Pharmaceutical Care in VA Nursing Home

Study Overview
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Brief Summary
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This study investigates the effect of pharmaceutical care on a Veteran nursing home. 100 patients will be selected into this controlled study.The hypothesis are: After patients receive pharmaceutical care, their drug related problems will be decreased. After patients received pharmaceutical care, their self-reported medical expenditure will be decreased.

Detailed Description
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Around 200 residents in a Veteran nursing home will be selected for reviewing inclusion and exclusion criteria. A total of 100 subjected are selected into this randomized controlled trial. Each group will have 50 subjects and then divides into 4 subgroup, according to their drug items used (5-7 and over 8 items used). The inclusion criteria: Residents of the Veteran nursing home. over 65 years old. complete comprehensive geriatric assessment (CGA) prescription drugs more than 4 times/day, excluding stat order. with 2 or more chronic diseases. Exclusion criteria: 1. residents who were in the pharmaceutical care project of Taiwan Pharmacists Association.

Official Title
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The Impacts of Pharmaceutical Cares on the Elderly in a VA Nursing Home.

Conditions
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Focus on the Elderly in a Nursing Home

Intervention / Treatment
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* Other: Pharmaceutical care


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Residents in the Veteran nursing home Age over 65 years old Complete Comprehensive Geriatric Assessment (CGA) Use more than 4 drug item per day (excluding stat order) subjects with more than 2 chronic diseases. Exclusion Criteria: subjects who were in pharmaceutical care project of Taiwan Pharmacist Association.

Ages Eligible for Study
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Minimum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Non-pharmaceutical care<br>Veterans do not receiving pharmaceutical care | |
| Pharmaceutical care<br>Veterans receiving pharmaceutical care | Other: Pharmaceutical care<br>* pharmacists provide pharmaceutical care to the intervention group, comparing to ordinary care in control group<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| potential inappropriate medication (PIA) |  | one year | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| drug items used | the controlled group is expected to have less drug items used. | one year | 
| medical expenditure | subjects self-reported outpatients visit, hospitalization, drug, and healthy supplemental used. | one year | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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elderly, potential inappropriate medications, pharmaceutical care, quality of life, medical expenditure