Geriatrics/Gerontology Rotation

(Also refer to the general goals and objectives for PhPr 803)

Goals

  • To develop a pharmacist who can select, initiate, and monitor drug therapy for achievable therapeutic outcomes.
  • To develop a pharmacist who can provide drug information in the pharmaceutical care practice setting.
  • To develop a pharmacist who has good problem identification skills, problem-solving skills, and professional judgement.
  • To develop a pharmacist who has good interpersonal/professional relationships.

Objectives

At the completion of this rotation, the student should be able to:

1. Describe physiologic changes that occur as the result of aging, and discuss how these changes effect the pharmacokinetic and pharmacologic action(s) of medication in the elderly patient.

2. Demonstrate the ability to communicate pertinent information concerning patients' drug therapy to health care professionals.

3. Describe the pathophysiology, rational therapeutic interventions, and monitoring parameters for the following common diseases encountered in the elderly:

  • Angina Pectoris
  • Bowel/Bladder Incontinence
  • Common Anemias
  • Congestive Heart Failure
  • Dementias
  • Depression
  • Diabetes Mellitus
  • Hypertension
  • Hypnotic Use in the Elderly
  • Arrhythmias
  • Insomnia
  • Osteoporosis
  • Parkinson's Disease
  • Peptic Ulcer Disease
  • Pneumonias
  • Pressure Sores
  • TIAs
  • Urinary Tract Infections
  • Seizure Disorders
  • Bipolar Illness & Schizophrenia

4. Describe the role and function of the clinical pharmacist as a member of the geriatric health care team.

5. Describe the role of the pharmacist as a consultant to the administration, staff, and patients of a long-term care facility.

6. Discuss the various federal and state rules and regulations pertaining to the provision of pharmaceutical services in a long-term care facility.

Responsibilities

The responsibilities of the student during this rotation shall include the following:

  1. Attend and participate in medical or pharmacy rounds with clinical pharmacist and/or medical providers.
  2. Attend and participate in patient care planning, pharmacy rounds, and any special conferences or meetings.
  3. Perform at least one in-service presentation to the medical, nursing, or pharmacy staffs.
  4. Conduct or participate in discussions concerning specific patients and/or various disease states with the instructor during the rotation. Be prepared to present assigned patients in a brief manner throughout rotation.
  5. Assist students who have less rotation experience by reviewing with them their assigned patients.
  6. Provide requested drug information or pharmacokinetic consultations to medical, nursing, and/or pharmacy staffs.
  7. For resident care conference, monitor all drug therapy administered to patients being reviewed as well as report any potential or real problems to the medical staff at these conferences.
  8. Complete recommended readings and quizzes if any given during rotation.
  9. Attend and participate in pharmacy case conferences on a weekly basis.

Attendance

Attendance is required for successful completion of this rotation. Excessive or unexcused absences can result in the student being administratively dropped and/or receiving a grade of "E" for the rotation. Please call or inform instructor if you are unable to attend any days.

 

Originally posted: August 29, 2013
Last updated: July 1, 2016
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