The second special edition on Practice Change by the Residential Aged Care Communiqué has been out for a while. This is a great resource that highlights selected cases that have been reported to the State Coroner’s Office that may interest the Aged Care Community.
This edition looks at the importance of Evidence Based Practice, and also ensuring there is a smooth transition to improvements in the same. Two case studies are presented, the first on improving monitoring and care of diabetics, the second on falls risk improvement sin two aged care facilities after reviewing previous communiqués.
You can subscribe by email at the Victorian Institute of Forensic Medicine with the communiqué becoming available online much later.
The Residential Aged Care Coronial Communiqué highlights selected cases that have been reported to the State Coroner’s Office and are of interest to the Aged Care Community. The aims of the Communiqué are:
• To improve the awareness of clinicians, health workers, carers and those in positions of governance about adverse events resulting from systems failures. Lessons from past cases can then be applied to their own institutions.
• To improve residential aged care workers’ understanding of the coronial system and the work performed by the Clinical Liaison Service.
Download (PDF, 194.82KB)
Tagged as:
diabetes,
evidence based practice,
falls,
Residential Aged Care Coronial Communiqué
The pharmacological action of exenatide and its potential role in the management of patients with type 2 diabetes (T2DM) were discussed in a previous E-bulletin 30(10). This E-bulletin will address some of the new evidence that has since emerged since for the use of exenatide.
Download the complete bulletin:
Download (PDF, 13.65KB)
A joint initiative of the Patient Services Section and the Drug and Therapeutics Information Service of the Pharmacy Department, Repatriation General Hospital, Daw Park, South Australia. The RGH Pharmacy E-Bulletin is distributed in electronic format on a weekly basis, and aims to present concise, factual information on issues of current interest in therapeutics, drug safety and cost-effective use of medications.
Editor: Assoc. Prof. Chris Alderman, University of South Australia – Director of Pharmacy, RGH © Pharmacy Department, Repatriation General Hospital, Daw Park, South Australia 5041.
Tagged as:
diabetes,
exanatide,
RGH E-bulletin
Inhaled corticosteroids (ICS) are first-line therapy for asthma and are also commonly used in the treatment of chronic obstructive pulmonary disease (COPD), in particular for those patients with moderate–severe disease and frequent exacerbations. They are preferred to oral corticosteroids because of a lower risk of systemic adverse effects, although high doses of ICS have been reported to be associated with adrenal suppression, glaucoma, osteoporosis, cataracts, pneumonia, bruising and decreased growth in children.
Oral corticosteroids increase the risk of diabetes mellitus and worsen glucose control in patients already diagnosed with the disease. Case reports have linked high doses of ICS with loss of glucose control, but a randomised controlled trial in patients with mild-moderate COPD (n= 1116) did not find an increased risk of diabetes associated with ICS use. The small number of subjects in this trial is a major limitation.
Download the PDF below to continue reading.
Download (PDF, 12.55KB)
The 2009 RGH E-Bulletins are archived here.
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A joint initiative of the Patient Services Section and the Drug and Therapeutics Information Service of the Pharmacy Department, Repatriation General Hospital, Daw Park, South Australia. The RGH Pharmacy E-Bulletin is distributed in electronic format on a weekly basis, and aims to present concise, factual information on issues of current interest in therapeutics, drug safety and cost-effective use of medications.
Editor: Assoc. Prof. Chris Alderman, University of South Australia – Director of Pharmacy, RGH © Pharmacy Department, Repatriation General Hospital, Daw Park, South Australia 5041.
Tagged as:
asthma,
COPD,
corticosteroids,
diabetes,
RGH E-bulletin
One of the the smaller specialised newsletters I try to get out to a wider audience is the HAI Africa Practical Pharmacy Newsletter. It can take months to get the current edition on to the website.
This edition looks at looking at symptoms, diagnosis, management and complications of Diabetes Mellitus
Practical Pharmacy Newsletter (PPN) is targeted at frontline health workers in developing countries who may not have training in pharmacy. It seeks to provide them with objective, practical information on medicines supply and management.
Production of the original Practical Pharmacy Newsletter ran from 1996 to 2000 by ECHO International Health Services, with support from the UK Department of International Development and the World Health Organization. These first editions of Practical Pharmacy laid a solid foundation, beginning from basic essential skills for medicine management in a health centre setting (storing medicines, stock control, etc) and moving on to patient-centred topics (rational prescribing, medicines in pregnancy and the elderly, etc).
HAI Africa re-launched the newsletter in October 2006. Its editorial team identifies themes and topics for each edition, reviews and validates content, and disseminates the newsletter through various networks.
Tagged as:
Africa,
diabetes,
HAI,
Practical Pharmacy
