Angela Johnson, PharmD, CGP
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- Clementine Perry
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1 Angela Johnson, PharmD, CGP
2 Review general clinical principles related to aging Recognize geriatric considerations for disease processes Identify changes in condition that should prompt eltc/provider notification
3 Most older adults have at least 3 chronic diseases & take multiple medications Per CDC, those > 65yr old have more adverse drug events: More than 2 times as likely to visit ED Almost 7 times more likely to get admitted Changes in body composition and organ function
4 Polypharmacy Elimination Extrinsic Influences Physiological Changes
5 Focus on management of medical concerns vs function Functional status decline Increased falls Nosocomial infections Medications changes/additions Skin issues Kleinpell RM, Fletcher K, Jennings BM. Reducing Functional Decline in Hospitalized Elderly. In: Hughes RG, editor. Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Rockville (MD): Agency for Healthcare Research and Quality (US); 2008 Apr. Chapter 11. Available from: Gillick MR, Serrell NA, Gillick LS. Adverse consequences of hospitalization in the elderly. Soc Sci Med. 1982;16: Centers for Medicare and Medicaid Services. Chronic Conditions among Medicare Beneficiaries, Chartbook, 2012 Edition. Baltimore, MD. 2012
6 How do we identify who will go back to the hospital?
7 Age Polypharmacy Reduced Functional Status Length of Stay Multiple Co-morbidities Discharge to long-term care Silverstein MD, Qin H, Mercer SQ, Fong J, Haydar Z. Risk factors for 30-day hospital readmission in patients 65 years of age. Proceedings (Baylor University Medical Center). 2008;21(4): Centers for Medicare and Medicaid Services. Chronic Conditions among Medicare Beneficiaries, Chartbook, 2012 Edition. Baltimore, MD. 2012
8 Conditions and Payment Reductions: Acute Myocardial Infarction Heart Failure Pneumonia PCP approach to care Facility Staffing Distance to hospital Family s Role Patient Goals Lavenberg JG, Leas B, Umscheid CA, Williams K, Goldmann DR, Kripalani S. Assessing preventability in the quest to reduce hospital readmissions. Journal of hospital medicine : an official publication of the Society of Hospital Medicine. 2014;9(9): doi: /jhm.2226
9 Medical complexity balanced with Patient Directed Care
10 Philosophy of care which encourages patient and family choice Advanced Care Planning Patient Centered Goals of Therapy Individualized Care Planning
11
12 Seems different than usual Talks or communicates less Overall needs more help Pain (new/worse) or participated < activities Weight change Agitated or nervous > usual Tired, weak, confused, drowsy Change in skin color or condition Ate less Help with walking, transferring, toileting > usual No bowel movement x3 days or diarrhea Drank less Look for Early Warnings
13 Failed therapies or allergies Co-morbidities Changes in body composition Medication histories Regulatory Issues Cost Concerns A tool like the SBAR helps gather information
14 Grandma Johnson A Hypothetical Case Age: 86yr old Admit: 2wk ago for strengthening Hosp dx: Pneumonia & CHF Meds: clopidogrel metoprolol simvastatin lisinopril Sat 84% on 2L O 2 Wt: 170lb (up from 164lb 3 days ago) Vitals: Temp 98.4 Pulse 112 Resp 24 BP 100/54
15 Situation A change in weight was noted by the CNA Noted to be more short of breath walking to lunch today Similar symptoms leading up to hospitalization 2wk ago
16 Background In LTC for post-acute care Dx for hospitalization: pneumonia + CHF Increase weight of 6lb in 3 day Medications include diuretic & antiplatelet therapy BP 100/54, P 112, RR 24, T 98.4, Sat 84% on 2L Her family held a BD party for her over the weekend and she refused the diuretic
17 Summarization of observations & appearance: Assessment Mrs. Johnson s weight gain prompted us to do additional observations today. Increased SOB was noted with activity and with her history of CHF, we are concerned she may be experiencing an exacerbation
18 Review and Notify: We would like to request an assessment of Mrs. Johnson be done & possibly labs ordered Request
19 Immediate Notification Any symptom, sign or apparent discomfort that is: A marked change in relation to usual symptoms and signs OR Unrelieved by measures already prescribed Non-Immediate Notification New or worsening symptoms that do not meet above criteria 20Tools%206_17_15/148604%20Change_in_Condition.pdf
20 BP SBP > 200 or < 90 DBP > 115 Resting Pulse > 100 or < 50 Respirations > 28 or < 10 (per min) Oral Temp > O 2 Sat < 90% Report Immediately DBP > 90 New Irregular Pulse Weight Loss New onset anorexia +/- weight loss 5% within 30 days 10% with 6 months Weight Gain > 5lb in 1 week with: CHF Chronic renal failure Other volume overload Non-immediate
21 CBC WBC < 14,000 Hct/Hgb < 24/8 Plt < 50,000 Chemistry BUN > 60 Ca > 12.5 K < 3 or > 6 Na < 125 or > 155 Glu < 70 or > 300 CBC WBC > 10,000 without symptoms or fever Chemistry Glu consistently > 200 Hgb A1c Albumin Bilirubin Cholesterol/Triglycerides Other chemistries Report Immediately Non-Immediate
22 Consult Reports Recommendations for immediate action/change Drug Levels Level > therapeutic range INR > 6 (+)Urinalysis with signs/symptoms Urine Culture w/symptoms+>100,000 cc X-Ray New/unsuspected finding (fracture, pneumonia, CHF) Report Immediately Consult Reports Recommendations for routine action/change Drug Levels Therapeutic or low level INR 3-6 (+)Urinalysis without signs/symptoms Urine Culture w/no growth or symptoms X-Ray Old or long-standing finding; no change Non-immediate
23 * Abdominal pain, distention, tenderness *Abrasion *agitation *AMS *Appetite *Asthma *Back injuries, complaints *Behaviors *Bleeding- rectal *Blisters *Bowel Sounds *Burns *Chest complaints *Cold *Complaint pt or fam concern *Confusion *Consciousness, altered *Constipation *Contusions *Delirium *Depressed affect *DM *Diarrhea *Discolored skin *Dizziness *Dyspnea *Dysuria *Cough
24 *Earache *Edema *Fainting *Fall *Gait disturbance *Hallucinations *Head Injuries *Eye injury *Fever *Headache *Fracture, dislocation *Hearing loss *Hematuria *Hypothermia
25 *Incontinence, of stool or urine *Itching *Jaundice *Laceration *Lung sounds *Med error or side effects *Memory loss *Musculoskeletal pain
26 *Nausea *Pain *Rash *Seizure *Nocturia *Nosebleed *Personality change *Pressure sore *Puncture wounds *SOB *Skin tear *Sleep disturbance *Sore throat *Speech change *Splinters *Suicidal potential *Swallowing difficulty
27 *Toothache *Urination, pain, retention, hesitancy *Vaginal bleeding, spotting, discharge *Vision change *Walking difficulty *Weakness, arm, leg or general *Vomiting, persistent, recurrent or blood *Weight change *Wounds
28 Any clinical questions Question if resident needs a clinic or ER visit Medication or order clarification Advance care planning assistance Change in condition concerns Family requests resident to be seen by physician Discuss ways to address behavior issues INTERACT coaching
29 Admission Clarifications Medication Reviews Peer to Peer Advice Interdisciplinary Team consult ANYTHING We Are Here To Help
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What do you believe is causing your most important health concern?
Intake form Name Today s Date Date of Birth Address City Phone Postal Code Email Primary Health Care Provider Emergency Contact Phone Note: By providing your email address you are giving us consent to
Caspian Acupuncture -- Health History Form Anita Tayyebi EAMP, LAc. 652 SW 150 th St Burien WA 98166
Frist Name Last: Date Phone (H) (C) (W) E-mail Address City State Zip Age DOB Place of Birth _ Marital/Partnership Status Preferred Gender Pronoun _ Profession Family Physician Telephone # Referred By
Osher Center for Integrative Medicine Pediatric Intake Form Name: Date: Date of Birth: Age: Current Pediatrician:
Pediatric Intake Form Name: Date: Date of Birth: Age: Current Pediatrician: How did you hear about us? What are your goals for this visit? Where would you like to see improvement in your child s health?
NEW PATIENT HEALTH HISTORY
NEW PATIENT HEALTH HISTORY Patient Name Today s Date Age Birth Date Date of last physical examination What is your reason for initial visit? Pharmacy Name & Telephone # NOTE: If you have prior records
Enquiry Severity Immediate or other. Joint or muscle pain - any part of the body. Abdominal pain Acute Non-acute. Acne Anxiety Acute Non-acute
We operate a hybrid triage system offering a mixture of telephone consultations, on the day emergency consultations with a doctor or pre bookable (3 days in advance) GP / Nurse Practitioner appointments
Center for Advanced Wound Care New Patient Questionnaire Page 1 of 6
Center for Advanced Wound Care New Patient Questionnaire Page 1 of 6 These questions are general screening questions designed to identify areas where additional attention may be required. Please bring
MEDICAL QUESTIONNAIRE (female)
MEDICAL QUESTIONNAIRE (female) Slievemore Clinic, Old Dublin Road, Stillorgan, Co. Dublin. Tel 01-2000501 The appointment comprises of a discussion about this questionnaire and a subsequent medical examination.
Dear Mercy Cancer Center Radiation Oncology Patient
Dear Mercy Cancer Center Radiation Oncology Patient Welcome to our Department. In order to complete our records, and enable our physicians to ensure that your questions are fully addressed, we appreciate
Home Address. City Postal Code Home Telephone # Business Telephone # Address. Emergency Contact Name, Address, Phone#
Date Name / / last first middle initial Personal Health # - Male Female Home Address City Postal Code Home Telephone # Business Telephone # Cell # E-Mail Address Best way to contact you: Home # Work #
Ebele C. Chira, MD 1055 Clarksville Street, Suite 190, Paris, TX Phone (903) Fax (903)
Ebele C. Chira, MD 1055 Clarksville Street, Suite 190, Paris, TX 75460 Phone (903) 905-4609 Fax (903) 905-4611 Enclosed are forms for you to complete prior to your appointment. Please bring these completed
MEDICAL ASSESSMENT PART 1 - SOCIAL HISTORY
Smoking history Alcohol history Never Quit Never Quit PART 2 - MEDICAL HISTORY Date of last colonoscopy? Date of last mammogram? Date of last pap smear? Date of last flu vaccine? Date of last pneumonia
PHARMA DYNAMICS CLOPIDOGREL 75 mg PATIENT INFORMATION LEAFLET
PROPOSED PATIENT INFORMATION LEAFLET FOR PHARMA DYNAMICS CLOPIDOGREL 75 mg PATIENT INFORMATION LEAFLET SCHEDULING STATUS S3 PROPRIETARY NAME, STRENGTH AND PHARMACEUTICAL FORM PHARMA DYNAMICS CLOPIDOGREL
KEY TO LIFE CHIROPRACTIC
KEY TO LIFE CHIROPRACTIC REGISTRATION FORM Date Home Phone Cell Phone Email Last Name First Name Middle Initial Street Address City State Zip Sex M F Birth Date Occupation How did you hear about this office?
The information you provide us will greatly help us provide the highest quality and most comprehensive care for you.
Rheumatology (circle location of appointment) 111 Hundertmark Rd. Suite 115N 560 S. Maple St. Suite 400 place patient label here Chaska, MN 55318 Waconia, MN 55387 952-361-2450 952-361-2450 The information