title: [Case Study - A Successful Outpatient Design of Cross-Professional Pharmaceutical Cooperation in Home Health Care - Reduction of Financial and Care-Related Burden by Shifting to R-Compound Enteral Semisolid Formulation].
abstract: Among patients who receive enteral nutrition through a gastric fistula, some are concomitantly administered viscosity modifiers to avoid aspiration pneumonitis caused by gastroesophageal reflux. These patients(and families)often bear the high economic and care burdens associated with enteral nutritional management. We developed an outpatient-based pharmacy service through multidisciplinary cooperation, facilitating a shift from enteral nutrition to semi-solid formula. This shift is expected to reduce the economic burden by approximately 120 thousand yen, and the hours of care by about 550 hours annually. Owing to family circumstances or economic conditions, some patients(and families)do not receive at-home guidance of pharmaceutical management by pharmacists. The family members of such patients visit the pharmacy to obtain the prescribed medications. Such patients and families could be supported within the outpatient-based pharmacy services, through proactively participating in home health care daily(collaborative relationship with the local community)and re-counting experiences of providing home guidance of pharmaceutical management.
authors.affiliation: Freddie Co., Ltd., Takano Pharmacy.
authors.forename: Namihiro
authors.initials: N
authors.lastname: Takeda
authors.forename: Tomoko
authors.initials: T
authors.lastname: Hamana
authors.forename: Toyoka
authors.initials: T
authors.lastname: Oka
authors.forename: Narihisa
authors.initials: N
authors.lastname: Matsuyama
authors.forename: Masayoshi
authors.initials: M
authors.lastname: Hirohara
authors.forename: Kazuki
authors.initials: K
authors.lastname: Kushida
mesh_terms: D000369:Aged, 80 and over; D004750:Enteral Nutrition / Q000191:economics; D005260:Female; D006699:Home Care Services / Q000191:economics; D006801:Humans; D010045:Outpatients; D010348:Patient Care Team; D024382:Professional Role