Tag: patient centered care

Device Addiction Is Reality Today

Category: Healthcare Advances Written by Dr. Charles Shively / August 6, 2019

Is device addiction caused by a thirst for wholeness through a constant need for reassurance? Is this a type of bliss? Although the Diagnostic and Statistical Manual of Mental Disorders 5th Edition (DSM-5) has not yet classified device addiction as a type of mental personality disorder, it may surprise many to realize this is a serious addiction. Addiction comes in many ways to every individual in this modern world: Desire and Need for Acceptance and Reassurance, Rapid Communication, Alcohol Consumption, Opioid Dependence, Smoking, Need for Visualized Comfort, Sensory Experiences, Online/ Computer Gaming and others. What is your addiction? Read more ...

Clostridium difficile Infection: The Modern Day Black Plague?

Category: Healthcare Advances Written by Dr. Charles Shively / July 29, 2019

Beware! Clostridium difficile infection (CDI) will not go quietly into the night. Can tranquility come on the heels of the infection fire? Also known as C. diff, it is a Gram-positive, anaerobic, spore-forming, cytotoxin-producing bacillus causing diarrhea and in more severe cases pseudomembranous colitis. There has been a dramatic increase in the incidence of CDI during the past three decades worldwide. North America has seen CDI incidence increase five-fold in community dwelling populations and in the over 65 age group. Incidence has also increased in Europe, most notably the UK, the Netherlands and France. More disturbing is that the severity has also increased. It has been reported that nearly a ten-fold increase in CDI associated morbidity was observed in Canada alone. The changes appear to be due partly because of new identified hypervirulent epidemic strains of C. difficile. Read more ...

Ethics in Dietary Supplement Advertising

Category: Healthcare Advances Written by Dr. Charles Shively / July 17, 2019

Do you always believe what you read, see or hear? With the plethora of massive social media offerings specific to a particular product, what can be trusted to be truthful and not “adjusted” by the marketing approach to steer the reader away from one product to another? Recently while visiting with a healthcare provider during the continuing America’s Healthcare Tour (www.AskDrS.org) the question of truthfulness in advertising became a lengthy discussion topic. Read more ...

Personalized Therapeutics through Pharmacogenomics

Category: Patient Engagement Written by Dr. Charles Shively / February 8, 2017

Introduction Most healthcare professionals are aware of the emerging field of pharmacogenomics. Many are not aware however that it is nearing its 15th year of pursuit to combine the science of how drugs work (pharmacology) with the science of the human genome (genomics). Although the field of pharmacogenomics is still in its infancy with only limited use in select disease areas such as cancer, cardiovascular challenges, HIV, Alzheimer’s and asthma, the coordination between United States research centers is accelerating the pace and implementation in several new disease states. This approach to personalized medicine is a significant departure from previous drug development where the idea has existed that each drug works pretty much the same in every individual and where by exception over time is has been learned that many different aspects must be considered when a medication is provided to the end user. Read more ...

What Do Pediatric and Geriatric Patients Have In Common?

Category: Patient Engagement Written by Dr. Charles Shively / February 26, 2015

PATIENT ENGAGEMENT Millennial mothers and elder caregivers know. When there is a need to provide odd-tasting medications to their children or age-challenged dependents, they go to their independent pharmacy ... and often use social media to send the success stories of how the adjusted taste improved adherence ...and re-tweet or re-pin their delight. Are you surprised that techno-elders who need comfortable tasting meds also have joined the social media? Who is the winner in these scenarios? Of course, it's the child, the mother, the elder and the independent pharmacy which provided the flavored medication. Read more ...

Pharmacists, Adherence and Almased: A Winning Triad Combination

Category: Patient Engagement Written by Dr. Charles Shively / November 8, 2014

The Adherence Action Agenda and Diabetes For years, pharmacists have acknowledged the guideline triad regarding prescription dispensing: Is there a known relationship between the patient, physician and pharmacist? Today, pharmacists have been challenged to support and advance a national agenda-The Adherence Action Agenda (A3)- following a report by the National Council on Patient Information and Education (NCPIE) in October of 2013. Read more ...

Primary Care and Pharmacy: Sooner or Later?

Category: Patient Engagement Written by Dr. Charles Shively / November 6, 2014

Primary Care IS Pharmacy! Who here senses…as I do…that pharmacy owners can effort ROI success by establishing primary care centers within their existing operations?  Are we “on the same page”? Read more ...

Which Pharmacies Are Now ePharmacies?

Category: Patient Engagement Written by Dr. Charles Shively / November 5, 2014

Independents? Chains? Outpatient Hospital Pharmacies? Which of these pharmacy organizations offer their customer/patients open access to their pharmacy medication profile? Which pharmacies have further expanded this client contact by offering mobile apps…eMobile? What’s the old expression? SNOOZE, you lose? Read more ...