100 complex cases illustrate how to ensure safe, effective treatment during transitions between care settings Moving a patient from one healthcare provider or setting to another—a transition of care—increases the risk of medication errors due to inadequate communication and poor coordination of care.
While guideline-and evidence-based therapy is important, pharmacists must also address other patient-specific needs and possible barriers to safety, efficacy, and to adherence of therapies.
Providing a deep dive into this critical topic,
Transitions of Care in Pharmacy Casebook explains how to deliver and optimize complex patient care during transitions between care settings. This essential resource features 100 enlightening clinical cases that illustrate real-world practices. Organized by disease state, each case incorporates clinical knowledge, patient education, effective communication, and social issues.
Transition of Care in Pharmacy Casebook includes:
- An insightful introduction to transitions of care practice models
- 100 complex clinical cases incorporating specific elements of patient care
- Concise coverage of various medical conditions commonly encountered in various practice settings
- Considerations on treating special populations, such as the elderly and homeless patients
- Bulleted text explaining the theory and rationale for each case
- Informative charts with lab findings, medication records, provider notes, and
diagnostic exams
| Contributors |
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vii | |
| Transitions of Care Casebook Overview |
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ix | |
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Section 1 Introduction to Transitions of Care Practice Models |
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1 | (18) |
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1 Applying the Pharmacist Patient Care Process to Care Transitions |
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3 | (4) |
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2 Medication Reconciliation Best Practices |
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7 | (4) |
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3 Transitions of Care at Hospital Discharge |
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11 | (4) |
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4 Transitions of Care in the Outpatient Setting |
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15 | (4) |
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Section 2 Therapy Adherence and Patient Care Barriers |
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19 | (26) |
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5 The Importance of Addressing Financial Barriers |
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21 | (4) |
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6 Communication and Health Literacy |
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25 | (4) |
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7 (Hablas Espanol) Language Discordance in Transitions of Care |
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29 | (4) |
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8 Addressing Patient Nonadherence |
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33 | (4) |
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9 Trucking Along: Medication Adherence with Provider Issues |
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37 | (4) |
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10 Cultural Considerations during Care Transitions |
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41 | (4) |
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Section 3 Patients with Diabetes |
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45 | (14) |
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11 Hyperglycemic Crisis: Diabetic Ketoacidosis in Type 1 Diabetes |
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47 | (4) |
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12 Microvascular Complications of Diabetes: Peripheral Neuropathy |
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51 | (4) |
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13 Macrovascular Complications of Diabetes: Acute Kidney Injury |
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55 | (4) |
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Section 4 Patients with Cardiovascular Conditions |
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59 | (14) |
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14 Acute Coronary Syndromes: Non-ST Elevated Myocardial Infarction |
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61 | (4) |
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15 Heart Failure with Reduced Ejection Fraction |
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65 | (4) |
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16 Atrial Fibrillation and Stroke Prevention |
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69 | (4) |
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Section 5 Patients with Respiratory Conditions |
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73 | (8) |
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17 Optimizing Asthma Therapy Through the Continuum of Care |
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75 | (4) |
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18 Managing Pneumonia in Chronic Obstructive Lung Disease |
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79 | (2) |
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Section 6 Special Populations |
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81 | (18) |
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19 Care Considerations in the Elderly |
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83 | (4) |
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20 Patients Experiencing Homelessness |
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87 | (4) |
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21 Multimodal Pain Management Strategies |
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91 | (4) |
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22 Complexities of Managing Psychiatric Pharmacotherapy |
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95 | (4) |
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| Appendix A Answers with Rationales |
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99 | (34) |
| Appendix B Standardized Laboratory Values |
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133 | (6) |
| Index |
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139 | |
Laressa Bethishou, PharmD, is Assistant Professor of Pharmacy Practice at Chapman University School of Pharmacy in Orange, CA.
Jessica Wooster, Pharm.D, BCACP, is a Clinical Assistant Professor at Fisch College of Pharmacy, The University of Texas in Tyler, TX.
Phung On PhrmD, BCPS, is Assistant Professor of Pharmacy Practice, Massachusetts College of Pharmacy and Health Science in Boston, MA.