A Case Improving Somnolence Through Pharmacist Intervention with Special Nursing Home Resident

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  • Hashimoto Ryota
    Saera Pharmacy Education and Research Center for Clinical Pharmacy, Osaka University of Pharmaceutical Sciences Department of Social and Administrative Pharmacy, Osaka University of Pharmaceutical Sciences
  • Fujii Keiko
    Saera Pharmacy
  • Shimoji Shizuka
    Saera Pharmacy
  • Nakamura Toshiaki
    Education and Research Center for Clinical Pharmacy, Osaka University of Pharmaceutical Sciences
  • Onda Mitsuko
    Department of Social and Administrative Pharmacy, Osaka University of Pharmaceutical Sciences

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<p>Aim: To examine the case in which somnolence has been alleviated as a result of pharmacist’s intervention with residents of special nursing home receiving polypharmacy.</p><p>Methods: The case was extracted from the subjects who had been enrolled in an interventional study conducted by the authors. Information was collected based on records of the pharmacist’s intervention, and analyzed to identify the reasons the interventions were successful.</p><p>Results: The patient was a female who had been prescribed a drug classified as a potentially inappropriate medication (PIM) according to STOPP-J. In the case, Risperidone was reduced the dose. The resident’s improved somnolence and tremors during the day resulting in the resident’s activity level and Quality of Life (QOL).</p><p>Conclusion: The factors that contributed to alleviating the patients’ somnolence were (1) the adverse events were associated with PIMs and the prescriptions were modified, (2) the pharmacists shared information with other medical professionals, and (3) the pharmacists gave the patients individualized attention and monitoring, in collaboration with other medical professionals in a multidisciplinary approach.</p>

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