Aeberhard, Carla. Best pharmaceutical practices in a nutrition support team : an in-depth scientific analysis with focus on parenteral nutrition in an established nutritional team in a swiss university hospital. 2016, PhD Thesis, University of Basel, Faculty of Science.
Official URL: http://edoc.unibas.ch/diss/DissB_12003
The pharmacy profession is undergoing major transformations, therefore additional skills and knowledge are required to achieve best pharmaceutical practice and care. Many changes have occurred and thus, interdisciplinary cooperation becomes more important and HPN is used more and more, increasing the challenges of the pharmacist with these complex parenteral nutrition (PN) formulations. Technical and pharmaceutical developments have helped to establish safe, convenient and effective HPN. The pharmacist, as a member of an NST, can contribute by defining and evaluating best practices and efficiency to prevent medication errors, thus ensuring an increased quality of life (QoL). The role of the pharmacist as part of an NST depends on specific pharmaceutical expertise, including knowledge, experience and skills in the field of clinical nutrition, particularly in PN. Nutritional therapy as part of a patient’s overall treatment plan and therefore embedded in the medication therapy, requires the involvement of the pharmacy.3
This thesis investigates pharmaceutical aspects in the field of clinical nutrition, focusing on aspects of PN in particular. The main objective of this thesis is to illustrate the various pharmaceutical activities in an NST throughout the clinical nutrition process with a focus on PN. To clarify, the research aims are:
• What role should the pharmacist play in an NST?
• Is he/she prepared for the professional challenges?
• Which best practices can the pharmacist provide to increase the quality of treatment, safety and QoL for a patient?
To this end, four independent projects were defined in order to reach the aims:
(I) What is the importance and role of the pharmacist?
• Identification of malnourished patients or patients at nutritional risk, where the pharmacist can make an important contribution.
• Responsibility for maintenance of professional competence in nutrition support management by providing education and skills training.
(II a +b) Which contributions can the pharmacist give to provide a safe and effective drug and nutritional therapy and therefore an improved QoL?
• Monitoring and optimisation of nutrition support therapies including care for HPN patients and management of good nutritional supply, providing safe and effective treatment and therefore improving the patient’s QoL. Specific focus was given to the so far not prospectively analysed situation in Swiss adult HPN patients and benefit of HPN on QoL in patients with specific disease.
(III) Which compounding related questions arise and which stability and compatibility assessments have to be done to ensure medication safety?
• Patients with long-term PN or critically ill patients especially need additional components or medications added to a PN admixture, requiring strict aseptic compounding and previous stability and compatibility assessments.
|Advisors:||Meier, Christoph and Mühlebach, Stefan and Stanga, Zeno and Schütz, Philipp|
|Faculties and Departments:||05 Faculty of Science > Departement Pharmazeutische Wissenschaften > Pharmazie > Klinische Pharmazie/Spitalpharmazie (Meier)|
|Bibsysno:||Link to catalogue|
|Number of Pages:||1 Online-Ressource (VI, 86 Seiten)|
|Last Modified:||13 Feb 2017 08:12|
|Deposited On:||13 Feb 2017 08:11|
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