Abstract：
Development of competencies related to care of older adults is necessary in pharmacy education. Skills laboratories as an essential part of the curriculum represent an important setting to teach geriatrics. The purpose of this research was to describe geriatrics cases in skills/simulation activities of an undergraduate pharmacy program.
A retrospective review of one academic year of skills laboratories from the pharmacy program at the Faculty of Pharmacy of University of Montreal was performed. Sessions including cases aged ≥65 years were selected. Content was extracted for characteristics relating to the patient, health, medications, and care context. A framework including geriatric considerations such as geriatric syndromes, frailty status, and potentially inappropriate medications was developed for data collection.
In total, 210 patient cases were extracted. Older adults (≥ 65 years) were represented in 51 cases (24%), with 8 cases (4%) aged ≥80 years. Geriatric syndromes were documented in 8%, functional status in 10%, and mobility in 12% of the cases. The median number of comorbidities and medications were 4 and 7, respectively. Regarding polypharmacy, only 10 cases had >10 medications, and none had >15 medications. Potentially inappropriate medications were found in 47% (n = 24) of the cases but were addressed in only 14% (n = 7) cases.
This mapping of skills laboratories highlights gaps in geriatrics content. Inclusion of the oldest patients and geriatrics issues were incorporated in a minority of cases and lacked many characteristics essential for geriatrics care.
A retrospective review of one academic year of skills laboratories from the pharmacy program at the Faculty of Pharmacy of University of Montreal was performed. Sessions including cases aged ≥65 years were selected. Content was extracted for characteristics relating to the patient, health, medications, and care context. A framework including geriatric considerations such as geriatric syndromes, frailty status, and potentially inappropriate medications was developed for data collection.
In total, 210 patient cases were extracted. Older adults (≥ 65 years) were represented in 51 cases (24%), with 8 cases (4%) aged ≥80 years. Geriatric syndromes were documented in 8%, functional status in 10%, and mobility in 12% of the cases. The median number of comorbidities and medications were 4 and 7, respectively. Regarding polypharmacy, only 10 cases had >10 medications, and none had >15 medications. Potentially inappropriate medications were found in 47% (n = 24) of the cases but were addressed in only 14% (n = 7) cases.
This mapping of skills laboratories highlights gaps in geriatrics content. Inclusion of the oldest patients and geriatrics issues were incorporated in a minority of cases and lacked many characteristics essential for geriatrics care.
摘要：
目的：在药学教育中，发展与老年人护理相关的能力是必要的。技能实验室作为课程的重要组成部分，代表了教授老年医学的重要环境。这项研究的目的是描述本科药学课程的技能/模拟活动中的老年医学案例。
方法：对蒙特利尔大学药学院药学项目一学年的技能实验室进行了回顾性回顾。选择包括年龄≥65岁的病例在内的会议。内容提取了与患者相关的特征，健康,药物,和关心背景。一个框架，包括老年考虑，如老年综合征，脆弱状态，并为数据收集开发了可能不合适的药物。
结果：总计，抽取210例患者病例。老年人（≥65岁）占51例（24％），年龄≥80岁8例（4%）。老年综合征记录为8%，10%的功能状态，和流动性在12％的情况下。合并症和药物治疗的中位数分别为4和7。关于多药房，只有10例患者服用了>10种药物，没有超过15种药物。在47％（n=24）的病例中发现了潜在的不适当药物，但仅在14％（n=7）的病例中得到了解决。
结论：这种技能实验室图突出了老年医学内容的差距。少数病例中纳入了年龄最大的患者和老年病学问题，并且缺乏老年病学护理所必需的许多特征。
方法：对蒙特利尔大学药学院药学项目一学年的技能实验室进行了回顾性回顾。选择包括年龄≥65岁的病例在内的会议。内容提取了与患者相关的特征，健康,药物,和关心背景。一个框架，包括老年考虑，如老年综合征，脆弱状态，并为数据收集开发了可能不合适的药物。
结果：总计，抽取210例患者病例。老年人（≥65岁）占51例（24％），年龄≥80岁8例（4%）。老年综合征记录为8%，10%的功能状态，和流动性在12％的情况下。合并症和药物治疗的中位数分别为4和7。关于多药房，只有10例患者服用了>10种药物，没有超过15种药物。在47％（n=24）的病例中发现了潜在的不适当药物，但仅在14％（n=7）的病例中得到了解决。
结论：这种技能实验室图突出了老年医学内容的差距。少数病例中纳入了年龄最大的患者和老年病学问题，并且缺乏老年病学护理所必需的许多特征。
