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Pulse Check in Pharmacies I
Frnková, Michaela ; Malá, Kateřina (advisor) ; Horký, Pavel (referee)
Pulse check in pharmacies I Author: Michaela Frnková Supervisor: PharmDr. Kateřina Malá, Ph.D. Consultant: PharmDr. Anna Rejmanová, Ph.D. De artment o ocial an linical Pharmac , Fac lt o Pharmac in ra ec Králov , harle University Introduction: Atrial fibrillation is one of the most common supraventricular disorders of the heart rhythm. Unless properly treated, it leads to higher mortality and morbidity rates. Early detection of such fibrillation, which is often asymptomatic, may prevent further associated complications, especially ischemic stroke, and a sudden cardiac death. Aim: The thesis focused on the feasibility of involving pharmacists in the screening of the patients with heart rhythm disorders. Further increase awareness of the possibilities and meaning of monitoring heart rhythm disorders in pharmacies and ensure that patients can verify their own heart rate at home. Methods: The heart rhythm measurements were carried within four weeks (11/2017; 11/2018; 6/2019; 12/2019), during the global health initiative "Know o r l e". Mea ring took place at the pharmacy in Pardubice; the pharmacy offers individual consultations to patients. Participation in the screening for the atrial fibrillation was offered to all incoming pharmacy persons who were older than 40 years and without chronic...
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The role of nurse from physician perspective in pharmaceutical care
Poláková, Lucie ; Hocková, Jana (advisor) ; Švárová, Beáta (referee)
Introduction to the problem: Pharmacotherapy is a very complex and specific topic. Many of healthcare professionals, including nurses, are involved in pharmacotherapy management. Although this field is ensured by various legal standards, some competences of nurses are not clearly defined. The primary aim of this research was to analyse the current role of the nurse in pharmacotherapy out of a physician's perspective. Methodology: The data as a part of the multicentric project was collected in the form of semi- structured in-depth interviews with selected physicians also called key-informants. The obtained data were analysed by open coding followed by categorisation. Finally, SWOT (strengths, weaknesses, opportunities, and threats) analysis was used to assess the opportunities and threats, which are related to determination of the ideal role of the nurse in drug administration. Results: Current practice shows that nurses are performing activities beyond their competences. Therefore, I consider legislative changes in this area appropriate. At many departments is not cooperation with the clinical pharmacist well established, moreover in some cases doctors are not interested in it. In contrast, the literature also the workplaces, where the clinical pharmacist is part of the team reports many benefits....
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Pulse Check in Pharmacies IV
Kameníková, Andrea ; Malá, Kateřina (advisor) ; Mareček, Aleš (referee)
Pulse check in pharmacies IV Supervisor: PharmDr. Kateřina Malá, Ph.D. Consultant: PharmDr. Anna Rejmanová, Ph.D. Charles University, Faculty of Pharmacy in Hradec Králové, Department of Social and Clinical Pharmacy Introduction: Atrial fibrillation (AF) is a serious arrhythmia that is also the most common heart rhythm disorder in our population and its incidence continues to rise. It can be a cause of high morbidity and mortality if it is not detected and treated in time. Unfortunately, almost one third of patients have an asymptomatic AF. Screening activities in pharmacies are a possible tool for early detection of hidden arrhythmias. Aim: The aim of the study was to measure heart rate (HR), blood pressure (BP) and to monitor some of the symptoms of AF in patients involved in screening for heart rhythm disorders in a community pharmacy. Methods: HR measurements took place for eight weeks (08-09/2021 and 12/2021-01/2022) in two community pharmacies in Doksy and Cvikov. Patients ≥ 55 years of age were offered the option of AF screening. First, the HR was measured by palpation. Subsequently, it was verified with a Veroval ECG device. BP was then measured with an Omron M6 Comfort pressure device. All measurements took place in a consultation room. An evaluation of selected symptoms, risk factors and...
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Pulse Check in Pharmacies III
Vasilišinová, Ivana ; Rejmanová, Anna (advisor) ; Mareček, Aleš (referee)
Department of Social and Clinical Pharmacy, Faculty of Pharmacy in Hradec Králové, Charles University Pulse check in pharmacies III Author: Ivana Vasilišinová Supervisor: PharmDr. Anna Rejmanová, Ph.D. Consultant: PharmDr. Kateřina Malá, Ph.D. Introduction: Atrial fibrillation (AF) is the most common supraventricular arrhythmia. It is often asymptomatic. If left untreated, the patient is at significant risk of complications, especially of ischemic stroke (IS) and heart failure. These complications can be effectively prevented by early detection of AF and initiation of treatment. Population screening activities performed at pharmacies could serve as an useful tool for detection of latent arrhythmias. Objective: The aim of this diploma thesis was to analyze the heart rate, blood pressure, selected symptoms and risk factors for IS in real patient population and to raise their awareness in the field of heart rate monitoring. Methodology: The measurement took place in a public pharmacy at an outpatient clinic in Prague during the one-day campaign "Pharmacy Day" (18/6/2020) and subsequent data collection (12/2020-02/2021). During this time, education in atrial fibrillation, the heart rate and blood pressure measurement and also evaluation of the selected symptoms and risk factors for the possible future...
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Pulse Check in Pharmacies V
Zyková, Kateřina ; Rejmanová, Anna (advisor) ; Mareček, Aleš (referee)
1 Abstract Pulse check in pharmacies V Author: Kateřina Zyková Supervisor: PharmDr. Anna Rejmanová, Ph.D. Consultant: PharmDr. Kateřina Malá, Ph.D. Department of Social and Clinical Pharmacy, Faculty of Pharmacy in Hradec Králové, Charles University Introduction: Pharmacists are in close contact with patients on daily basis and can thus be involved in the detection of several diseases including atrial fibrillation (AF), the prevalence of which is still increasing. Aim: The aim of this study was to raise awareness of the possibility and meaning of heart rate monitoring to detect dysrhythmias, especially atrial fibrillation, to analyze the symptoms and risk factors of heart rhythm disorders, and to monitor blood pressure. A sub-objective was also to demonstrate the possibility of pharmacist involvement in measuring heart rate (HR) and searching for patients with previously undiagnosed heart rhythm abnormalities. Methods: The design was a prospective cross-sectional bicentric study. People aged ≥ 55 years without a history of chronic anticoagulant therapy were addressed between July 26 and August 6, 2021 at the regional hospital pharmacy, and on September 8, 2021, as part of the public awareness-raising campaign. Participants were asked about the presence of selected symptoms, associated diseases,...
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Analysis of education of pharmacists in the Czech Republic after graduation.
Röslerová, Eliška ; Malý, Josef (advisor) ; Babica, Jan (referee)
1 Abstract Analysis of education of pharmacists in the Czech Republic after graduation Author: Eliška Röslerová Tutor: PharmDr. Josef Malý, Ph.D. Consultant: Mgr. Aleš Krebs, Ph.D. Department of Social and Clinical Pharmacy, Faculty of Pharmacy in Hradec Králové, Charles University Introduction and aim of study: A Pharmacist, as a worker in a health service has to continue to further the education of themselves throughout their career in pharmacy. The main goal of this diploma thesis was to analyse continuing education after graduation used by selected members of the District Association of Pharmacists. Methods: Data for a practical part of this diploma thesis were collected by a questionnaire survey. A 39-item survey was administered to selected pharmacists (members in the Czech Chamber of Pharmacists) from randomly chosen the District Associations of Pharmacists. The address to access the survey was added in a recruitment letter. In this letter, the study was also described and was sent to 858 pharmacists through their e-mail addresses. The first mailing was sent after 7 days, the second mailing after 14 days. The respondents who filled in compulsory questions were included in the analysis. Descriptive statistics were used for analysing the results of the survey. Results: The survey of the 299 respondents...
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Analysis of education of pharmacists in the Czech Republic after graduation.
Röslerová, Eliška ; Malý, Josef (advisor) ; Babica, Jan (referee)
1 Abstract Analysis of education of pharmacists in the Czech Republic after graduation Author: Eliška Röslerová Tutor: PharmDr. Josef Malý, Ph.D. Consultant: Mgr. Aleš Krebs, Ph.D. Department of Social and Clinical Pharmacy, Faculty of Pharmacy in Hradec Králové, Charles University Introduction and aim of study: A Pharmacist, as a worker in a health service has to continue to further the education of themselves throughout their career in pharmacy. The main goal of this diploma thesis was to analyse continuing education after graduation used by selected members of the District Association of Pharmacists. Methods: Data for a practical part of this diploma thesis were collected by a questionnaire survey. A 39-item survey was administered to selected pharmacists (members in the Czech Chamber of Pharmacists) from randomly chosen the District Associations of Pharmacists. The address to access the survey was added in a recruitment letter. In this letter, the study was also described and was sent to 858 pharmacists through their e-mail addresses. The first mailing was sent after 7 days, the second mailing after 14 days. The respondents who filled in compulsory questions were included in the analysis. Descriptive statistics were used for analysing the results of the survey. Results: The survey of the 299 respondents...
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Pharmacists` attitudes towards direct anticoagulants
Mertová, Tereza ; Malý, Josef (advisor) ; Doseděl, Martin (referee)
Pharmacists' attitudes towards direct anticoagulants Author: Tereza Mertová Supervisor: doc. PharmDr. Josef Malý, Ph.D. Consultant: PharmDr. Kateřina Malá, Ph.D. Charles University, Faculty of Pharmacy in Hradec Králové Department of Social and Clinical Pharmacy Introduction and Objective: Pharmacists are involved in providing of professional information about direct oral anticoagulants (DOAC) treatment during DOAC dispensation to patients. Their attitudes and knowledge about DOAC treatment are therefore crucial for optimisation of pharmaceutical care of patients taking DOAC. The objective of this thesis was to analyze attitudes, experience, habits and opinions of pharmacists regarding the DOAC treatment. Methodology: Pharmacists from three District Pharmacists' Associations (OSL) were addressed to participate in an electronic anonymous questionnaire between March and May 2021. Questionnaire consisted of 32 items focusing on the frequency of DOAC dispensation, pharmacist self-confidence about DOAC, information provided to patients during DOAC dispensation, benefits and limits of DOAC treatment compared to treatment with warfarin, and patient adherence to DOAC treatment. The results were processed using descriptive statistics and further analyzed by parametric and nonparametric tests. Results: A...
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The role of a nurse in the pharmacotherapy team from the point of view of a pharmacist
Vilímová, Petra ; Heczková, Jana (advisor) ; Jeřábková, Lenka (referee)
A general nurse may, without clinical supervision, administer medicinal products with the exception of intravenous injections (IV) or infusions in newborns and children under 3 years of age and with the exception of radiopharmaceuticals. This activity is regulated in Decree No. 55/2011 Coll. by Ministry of Health of the Czech Republic. The preparation and administration of the medicinal product is an integral part of the everyday practice of a l nurse; however, the dimensions of this procedure are very broad, and it does not start and end with the administration of the prescribed medicinal product. In the wider context, this is a multi-disciplinary process, in which other health professionals can participate with their well-founded roles. Determining individual roles and collaboration in the multi-disciplinary team composed of a doctor, a nurse and a clinical pharmacist has an effect on the correct pharmacological treatment of the patient. Of all professions, nurses spend time with patients. 40 % of their time administering medications; therefore, they play a key role in the reduction of medication errors. (Miller et all, 2016). The aim of the research is to analyze the current role of the nurse in the administration of medicinal products from the perspective of a clinical pharmacist. The research...
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Pulse Check in Pharmacies III
Vasilišinová, Ivana ; Rejmanová, Anna (advisor) ; Mareček, Aleš (referee)
Department of Social and Clinical Pharmacy, Faculty of Pharmacy in Hradec Králové, Charles University Pulse check in pharmacies III Author: Ivana Vasilišinová Supervisor: PharmDr. Anna Rejmanová, Ph.D. Consultant: PharmDr. Kateřina Malá, Ph.D. Introduction: Atrial fibrillation (AF) is the most common supraventricular arrhythmia. It is often asymptomatic. If left untreated, the patient is at significant risk of complications, especially of ischemic stroke (IS) and heart failure. These complications can be effectively prevented by early detection of AF and initiation of treatment. Population screening activities performed at pharmacies could serve as an useful tool for detection of latent arrhythmias. Objective: The aim of this diploma thesis was to analyze the heart rate, blood pressure, selected symptoms and risk factors for IS in real patient population and to raise their awareness in the field of heart rate monitoring. Methodology: The measurement took place in a public pharmacy at an outpatient clinic in Prague during the one-day campaign "Pharmacy Day" (18/6/2020) and subsequent data collection (12/2020-02/2021). During this time, education in atrial fibrillation, the heart rate and blood pressure measurement and also evaluation of the selected symptoms and risk factors for the possible future...
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