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Mandatory Discharge Counseling Case Study

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Mandatory Dischage Counseling

I think a mandatory discharge counseling program for senior citizens aged 65 or older would be beneficial. This mandatory discharge counseling would be provided in the inpatient hospital setting after the prescriber has cleared the patient to be discharged and prescribed the discharge medication. I think having the pharmacist counsel the patient before they leave is extremely important. Elderly patients are more likely to be on mulitple medications as well has have more chronic illnesses. Medication reconciliations are performed for some but not all patients in a inpatient hospital setting. Having a more extensive medication reconciliation with required mandatory discharge counseling for the elderly …show more content…
This gives the patient another opportunity to ask questions for the pharmacist. The pharmacist could also follow up with the patient’s pharmacy to see if the patient is refilling on time. This mandatory discharge counseling is quite extensive and requires a great amount of time from the pharmacist. This could be a position for a pharmacist in the hospital. The pharmacists would review patient profiles and go counsel the patients when they are ready. This counseling is not just a simple one or two questions medication reconciliation though. This requires the pharmacist to be knowledgeable about the patient’s disease states and medications before they enter the room to do the counseling. This way, the pharmacist can address questions from the patient that a patient would never have had the opportunity to ask a physician, dietician, or pharmacist. The interaction would not be rushed by the pharmacist as there is no quota to meet and their salary would not be affected by the number of patients seen. It would be a casual, open conversation between the pharmacist and the elderly patient with no time restrictions. The healthcare process is so rushed and busy that it seems the patient never has time to just sit and talk with their healthcare provider. Giving the patient this opportunity would help increase the patient’s knowledge about their medications, as well as increase medication safety and adherence. This is a domino effect as this would lower hospital admissions, which would decreases health care costs (for hospital and insurance). Quality is improved for the patient’s health and the patient is given access to a pharmacist’s knowledge about medications. Impact of this could hopefully increase life expectancy and quality of life for the

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