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ISSN 1561-2988 (Print)

2014, Number 1

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Rev Cubana Farm 2014; 48 (1)

Uruguayan experience in community-wide active pharmaceutical care

Vázquez M, Ravera E, Fagiolino P, Eiraldi R, Maldonado C, Alvariza S, Guevara N, Magallanes L

Language: Spanish
References: 24
Page: 63-72
PDF size: 110.00 Kb.


ABSTRACT

Objective: to conduct a health promotion activity for the population on the rational use of drugs, in which students participate with the rest of the health team and to analyze pharmacotherapeutic data collected in this educational activity.
Methods: a pharmaceutical care tent was put up on a public area for three days where physicians and pharmacists participated, giving talks on various prevailing health issues that affect the Uruguayan population. Also, a number of pharmaceutical care students, as part of their practical training, participated in this activity by interviewing passers-by, filling out forms of pharmacotherapeutic profiles and of consumption of herbal medicines and giving people some information leaflets. A research study was carried out from the data collected in these pharmacotherapeutic forms.
Results: the students actively participated in filling out the pharmacotherapeutic profiles and keeping fluent communication with the audience and with health professionals. One hundred and seventeen pharmacotherapeutic forms were completed (90 women and 27 men). Sixty percent of the interviewed people consumed herbal medicines. Sixty people received four or more medicines. Antihypertensive drugs were the most commonly used. Twenty three people had hypothyroidism and two people in this group were treated with lithium for bipolar disorder. In the female group 18 took anxiolytics, 12 antidepressants, 7 hypnotic drugs and 2 antipsychotic drugs. Nineteen people reported high cholesterol condition and 14 of them took medication. Fourteen had osteoarthritis and 10 were under painkiller treatment. Nine people had gastritis and this group showed high consumption rates of coffee and mate. Six women over 50 years old reported having osteoporosis and only 3 of them took calcium-based medication and vitamin D.
Conclusions: the experience was well-accepted by the public and once again, the need for responsible health education of the population was demonstrated.


REFERENCES

  1. Haig MG, Kiser LA. Effect of Pharmacist participation on a medical team on costs, charges, and length of stay. Am J Hosp Pharm. 1991;48:1457-62.

  2. Spooner LE, May JR. How you can help to avoid medication errors in your hospital pharmacy. Pharm Times. 1987;53:101-5.

  3. Mc Kenney JM, Wasserman AJ. Effect of advanced pharmaceutical services on the incidence of adverse drug reactions. Am J Hosp Pharm. 1979;36:1691-7.

  4. Hepler CD, Strand LM. Opportunities and responsibilities in pharmaceutical care. Am J Hosp Pharm. 1990;47:533-43.

  5. Plake KS, Wolfgang AP. Impact of experiential education on pharmacy students' perceptions of health roles. Am J Pharm Educ. 1996;60:13-9.

  6. Manasse HR. The need for health team education. US Pharmacist. 1997;22:57-77.

  7. Shepard K, Yeo G, McGann L. Successful components of interdisciplinary education. J Allied Hlth. 1985;14:297-303.

  8. Popovich NG, Wood OB, Brooks JS, Black DR. An elective, interdisciplinary health care case studies course. Am J Pharm Educ. 2000;64:363-71.

  9. Borrego ME, Rhyne R, Hansbarger LC, Geller Z, Edwards P, Griffin B, et al. Pharmacy student participation in rural interdisciplinary education using problem based learning (PBL) case tutorials. Am J Pharm Educ. 2000;64:355-63.

  10. Duerst B, Boh L, Rosowski P, Elvers L, Geurkink E, Hanson J. Fostering interdisciplinary education for students in a rural health care setting. Am J Pharm Educ. 1997;61:371-4.

  11. Ray MD. Shared borders: achieving the goals of interdisciplinary patient care. Am J Health-Syst Pharm. 1998;55:1369-74.

  12. Facultad de Química. Plan de Estudios 2000. Montevideo: Universidad de la República. [citado 23 Abr 2012]. Disponible en: http://www.fq.edu.uy/bedelia/

  13. Spinella M. Herbal medicines and epilepsy: the potential for adverse interactions. Epilepsy and Behavior. 2001;2:524-32.

  14. Cupp MJ. Herbal Remedies: Adverse Effects and Drug Interactions. Am Fam Physician. 1999;59(5):1239-44.

  15. Rosenblatt M, Mindel J. Spontaneous hyphema associated with ingestion of Ginkgo biloba extract [Letter]. N Engl J Med. 1997;336:1108.

  16. Foster S. Herbal medicine: an introduction for pharmacists. NARD J. 1996;10:127-44.

  17. Matthews MK. Association of Ginkgo biloba with intracerebral hemorrhage [Letter]. Neurology. 1998;50:1933-4.

  18. Rowin J, Lewis SL. Spontaneous bilateral subdural hematomas associated with chronic Ginkgo biloba ingestion. Neurology. 1996;46:1775-6.

  19. Gilbert GJ. Ginkgo biloba [Letter]. Neurology. 1997;48:1137.

  20. Steinman MA, Landefeld CS, Rosenthal GE, Steinman MA, Berthenthal D, Sen S, et al. Polypharmacy and prescribing quality in older people. J Am Geriatr Soc. 2006;54:1516-23.

  21. Ministerio de Salud Pública. Dirección General de la Salud División Epidemiología. 1ª Encuesta Nacional de Factores de Riesgo de Enfermedades Crónicas no Transmisibles. La Habana: Ministerio de Salud Pública; 2006.

  22. Nathan DM, Buse JB, Davidson MB, Heine RJ, Holman RR, Sherwin R, et al. Management of hyperglycemia in type 2 diabetes: A consensus algorithm for the initiation and adjustment of therapy: a consensus statement from the American Diabetes Association and the European Association for the Study of Diabetes. Diabetes Care. 2006;29:1963.

  23. Cowdry RW, Wehr TA, Zis AP, Goodwin FK. Thyroid abnormalities associated with rapid cycling bipolar illness. Arch Gen Psychiatry. 1983;40:414-20.

  24. Lazarus JH. The effects of lithium therapy on thyroid and thyrotropin-releasing hormone. Thyroid. 1998;8:909-13.




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