“As Taiwan’s aging society deepens, pharmacists are playing an increasingly important role in Taiwan’s long-term care and home pharmacy services. Professor Tan Yanhui from the Pharmacist Care Development Center of the Taiwan Pharmacists’ Association长期照顾与居家药学服务中的可以发挥哪些作用。
谭延辉教授
谭延辉教授
台湾药师公会全联会药事照护发展中心执行长
保龙国际事业股份有限公司药事照护事业群总裁
台湾药The meaning of personal care
Pharmaceutical service is a broad term. If it refers to directly taking care of patients’ drug treatment, it is called pharmaceutical care in Taiwan. The National Federation of Pharmacists’ Associations specially established “pharmaceutical care development center” at the end of 2009, pharmaceutical care It is recognized as the professional practice of pharmacists to directly take care of individual patients' drug treatment, which is defined as an independent practicing pharmacist who responsibly evaluates, formulates and implements all medical conditions and medications for a specific patient's drug treatment Plan and follow up the curative effect, to ensure that the patient’s drug treatment is in compliance with the indications, , effective, safe and highly cooperative, so as to improve their quality of life. social institutions) are composed of doctors, nurses, consulting pharmacists, other health care professionals (health care professionals), assistants and other personnel, so the decision on drug treatment should be made by various professionals according to the physiological state of the resident and the complexity of the indications.建设性的沟通讨论后，再决定最适合此住民的药物治疗。
护理之家就是一个各医疗专业人员（multidisprine）组合的医疗团队或, 其中就包含了药师的角色。
药师在长照机构
evaluates whether the drug delivery environment and equipment are appropriate;
evaluates the correctness of the drug delivery process and execution (including controlled drugs);
confirms whether the drug storage and inspection process is implemented (including First aid and controlled drugs);
provides drug information for residents, family members and medical and nursing staff;
performs drug treatment assessment, discusses the appropriateness and safety of drug treatment for residents, and discovers, solves and prevents drug treatment problems;
participates in the organization Interprofessional meetings provide professional advice in pharmacy care.
The role of pharmacists in home cases
Patients’ medication confusion
Oftentimes a patient may have multiple doctors taking care of them, each doctor prescribes medicines correctly, but may not know what other doctors prescribed.
Patients are often dispensed in pharmacies in different places, and there are no professionals to keep records of all the medicines patients take at home.
After returning home, the patient faced many kinds of medicines and bought health food or traditional Chinese medicine. He had many doubts and often did not take the medicines on time.
The role of pharmacists
If pharmacists can obtain all medication information from pharmacies, homes or long-term care institutions, they can avoid drug treatment problems such as repeated medication, treatment contraindications, interactions, and over- or under-dose.
Pharmacists should have a service platform to help the public eliminate doubts or solve drug treatment problems, so as to achieve drug safety and promote health.
For cases with poor cooperation and stable medication, pharmacists should pack and deliver them in meal packs to increase medication safety (reduce wrong medication); prescribingConvenience (easy to carry, easy to use, save time to take medicine); correctness (reduce repeated medication, interaction); relieve residents worries (know whether they have taken medicine); increase residents independence (No need for relatives to help take medicine); increase curative effect (can take correct medicines on time).
药事照护所谈的病人照顾流程
发现问题
评估（Assessment）
＊收集病人数据，了解用药需求/评估病情
＊收集所有用药经验/整理出目前用药档案
＊评估出药物治疗问题(drug therapy problems)
＊Establish disease care priority
Solve problems
Develop and implement care plan (Care Plan)
＊Judgment service (for physicians)
＊Consultation service on drug compatibility/special dosage form guidance (for patients)
Self-care consultation service
＊Medicine subpackage service
＊Residual drug inspection/discarded drug clearance
＊Adverse reaction detection service
＊Drug delivery/medication guidance
Tracking whether the problem is solved
Follow-up and Evaluation
＊Record physician prescribing/patient medication behavior changes
＊Evaluate disease control progress
＊Occurrence of drug side effects
＊Assess whether there are new problems
Created by high-quality pharmacists in the future. Friendly pharmacy services to realize greater value for pharmacists.
Source of article: Sub-forum "Clinical Drug Management and Rational Drug Use" of the 11th Straits Forum Health Sub-forum
Editor of this article: Li Lin
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