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Taking your medications as prescribed: Smartphones can help

Taking your medications as prescribed: Smartphones can help | Non medical prescribing | Scoop.it
Many people don't take their medications exactly as prescribed. While some do this purposefully, plenty more simply forget. Researchers have studied several different methods to help people remember their medication, but a new study has revealed one that stands out among the rest: texting. While the study does have some limitations, it's an impressive reminder that the technology sitting in many people's pockets and purses can be a powerful tool to help them improve their health.
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The post Taking your medications as prescribed: Smartphones can help appeared first on Harvard Health Blog.
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How deprescribing medications to seniors keeps them safer

How deprescribing medications to seniors keeps them safer | Non medical prescribing | Scoop.it
Health-care workers, patient groups and governments are striving to cut inappropriate prescriptions for seniors by 50 per cent by 2020. The fledgling Canadian Deprescribing Network focuses on discontinuing or tapering off three classes of medications: sedative hypnotics known as benzodiazepines, proton pump inhibitors  and some long-acting oral diabetes drugs. The 50 per cent target is an ambitious one that reflects the degree of overprescription for these three medication classes, said Dr. James Silvius, a geriatrician at Rockyview General Hospital in Calgary. Olga Deacon, who has dementia, speaks with her granddaughter, Chris Boyce, in a replica 1940s kitchen at a nursing home in Easton, Pa. (Matt Rourke/Associated Press) Silvius said sedative hypnotics have been prescribed for years to older individuals who see their doctor complaining of not getting enough sleep. He estimates at least 60 per cent of patients coming to his clinic from the community are taking a sleeping pill. But Silvius said only five per cent at most should be.   "The problem is very rapidly people habituate to them and when they try to stop taking them, they don't sleep. They make the association in their mind that the sleeping pill is required to get sleep and it becomes a vicious cycle," said Silvius, one of the principal investigators with the Canadian Deprescribing Network. Family physicians prescribe benzodiazepines to help with sleep in the short term. When they are taken for years, problems can arise because the drugs are associated with significant side-effects including risk of falls, daytime sleepiness and confusion, he said. Silvius would like to see people view sleep differently as they get older, recognizing sleep patterns tend to shift towards earlier bedtimes and awakenings. Those changes make habits such as not keeping lights on in the room all the more important. At the same time, some doctors are prescribing other classes of medications with sedating effects. Nearly two-thirds of people 65 and older in 2012 were taking five or more prescription drugs, according to the Canadian Institute for Health Information (CIHI).  On Thursday, the institute released a report on use of anti-psychotics among seniors living in long-term care facilities. Safety concerns around the use of anti-psychotics by seniors are also well documented. These include sedation, sudden drops in blood pressure, falls, fractures, stroke and death, the report's authors noted. In 2014, 39 per cent of these seniors had at least one claim for an anti-psychotic medication and 22 per cent were considered chronic users. About 51 per cent of seniors with highly aggressive behaviours were taking anti-psychotics, compared with 35 per cent with moderate levels and 20 per cent for those showing no aggression. "The rate of use among seniors exhibiting highly aggressive behaviours suggests that even in the most severe cases, where residents or caregivers may be at risk of harm, non-drug treatment options are being considered," the report's authors said. Long-term care facilities across Canada have been successful in decreasing their use of anti-psychotics, progress Silvius called phenomenal.  At Trinity Village Care Centre in Kitchener, Ont., about 28 per cent of residents were taking anti-psychotics before staff introduced changes such as music and memory and art programs. After a year, that fell to six per cent. Now with new admissions, about 11 to 13 per cent of residents take anti-psychotic medications, said Sharon Jackson, behaviour supports lead at the centre. "For many of these behaviours, the medications actually don't have any effect other than sedating the resident. It's a lot better to find other ways to engage the residents," Jackson said.  Staff and volunteers now focus on not igniting aggressive behaviours. They give residents time to make as many decisions as possible, such as choosing colours and brush strokes when they paint. Mike Giovinazzo's father, Vincent Giovinazzo, 79, has dementia and moved to Trinity Village from another facility two years ago. The anti-psychotic medication has been decreased, and it's made a huge difference. Previously, he was off in a room by himself, unable to recognize anyone. "Now he's more interactive and talkative," Mike Giovinazzo said.
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Independent non-medical prescribing for paramedics : Nursing Standard: Vol. 29, No. 51 (RCNi)

Independent non-medical prescribing for paramedics : Nursing Standard: Vol. 29, No. 51 (RCNi) | Non medical prescribing | Scoop.it
#NWASLKSParamedic "Independent non-medical prescribing for paramedics" via JournalTOCs API - articles http://t.co/rhdcQ4sWA6
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The effects of nurse prescribing: A systemat... [Int J Nurs Stud. 2014] - PubMed - NCBI

PubMed comprises more than 23 million citations for biomedical literature from MEDLINE, life science journals, and online books. Citations may include links to full-text content from PubMed Central and publisher web sites.
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Where Does It Hurt? Log On. The Doctor Is In - Wall Street Journal

Where Does It Hurt? Log On. The Doctor Is In - Wall Street Journal | Non medical prescribing | Scoop.it
Where Does It Hurt? Log On. The Doctor Is In Wall Street Journal If it is one of 40-50 conditions Virtuwell treats—including yeast and bladder infections—a nurse practitioner sends a treatment plan, often with a prescription.
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Doctors prescribe costlier drugs if they're given free samples, shows study - Haaretz

Doctors prescribe costlier drugs if they're given free samples, shows study - Haaretz | Non medical prescribing | Scoop.it
Haaretz Doctors prescribe costlier drugs if they're given free samples, shows study Haaretz The study, conducted by the Stanford University School of Medicine in California, finds that doctors who receive free drug samples are prompted to prescribe...
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NIH grant to further SLU research on link between prescription painkillers and ... - EurekAlert (press release)

NIH grant to further SLU research on link between prescription painkillers and ... - EurekAlert (press release) | Non medical prescribing | Scoop.it
NIH grant to further SLU research on link between prescription painkillers and ...
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'Medication errors due to illegible prescriptions and low staff levels' - Irish Examiner

'Medication errors due to illegible prescriptions and low staff levels' - Irish Examiner | Non medical prescribing | Scoop.it
'Medication errors due to illegible prescriptions and low staff levels' Irish Examiner Illegible prescriptions and low staffing levels are considered by both doctors and nurses as two of the reasons why medication errors occur, new research shows.
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Terminally ill patients get inadequate pain relief - OnMedica

Terminally ill patients get inadequate pain relief - OnMedica | Non medical prescribing | Scoop.it
Terminally ill patients get inadequate pain relief OnMedica The issue surrounding around the clock care was also highlighted in a new report published by Marie Curie today, called 'Difficult Conversations with Dying People and their Families', in...
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The Association for Nurse Prescribing » Indemnity insurance for ...

The 'large majority of nurses and midwives will already meet the new requirement and will not need to take any further action', says the NMC, confirming that employees in the NHS or the independent sector will normally be covered by their...
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Nurse independent prescribing qualification impact on prescribing - Your thoughts?

Nurse independent prescribing qualification impact on prescribing - Your thoughts? | Non medical prescribing | Scoop.it
An article was published on the PULSE website on 14th February titled: 'Nurse independent prescriber qualification has had little overall impact on prescribing' which looks at how nurse prescribing within...
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Expanded roles may ease doctor shortfall - Mansfield News Journal

Expanded roles may ease doctor shortfall - Mansfield News Journal | Non medical prescribing | Scoop.it
Expanded roles may ease doctor shortfall Mansfield News Journal Depending on the state in which they practice, nurse practitioners and physician assistants perform many of the same duties as a doctor, including diagnosis and treating certain...
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Big pharma and healthcare providers join forces to promote wellbeing - The Guardian

Big pharma and healthcare providers join forces to promote wellbeing - The Guardian | Non medical prescribing | Scoop.it
The Guardian Big pharma and healthcare providers join forces to promote wellbeing The Guardian In 2011, for instance, the US pharmaceuticals company worked with the Velindre Cancer Centre in Wales to develop nurse-led follow-up clinics for patients...
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How deprescribing medications to seniors keeps them safer

How deprescribing medications to seniors keeps them safer | Non medical prescribing | Scoop.it
Health-care workers, patient groups and governments are striving to cut inappropriate prescriptions for seniors by 50 per cent by 2020. The fledgling Canadian Deprescribing Network focuses on discontinuing or tapering off three classes of medications: sedative hypnotics known as benzodiazepines, proton pump inhibitors  and some long-acting oral diabetes drugs. The 50 per cent target is an ambitious one that reflects the degree of overprescription for these three medication classes, said Dr. James Silvius, a geriatrician at Rockyview General Hospital in Calgary. Olga Deacon, who has dementia, speaks with her granddaughter, Chris Boyce, in a replica 1940s kitchen at a nursing home in Easton, Pa. (Matt Rourke/Associated Press) Silvius said sedative hypnotics have been prescribed for years to older individuals who see their doctor complaining of not getting enough sleep. He estimates at least 60 per cent of patients coming to his clinic from the community are taking a sleeping pill. But Silvius said only five per cent at most should be.   "The problem is very rapidly people habituate to them and when they try to stop taking them, they don't sleep. They make the association in their mind that the sleeping pill is required to get sleep and it becomes a vicious cycle," said Silvius, one of the principal investigators with the Canadian Deprescribing Network. Family physicians prescribe benzodiazepines to help with sleep in the short term. When they are taken for years, problems can arise because the drugs are associated with significant side-effects including risk of falls, daytime sleepiness and confusion, he said. Silvius would like to see people view sleep differently as they get older, recognizing sleep patterns tend to shift towards earlier bedtimes and awakenings. Those changes make habits such as not keeping lights on in the room all the more important. At the same time, some doctors are prescribing other classes of medications with sedating effects. Nearly two-thirds of people 65 and older in 2012 were taking five or more prescription drugs, according to the Canadian Institute for Health Information (CIHI).  On Thursday, the institute released a report on use of anti-psychotics among seniors living in long-term care facilities. Safety concerns around the use of anti-psychotics by seniors are also well documented. These include sedation, sudden drops in blood pressure, falls, fractures, stroke and death, the report's authors noted. In 2014, 39 per cent of these seniors had at least one claim for an anti-psychotic medication and 22 per cent were considered chronic users. About 51 per cent of seniors with highly aggressive behaviours were taking anti-psychotics, compared with 35 per cent with moderate levels and 20 per cent for those showing no aggression. "The rate of use among seniors exhibiting highly aggressive behaviours suggests that even in the most severe cases, where residents or caregivers may be at risk of harm, non-drug treatment options are being considered," the report's authors said. Long-term care facilities across Canada have been successful in decreasing their use of anti-psychotics, progress Silvius called phenomenal.  At Trinity Village Care Centre in Kitchener, Ont., about 28 per cent of residents were taking anti-psychotics before staff introduced changes such as music and memory and art programs. After a year, that fell to six per cent. Now with new admissions, about 11 to 13 per cent of residents take anti-psychotic medications, said Sharon Jackson, behaviour supports lead at the centre. "For many of these behaviours, the medications actually don't have any effect other than sedating the resident. It's a lot better to find other ways to engage the residents," Jackson said.  Staff and volunteers now focus on not igniting aggressive behaviours. They give residents time to make as many decisions as possible, such as choosing colours and brush strokes when they paint. Mike Giovinazzo's father, Vincent Giovinazzo, 79, has dementia and moved to Trinity Village from another facility two years ago. The anti-psychotic medication has been decreased, and it's made a huge difference. Previously, he was off in a room by himself, unable to recognize anyone. "Now he's more interactive and talkative," Mike Giovinazzo said.
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Nurse Prescribing: Latest Issue

Nurse Prescribing: Latest Issue | Non medical prescribing | Scoop.it
Nurse Prescribing is the only monthly journal dedicated solely to addressing the clinical and professional issues relevant to nurses with prescribing skills and responsibilities.
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Share and share alike for better health care - Scotsman

Share and share alike for better health care - Scotsman | Non medical prescribing | Scoop.it
Scotsman Share and share alike for better health care Scotsman The NHS has also supported non-medical prescribing meaning that now many professionals including pharmacists may be prescribing medication for the same patient.
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Non-Medical Prescribing - Healthcare Conferences UK

Non-Medical Prescribing - Healthcare Conferences UK | Non medical prescribing | Scoop.it
@iainloughran @WePharmacists @PrescribersUK Sorry wrong link, correct link to Non Medical Prescribing Conference here http://t.co/0MTxw4RMmm
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Sure will be good but extortionate
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@nmpgcu Prescription drug use, abuse - Worcester Telegram

@nmpgcu Prescription drug use, abuse - Worcester Telegram | Non medical prescribing | Scoop.it
Prescription drug use, abuse Worcester Telegram ... with a high danger of abuse.
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The Code of Practice for the Pharmaceutical Industry 2014 - ABPI

The Code of Practice for the Pharmaceutical Industry 2014 - ABPI | Non medical prescribing | Scoop.it
The Code of Practice for the Pharmaceutical Industry 2014 (Some learning on ethical practice within the pharmaceutical industry for my non medical prescribing course :) http://t.co/h5CsJjecYy)...
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Marco Antonio Gonzalez's curator insight, April 15, 2014 9:10 AM

The Code Practice Pharmaceutical Industry 2014  in UK

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Safety and quality of nurse independent prescribing: a national study of experiences of education, continuing professional development clinical governance - Smith - 2014 - Journal of Advanced Nursi...

Safety and quality of nurse independent prescribing: a national study of experiences of education, continuing professional development clinical governance - Smith - 2014 - Journal of Advanced Nursi... | Non medical prescribing | Scoop.it
New in @jadvnursing Safety and quality of nurse independent prescribing: a national study of experiences of educat... http://t.co/VW1xFIoJzd
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Changes in nurses' views and practices concerning nurse prescribing between 2006 and 2012: results from two national surveys - Kroezen - 2014 - Journal of Advanced Nursing - Wiley Online Library

Changes in nurses' views and practices concerning nurse prescribing between 2006 and 2012: results from two national surveys - Kroezen - 2014 - Journal of Advanced Nursing - Wiley Online Library | Non medical prescribing | Scoop.it
New in @jadvnursing Changes in nurses' views and practices concerning nurse prescribing between 2006 and 2012: res... http://t.co/eXXmBCxOft
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Data on antibiotic use in non-EU countries should stimulate development of ... - Medical Xpress

Data on antibiotic use in non-EU countries should stimulate development of ... - Medical Xpress | Non medical prescribing | Scoop.it
Medical Xpress Data on antibiotic use in non-EU countries should stimulate development of ...
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BMC Health Services Research | Full text | Trends over time in prescribing by English primary care nurses: a secondary analysis of a national prescription database

A growing number of countries legislate for nurses to have medication prescribing authority although it is a contested issue.
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Some interesting findings
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Nurse practitioner prescribing practice in Australia: Confidence in aspects of medication management - Cashin - 2014 - International Journal of Nursing Practice - Wiley Online Library

Nurse practitioner prescribing practice in Australia: Confidence in aspects of medication management - Cashin - 2014 - International Journal of Nursing Practice - Wiley Online Library | Non medical prescribing | Scoop.it
New in IJN Nurse practitioner prescribing practice in Australia: Confidence in aspects of medication management http://t.co/kaDt8rL50R
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The Association for Nurse Prescribing » RCN withdraws indemnity ...

The RCN says that all employers - the NHS (including for bank or agency work), GP practices, independent sector, out-of-hours providers and so on - “have vicarious responsibility for the actions of their staff” and should cover ...
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