Optimizing inhaler use by pharmacist-provided education to community-dwelling elderly

Respiratory Medicine
Carla BouwmeesterKathleen M Bungay

Abstract

To assess, using a standard observational tool, the ability of patients to demonstrate and maintain proper inhaled medication administration techniques following pharmacist education. Six-month observational study. Patients' homes or adult day health center. Patients in a Program for All-inclusive Care for the Elderly (PACE) prescribed one or more inhaled medications used at least once daily. Instruction by on-site clinical pharmacist. Hickey's Pharmacies Inhaler Technique assessment (score range: 0-20, higher better). Forty-two patients were evaluated at baseline, taught proper techniques for using inhaled medications, assessed immediately following the education, and re-assessed 4-6 weeks later. The mean pre-assessment score was 14 (SD 4.5, range 0-20), the initial post-assessment score increased to 18 (SD 3, range 10-20). The second post-assessment (4-6 weeks later) score mean was 17.7 (SD 3, range 10-20). Both follow-up scores were significantly improved from baseline (p < 0.05). Multivariable analysis indicated the strongest predictors of second post-training score were: score after initial pharmacist training and being subscribed to auto-refill. These characteristics predicted ∼70% of the variance in the second score (p <...Continue Reading

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Nov 11, 2016·Annals of the American Thoracic Society·Gwen S SklootUNKNOWN ATS ad hoc Committee on Asthma in the Elderly
Apr 21, 2020·Expert Review of Respiratory Medicine·Anna VolermanValerie Press
Aug 22, 2020·International Journal of Chronic Obstructive Pulmonary Disease·Yuqi HuHao Hu
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Oct 19, 2021·Experimental and Therapeutic Medicine·Hiroko OtakeNoriaki Nagai

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