Objectives. 0 Identify medicines which increase the risk of falls and secondary injury on the farm/ranch.
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- Rosalyn Phelps
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2 Objectives 0 Identify medicines which increase the risk of falls and secondary injury on the farm/ranch. 0 Examine the impact of a medication assessment service on Missouri AgrAbility clients confidence in safe medication use and health-related quality of life. 0 Discuss ways to prevent medication-related falls and injuries on the farm/ranch.
3 Case study 0 RJ is a 72 year old Missouri farmer 0 Hobby farm on roughly 300 acres which includes: hay, corn, and 95 head of beef cattle 0 Medical conditions: 0 Parkinson s disease 0 Arthritis pain 0 Hypertension 0 Diabetes 0 Constipation 0 Depression 0 Seasonal Allergies 0 Past surgical history: 0 Hip replacement 1 year ago
4 Impact of Falls 0 1 in 3 adults 65 years experience a fall 0 Leading cause of both fatal and nonfatal injuries 0 Fear of falling 0 Most common cause of traumatic brain injury 0 Fracture 0 Reduces ability to function independently 0 $30 billion in medical cost
5 Medication-Related Agricultural Injury 0 Use of medications alone and in combination 0 Regular medication use increases risk times 0 Stomach, laxative medicines increase risk 2.8 times 0 Heart, circulatory medicines increase risk 4.2 times 0 Narcotic pain relievers increase risk 9.3 times 0 Non-narcotic pain relievers increase risk 2.4 times 0 Incontinence medicine increases risk 2.95 times 0 Anxiety or sleep medicine increases risk 3 times Risk factors for agricultural injury: a case-control analysis of Iowa farmers in the Agricultural Health Study. Accid. Anal. and Prev. 1996;28(4): Medications as risk factors for farm injury. Accid. Anal. and Prev. 1996;28(4): Health, medication use, and agricultural injury: a review. Am. J. Ind. Med.2009;52: Pain, medication and injury in older farmers. Am. J. Int. Med2006;49:
6 Objective 1: Identify medicines which increase the risk of falls and secondary injury on the farm/ranch. Condition 0 Arthritis/Chronic pain 0 Heart disease 0 Stroke 0 High blood pressure 0 Diabetes 0 Seizure disorders 0 Osteoporosis 0 Parkinson s disease 0 Depression 0 Alzheimer s disease 0 Dementia 0 Psychosis 0 Spasms Treatment 0 Narcotics 0 Water pills 0 Blood pressure medicine 0 Heart rhythm 0 Oral diabetes medicine 0 Insulin 0 Anticonvulsants 0 Antidepressants 0 Anti-anxiety medicine 0 Antipsychotics 0 Anti-nausea medicine 0 Allergy medicine 0 Anti-spasm medicine 0 Bladder medicine 0 Sleeping pills
7 Side effects of some medicines Dizziness Confusion Lightheadedness Drowsiness Blurred vision Gait disturbance
8 Objective 2: Examine the impact of a medication assessment service on Missouri AgrAbility clients confidence in safe medication use and healthrelated quality of life.
9 Knowing Your Population 0 58% of Missouri hospitals 0 Majority with fewer than 25 beds 0 18% of Missouri s primary care physicians Rural Missouri
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12 Why pharmacy students? 0 most accessible healthcare profession 0 among most trusted healthcare professionals 0 medication expert 0 Knowledge and Training 0 Assessment 0 Safe medication use 0 Communication skills 0 Health literacy 0 Adherence 0 Counseling 0 Education 0 Patient advocate
13 Safe medication use 0 No medication is benign 0 Assess drug interactions 0 Prevent adverse effects 0 Patient-centered 0 Educate and empower patients
14 Objective 3: Discuss ways to prevent medicationrelated falls and injuries on the farm/ranch Identify risk Advocate React Empower Connect with resources
15 Objective 3: Discuss ways to prevent medicationrelated falls and injuries on the farm/ranch 0 During the past 12 months were you injured seriously enough that you got medical advice or treatment? 0 Do you visit a primary care provider regularly? 0 Predisposing conditions 0 Do you take medicine for a condition? 0 Multiple physicians 0 Decreased alertness 0 Onsite Farmstead Assessment Identify risk
16 Identifying Potential Risks 0Sedation 0Dizziness 0Confusion 0Lightheadedness 0Blurred vision 0Gait disturbance
17 Objective 3: Discuss ways to prevent medicationrelated falls and injuries on the farm/ranch Identify risk Advocate React Empower Connect with resources
18 Objective 3: Discuss ways to prevent medicationrelated falls and injuries on the farm/ranch 0 Determine if changes to farm work 0 Recognize that medication side effects could be contributing 0 Recognize that chronic conditions could be contributing 0 Express concern for potential risks React
19 Objective 3: Discuss ways to prevent medicationrelated falls and injuries on the farm/ranch 0 Extension 0 Refer to pharmacist or physician for medication review especially at Transitions of Care! 0 Telehealth Networks 0 Health fair screenings 0 Falls Prevention Resources Connect with resources
20 Objective 3: Discuss ways to prevent medicationrelated falls and injuries on the farm/ranch 0Encourage overall health 0Motivate client to: 0 Place value to seeking care 0 Ask questions of their healthcare providers 0 Voice concerns about injuries or medicine Empower
21 Objective 3: Discuss ways to prevent medicationrelated falls and injuries on the farm/ranch 0Services & resources to resource-poor areas 0Extension 0Access to care Advocate
22 Red Flags 0 Balance impairment 0 Changes in sensorimotor function/skills 0 Recent falls 0 Recent hospitalization 0 Altered confidence in ability to work on the farm 0 Changes to farm management 0 Changes to family involvement
23 Case study 0 RJ is a 72 year old Missouri farmer 0 Hobby farm on roughly 300 acres which includes: hay, corn, and 95 head of beef cattle 0 Medical conditions: 0 Parkinson s disease 0 Arthritis pain 0 Hypertension 0 Diabetes 0 Constipation 0 Depression 0 Seasonal Allergies 0 Past surgical history: 0 Hip replacement 1 year ago
24 Case study Onsite Farmstead Visit information collected: 0 Recent fall 1 month ago 0 Fall resulted in hospitalization 0 Requests assistive devices for stability 0 RJ states: I m just not as strong as I was before the fall.
25 Case study: How would you provide assistance to RJ? Identify risk Advocate React Empower Connect with resources
26 Questions?
Learning Objectives. 1. Identify medications which may increase risk of injury to farmers or those in agriculture
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Thank you for attending your annual health maintenance exam. Depending on your health insurance plan, you may receive preventative benefits for a reduced copay or no copay. We would like to clarify the