JOURNAL OF THE CZECH PHARMACEUTICAL SOCIETY AND THE SLOVAK PHARMACEUTICAL SOCIETY

Čes. slov. farm. 2018, 67(5):205-211 | DOI: 10.36290/csf.2018.029

Clinical pharmacist involvement in fall management in a polymorbid geriatric patient with a history of recurrent falls

Martin Doseděl1,2, Josef Malý1,3,*, Jan Vosátka1, Petr Mikolášek4, Iva Brabcová5, Hana Hajduchová5, Sylva Bártlová5, Valérie Tóthová5, Jiří Vlček1,6
1 Katedra sociální a klinické farmacie, Farmaceutická fakulta UK v Hradci Králové
2 Interní oddělení a ošetřovatelský úsek, Nemocnice Šumperk, Šumperk
3 Oddělení klinické farmacie, Nemocniční lékárna, Fakultní nemocnice v Motole, Praha
4 Interní oddělení, Nemocnice Písek, a.s., Písek
5 Ústav ošetřovatelství, porodní asistence a neodkladné péče, Zdravotně sociální fakulta, Jihočeská univerzita v Českých Budějovicích
6 Oddělení klinické farmacie, Nemocniční lékárna, Fakultní nemocnice Hradec Králové

Patient falls represent a significant burden on healthcare facilities, particularly by prolonging hospitalization and increasing the cost of subsequent healthcare. In most cases, fall is caused by a combination of several modifiable and unmodifiable risk factors. The pharmacotherapy, which is often unreasonably administered in relation to patient health condition and drug combination, belongs among the modifiable risk factors. In this case report, the potential effect of pharmacotherapy on the patient fall-related risk as well as clinical pharmacy service that can contribute to reducing the risk of falls by engaging of clinical pharmacist in a multidisciplinary team with focus on the risks of pharmacotherapy and their management are shown.

Keywords: fall; fall risk increasing drugs (FRIDs); clinical pharmacist
Grants and funding:

Podpořeno z programového projektu Ministerstva zdravotnictví ČR s reg. č. 16-33463A. Veškerá práva podle předpisů na ochranu duševního vlastnictví jsou vyhrazena.
Jan Vosátka děkuje za podporu grantu Univerzity Karlovy (SVV 260 417).

Received: December 3, 2018; Accepted: January 9, 2019; Published: May 1, 2018  Show citation

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Doseděl M, Malý J, Vosátka J, Mikolášek P, Brabcová I, Hajduchová H, et al.. Clinical pharmacist involvement in fall management in a polymorbid geriatric patient with a history of recurrent falls. Čes. slov. farm. 2018;67(5-6):205-211. doi: 10.36290/csf.2018.029.
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