharmaceutical Society of Australia; 2018. Hyperthyroidism is associated with excess thyroid hormones; Graves’ disease is the most common cause. ‘The great example is that we work at deprescribing, taking people off medicines. Lancet 2007;369:1961–71. young patients failing antithyroid drug treatment with persistently elevated TSH-receptor antibodies. using alcohol-based or acidifying drops to assist in drying excess fluid in the ears. At: Vadiveloo M, Mattei J. ‘If they are experiencing any problems with their medication [this] might help to identify challenges from the patient’s perspective, and whether their goals are being met. There will be more open dialogue and in the same token, scrutiny, on pricing and fairly, the middle-men or pharmacy benefit managers. They will be recognised as the essential first port of call for the medicine related care of patients transitioning between care settings through collaborative arrangements that link rather than separate medicine supply to medicine related patient support. Hypothyroidism is a common endocrine disorder often with non-specific symptoms and an autoimmune cause. With access to the necessary data, pharmacies can also play a key role in addressing these issues, working in collaboration with other health care professionals. The inclusion of a Pharmacist Prescriber into the primary health care team should increase the clinical capacity of general practice and assist in addressing the increasing demands in primary care. Winkle A. At: Diabetic foot infection [published 2019]. Refer to the Australian Pharmaceutical Formulary and Handbook (APF) 24 for information on opioid conversions, individual drug comparisons, dosing and tapering recommendations and opioid substitution therapy. Similarly, A/Prof Nielsen advised pharmacists to think about clinical outcomes when talking to patients. While the independent pharmacy industry faces unprecedented challenges as a result of reforms and austerity measures, technology is currently in the process of transforming healthcare as a whole: from wearable tech and FDA-approved ingestible sensors to electronic health records – change is coming fast. Aust Fam Physician 2017;46:465–71. ‘For too long, pharmacists have felt powerless that the system has not supported them in addressing these problems,’ he said. ‘What we need is to identify the system enablers, including funding models, that unlock the true potential of pharmacists.’. Predictive factors for diabetic foot ulceration: a systematic review. In such cases, ‘I would rarely decline supply unless I had a genuine concern for immediate patient harm,’ Mr Foster says. ‘Never let a patient go home empty-handed,’ he counsels. As well as opening the way for pharmacists to achieve their full scope of practice, it is also vital to support pharmacists to thrive and excel while doing so. At: Australian Government Department of Health. At: Pirotta M. Recurrent vulvovaginal candidiasis. ’. Guidelines on the classification of diabetic foot ulcers (IWGDF 2019 update). One of the biggest trends to accelerate during the pandemic was the growth of telemedicine as well as pharmacy delivery with Amazon recently making … 2020. At: Lean MEJ, Leslie WS, Barnes AC, et al. A universal standard for the validation of blood pressure measuring devices: Association for the Advancement of Medical Instrumentation/European Society of Hypertension/International Organization for Standardization (AAMI/ESH/ ISO) collaboration statement. The Future of Pharmacy is About the Patient Experience By McKesson October 15, 2018 It’s a cliché to say that the healthcare landscape is changing. Pharmacists can play an important role in the referring to an appropriate healthcare professional. As the primary funders of health care, governments are major holders of health data, but are unlikely to be the most capable and advanced in analysing their own data sets. From the central Australian outback comes a story of risks to cold chain management in remote communities. ‘I try to avoid words like “addiction” or “dependence” because it can induce fear and reduce rapport, in my experience. In terms of positive patient interaction, Mr Foster is an advocate for gentle mentoring within the practice. Diabetes Metab Res Rev 2020;36(S1):e3280. Problem opioid behaviours associated with pre-existing risks, not just dosage. In the UK, the role of the pharmacist as a clinician has been strengthened by the development of prescribing rights with independent pharmacist prescribers being recognised as a vital source of clinical care in general practice.215. OR As the most accessible health providers with a strong focus on early intervention and health and wellbeing, community pharmacies can play a key role in analysing this health data for patients and providing them with appropriate incentives and support to maintain their health and obtain treatment and support where required. The context and opportunities for independent pharmacy. In response to the report, the government announced changes to the prescribing criteria for risperidone under the PBS, as well as education resources and funding for medicine management programs. He is also the pharmacist mentor for the PharMIbridge trial, which aims to empower pharmacists to better support consumers with severe and persistent mental illness (SPMI). As a nation, we have been slow in implementing the enablers such as collaborative care models, e-health enablement and transitional care arrangements. Pharmacists must respond to the complex needs of patients with chronic pain and mental health conditions in order to reduce harms, and not rely on dose as the key indicator of risk. As is occurring in other countries, more and more community pharmacies will specialise in providing medicines and broader health services, support and advice for patients with specific chronic health conditions, addressing the needs of their local communities. Key Pointers Covered in the Pharmacy Automation Market Trends and Forecast to 2025 Market Size ... An absolute way to forecast what future holds is to comprehend the trend today! Establishing connections with hospitals and GPs can help pharmacists operate optimally should disaster strike. At: Discuss acute otitis externa including causes and symptoms of the condition, Discuss recommendations for the management of acute otitis externa. In: StatPearls [Internet]. ‘Further studies investigating and addressing these deficits could really help with that preventable strain.’. The Bankwest Future of Business: Focus on Pharmacy Services Report is designed to give you a snapshot of the current and expected future state of your industry, which could help you plan and spark ideas. The systems of primary health care service delivery and remuneration have focused traditionally on individual health providers and practitioners, rather than on delivering overall patient health outcomes. PSA has spent a year consulting with its membership, through face-to-face workshops, conferences and an online survey, gathering the thoughts of more than 500 pharmacists from all practice settings, drawing out the common themes. Obstet Gynecol 1998;92:757–65. At: Management of hyperglycaemia and diabetes in hospitalised adults [published 2019]. (CAL) 24 that warns consumers about the risk of opioid overdose and dependence. The digital Pharma trends of 2020. that stopping access to opioid medicines without appropriate treatment or ongoing support would result in more harm. Recognise the role of the pharmacist in managing patients with vulvovaginal candidiasis. Most have three. ‘Don’t be disheartened if you have to repeat yourself on different patient visits. Otitis Media: Acute management of sore ear. Highlighting four “clear trends” that are driving the pharmacy of the future, Quilty says that the Guild is already preparing for the Seventh Community Pharmacy Agreement, which will cover the period 2020 to 2025. As far as the future of online pharmacy is concerned, it is here to stay but isn’t the perfect deal. Melbourne: Therapeutic Guidelines; 2020. Pharmacist Demand I generally find that’s well received. 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