Orthopedic patients often attend preadmission and prehabilitation clinics as part of their preparation for surgery. Preadmission clinics allow diagnostic tests to be scheduled and performed, preoperative assessments to be conducted, patient education to be provided, and discharge requirements to be identified on an outpatient basis. The goals of such clinics include preventing surgical complications and reducing the length of the hospital stay. Studies describing pharmacists’ involvement in preadmission clinics have shown that such involvement can reduce the number of discrepancies in patients’ medication histories.
In contrast to preadmission clinics, prehabilitation clinics focus on patient care before the patient attends the preadmission clinic, providing an opportunity to optimize chronic medical conditions before surgery. Prehabilitation has been described as the enhancement of a patient’s functional capacity, to enable the patient to withstand surgery. Optimization of a patient’s medication therapy is one area where postoperative outcomes can be improved through preoperative assessment and management. It has been well established that the clinical activities of pharmacists improve patient care in the surgical setting and other patient care areas, which could include preadmission and prehabilitation.
Drug-related problems are events or circumstances involving drug therapy that actually or potentially interfere with desired health outcomes. The literature describing the prevalence of drug-related problems among patients undergoing preparation for surgery in preadmission clinics is limited. canadian antibiotics
A prehabilitation clinic was recently created within the Winnipeg Regional Health Authority, a large Canadian regional health authority serving about 700 000 people. This health region has 3 community hospitals that together account for about 3000 hip and knee total joint arthroplasty procedures annually. Professionals from several health care disciplines, including a pharmacist, work in the prehabilitation clinic. This study was undertaken to determine the prevalence of drug-related problems among patients undergoing elective arthroplasty before creation of the prehabilitation clinic and to characterize these problems by patient age and by category, type, and severity of the problems. The results of this study will be used to develop the role of the pharmacist in this area of practice.