Advanced Pharmacology – Video Script

Good morning, colleagues. I will discuss today’s technologies that are transforming pharmaceutical care monitoring in primary care settings, with a focus on their impact on prescribing behavior and patient outcomes.

Remote Patient Monitoring Technologies

Remote patient monitoring platforms revolutionized pharmaceutical care by enabling real-time monitoring of patients beyond the confines of ordinary clinical settings. The platforms integrate wearable sensors, smartphone applications, and cloud-based analytics to track vital signs, drug compliance, and therapeutic outcomes in real-time (Haleem et al., 2021; Tan et al., 2024). The primary purpose involves early side effect detection, optimization of medication treatment, and prevention of hospital readmission through proactive intervention: Advanced Pharmacology – Video Script.

Clinical Example and Impact

Consider home International Normalized Ratio monitoring of warfarin therapy management. Those patients who use equipment like the CoaguChek XS system made by Roche Diagnostics can perform weekly INR testing from home, with results transmitted directly to their healthcare providers through secure websites (McBane et al., 2024). This technology has just enabled our clinic to maximize a patient’s warfarin dose from 5mg once daily to 2.5mg twice daily on noticing fluctuating INR values of 3.8 in order to prevent potential bleeding complications while maintaining therapeutic anticoagulation.

Benefits and Risks

The benefits are enhanced medication adherence through automatic reminders, reduced healthcare costs by evading office visits, enhanced patient convenience and quality of life, and prompt clinical intervention avoiding adverse events (Haleem et al., 2021). However, significant risks are technology faults leading to the omission of critical readings; security breaches compromising patient confidentiality, patients’ overreliance on devices without clinical judgment, and potential interpretation errors in the absence of proper clinical context or intervention by providers.

Conclusion

The surveillance technologies revolutionize pharmaceutical care from being reactive to proactive control of drugs, finally improving therapeutic results and patient safety and reducing the burden on the healthcare system.

References

Haleem, A., Javaid, M., Singh, R. P., & Suman, R. (2021). Telemedicine for healthcare: Capabilities, features, barriers, and applications. Sensors International, 2, 100117. https://doi.org/10.1016/j.sintl.2021.100117

McBane, R. D., O’Connor, C., Lutz, J., Blanco, J., Hartman, L. A., Kramer, A., Uy, J., Schumann, T., Hartung, K., Luker, M., Hodge, D., Santrach, P., & Karon, B. S. (2024). CoaguChek and Coag-Sense PT2 meter Point of Care INR device Validation. Mayo Clinic Proceedings, 99(7), 1091–1100. https://doi.org/10.1016/j.mayocp.2023.10.006

Tan, S. Y., Sumner, J., Wang, Y., & Yip, A. W. (2024). A systematic review of the impacts of remote patient monitoring (RPM) interventions on safety, adherence, quality-of-life and cost-related outcomes. Npj Digital Medicine, 7(1). https://doi.org/10.1038/s41746-024-01182-w

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Using the Kaltura platform address the following question in 2-3 minutes:

• What technologies and/ or communication platforms may relate to the monitoring, follow up or reporting of pharmaceutical care relate to the primary care setting. You may explore the topic and then share your findings in the video journal.
  • Identify the purpose and process and if appropriate the brand or supplier.
  • Be sure to include the risks and benefits.
  • Include at least one example of a regimen change that may occur as a result of this technology or communication; be it the drug, dose or frequency. ex: Drug, xx mgs QD to Drug, xx mg BID. It can be the same drug with a detailed change or if needed drug and regiment change.
  • Justify the reasoning and the impact of the technology.
  • Be clear and concise in your example.
• Some ideas to get you started include home INR monitoring, pacemaker evaluation, or telemedicine systems that can impact prescriber decisions.
  

  Advanced Pharmacology – Video Script

Present the material as if you were giving a report to peers. Include at least one example of a specific change that may occur; be it the drug, dose or frequency. Be clear and concise in your example.