Pharmaceutical Care in VA Nursing Home

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

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:

1. After patients receive pharmaceutical care, their drug related problems will be decreased.
2. After patients received pharmaceutical care, their self-reported medical expenditure will be decreased.

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:

1. Residents of the Veteran nursing home.
2. over 65 years old.
3. complete comprehensive geriatric assessment (CGA)
4. prescription drugs more than 4 times/day, excluding stat order.
5. with 2 or more chronic diseases.

Exclusion criteria:

1. residents who were in the pharmaceutical care project of Taiwan Pharmacists Association.

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.