Role of community pharmacists in diabetes management
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Role of community pharmacists in diabetes management

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This is a framework for community pharmacists to start a diabetes education program

This is a framework for community pharmacists to start a diabetes education program

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    Role of community pharmacists in diabetes management Role of community pharmacists in diabetes management Presentation Transcript

    • Role of Community Pharmacists in Diabetes Management Anas Bahnassi PhD CDM CDE
    • • A pharmacist is one of few medical professionals in the world to whom a patient or anyone else can go for a consultation or advice without an appointment. • They are knowledgeable about a myriad of aspects concerning patients and their medication. • It is thus of the utmost importance to take these skills into consideration when it comes to diabetic education. • Pharmacists have long-term relationships with most of their chronic patients, which sets a good foundation for mutual trust and respect and better patient compliance. 11/15/2013 2 The role of community pharmacist in diabetes management Strengths of community pharmacist
    • Provider of healthcare education Provider of pharmaceutical care Formulator, distributor, and compounder 11/15/2013 Provider of costeffective therapy Provider of essential care services Advisor on the safe and rational use of meds 3 The role of community pharmacist in diabetes management Pharmacy is a dynamic, information driven, patient-orientated profession
    • The role of community pharmacist in diabetes management • • • Wild S et al. Diabetes Care 2004;27:1047–53. Diabetes and disease state management An escalating epidemic with predictions of worldwide prevalence exceeding three million by 2030. Strict control of type 2 diabetes can delay the onset of the complications of this disease is costeffective, and brings about improvements in overall quality of life. Disease state management (DSM) approaches focus on intensive management of type 2 diabetes involving regular monitoring, followup, and continuity of care. 11/15/2013 4
    • The role of community pharmacist in diabetes management Pharmacist’s role in diabetes DSM Pharmacists are ideally placed to contribute to DSM programs and assist in the detection, education and referral of individuals at risk of diabetes. • • • • • • • Support of self blood glucose monitoring (SBGM) Monitor & promote patient adherence Identify and resolving drug-related problems Provide targeted education Monitor blood pressure, weight and lipids Remind patients of the importance of regular exams A disease management educator and tutor 11/15/2013 5
    • A small group of people interested in the same subject invite lecturers, and had discussions. The aim is to gain knowledge that does not only include facts but change ones existence. Knowledge should be sought by group members in texts as well as from their own experiences. The long-term goal of an SC for diabetes should be to develop a diabetes education program to teach glucose control and help participants cope with their diabetes. The pharmacy is a good setting since it is a widely distributed service. 11/15/2013 6 Clifford RM et al.Int J Pharm Pract 2002;10:85–9. The role of community pharmacist in diabetes management Study circles
    • Pharmacists should be trained to promote learning and be able to handle conflict that might arise out of group discussions. For some it can be hard in the beginning to abstain from lecturing and let the group do the work and it is therefore imperative that some knowledge of group dynamics is present. 11/15/2013 7 The role of community pharmacist in diabetes management Pharmacist as a SC facilitator
    • The role of community pharmacist in diabetes management Effective disease state management The key to effective diabetes management is the adoption of a systematic approach of: • Collecting • Interpreting, and • Acting on blood glucose data. 11/15/2013 Berringer R. et al. J Am Pharm Assoc 1999;39:791–7. 8
    • The role of community pharmacist in diabetes management Collection Glucose profiling has consistently been associated with improved glycemic control, whether evaluated as part of an intensive insulin management strategy or as a component of management of patients not treated with insulin. Intensive insulin therapy guided by SMBG performed at least four times per day was associated with a > 2.0% reduction in HbA1c. Similar findings were observed in patients with type-2 diabetes 11/15/2013 9
    • • Handwritten logbooks can be incomplete, inaccurate, and illegible faulty analyses of BG trends • The use of data-management software may help both patients and health care professionals manage these profiles and achieve glycaemic control. • A free online software provides text and graphic presentations of downloaded data. This may: 11/15/2013 • help in the management of patients’ diabetes • increase their knowledge of diabetes • increase SMBG frequency • improve overall glycaemic control • increase patients’ satisfaction with their care • be cost effective http://software.ascencia.com 10 The role of community pharmacist in diabetes management Interpretation
    • The role of community pharmacist in diabetes management Action • Base on systematic approach of pre- and postmeal targets • Management plan can be reassessed depending on changing glucose readings • Recognizing patterns and implement changes is critical. • Systematic use of glucose profiles improves glycaemic control • SMBG data be accurately obtained and reviewed. • Patient education may facilitate adherence to appropriate treatment regimens and improveoutcomes. 11/15/2013 11
    • The role of community pharmacist in diabetes management Ideal diabetes care program • Based on national standards for diabetes self-management education programs-Life with Diabetes • Pharmaceutical care + Education + Nutrition • Multidisciplinary program/ Dietitian • Advisory Board that oversees the Program 11/15/2013 12
    •         Overview of Diabetes Monitoring Complications Medications Foot, Skin, and Dental Care Coping with Diabetes Nutrition and Exercise Conclusion/ Wrap-up The role of community pharmacist in diabetes management Ideal educational sessions ideas
    • The role of community pharmacist in diabetes management Session outcomes Improvement in Clinical Markers • Blood glucose, HbA1c, BP, weight, etc. Improvement in patient’s quality of life Improvement in patient’s knowledge of the disease Patient’s satisfaction with the services Decrease in overall health care cost, hospitalizations, ER visits and complications of diabetes 11/15/2013 Krass I. et al. Diabet Med 2007;24:677–83. 14
    • The role of community pharmacist in diabetes management Challenges • Breaking new grounds • Slow Process – – – – 11/15/2013 Recognition Process Reimbursement Pharmacist Training Marketing Krass I. et al. Diabet Med 2007;24:677–83. 15
    • • Pharmacists could, in fact, play a more active role in quality diabetes care. • Systematically educated pharmacists could perform group education for diabetes patients, thus easing the burden on the primary health care centers and giving participants the time they need. • Mutual respect between medical professionals and the pharmacist for each other’s competence could lead to a well functioning system for all parties involved. 11/15/2013 16 The role of community pharmacist in diabetes management Sum-up
    • The role of community pharmacist in diabetes management The Community Pharmacist’s Role in Diabetes Management CE program for pharmacists Anas Bahnassi PhD CDM CDE abahnassi@gmail.com http://www.twitter.com/abpharm http://www.facebook.com/pharmaprof http://www.linkedin.com/in/abahnassi 11/15/2013 17