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  1. Article ; Online: Role of the pharmacist in the management of postmenopausal breast cancer treatment with vasomotor symptoms: A case report.

    Undeberg, Megan R / Barash, Alanda / McKeirnan, Kimberly C

    Exploratory research in clinical and social pharmacy

    2023  Volume 11, Page(s) 100324

    Abstract: This case report describes the pharmacist intervention with a 62-year-old woman who had postmenopausal breast cancer. The patient was experiencing severe vasomotor symptoms from her cancer therapy and wanted to discontinue her treatment despite her risk ... ...

    Abstract This case report describes the pharmacist intervention with a 62-year-old woman who had postmenopausal breast cancer. The patient was experiencing severe vasomotor symptoms from her cancer therapy and wanted to discontinue her treatment despite her risk of cancer returning. Using guidelines for treatment of postmenopausal breast cancer and medication options to mitigate vasomotor symptoms, the pharmacist developed a treatment plan that was acceptable to the patient and approved by the oncologist. Following implementation, the patient was satisfied to experience minimal hot flashes and relayed full compliance with her breast cancer treatment regimen. Pharmacists can play an important role in the management of postmenopausal breast cancer and vasomotor symptoms by providing patient education and recommending medications based on treatment guidelines with consideration to side effects and drug interactions.
    Language English
    Publishing date 2023-08-24
    Publishing country United States
    Document type Case Reports
    ISSN 2667-2766
    ISSN (online) 2667-2766
    DOI 10.1016/j.rcsop.2023.100324
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: A Pharmacist's Role in a Case of Allergy Labeling and Acute Bacterial Rhinosinusitis Treatment.

    Undeberg, Megan R / Bowers, Dana R / Chau, Cindy N / McKeirnan, Kimberly C

    Pharmacy (Basel, Switzerland)

    2024  Volume 12, Issue 1

    Abstract: This case report describes a pharmacist's intervention with a 58-year-old female who presented with recurrent rhinosinusitis symptoms and limited treatment options due to a complicated allergy history. Using guidelines for treatment of acute bacterial ... ...

    Abstract This case report describes a pharmacist's intervention with a 58-year-old female who presented with recurrent rhinosinusitis symptoms and limited treatment options due to a complicated allergy history. Using guidelines for treatment of acute bacterial rhinosinusitis coupled with a thorough antibiotic allergy assessment, the pharmacist developed a treatment plan that was acceptable to both the patient and the provider. Pharmacists can play an essential role in verification of allergies to both medications and non-pharmaceutical products, which further ensures patient safety as well as optimization of appropriate treatment methods.
    Language English
    Publishing date 2024-01-03
    Publishing country Switzerland
    Document type Case Reports
    ZDB-ID 2737194-3
    ISSN 2226-4787 ; 2226-4787
    ISSN (online) 2226-4787
    ISSN 2226-4787
    DOI 10.3390/pharmacy12010008
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: A Case of

    Undeberg, Megan R / Bowers, Dana R / McKeirnan, Kimberly C

    The Senior care pharmacist

    2023  Volume 38, Issue 9, Page(s) 370–377

    Abstract: This report describes a case of ... ...

    Abstract This report describes a case of recurrent
    MeSH term(s) Humans ; Clostridioides ; Clostridioides difficile
    Language English
    Publishing date 2023-08-23
    Publishing country United States
    Document type Case Reports ; Journal Article
    ISSN 2639-9636
    ISSN 2639-9636
    DOI 10.4140/TCP.n.2023.370
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Respecting the Patient's Choice: A Case of Possible Drug-Induced Parkinsonism.

    Undeberg, Megan R / McKeirnan, Kimberly C / Easley, David

    Pharmacy (Basel, Switzerland)

    2022  Volume 10, Issue 1

    Abstract: This report describes a case of likely drug-induced Parkinsonism (DIP) identified by the pharmacist. A 54-year-old female patient was referred by a physician to the pharmacist in a rural, integrated care team for a comprehensive medication review (CMR) ... ...

    Abstract This report describes a case of likely drug-induced Parkinsonism (DIP) identified by the pharmacist. A 54-year-old female patient was referred by a physician to the pharmacist in a rural, integrated care team for a comprehensive medication review (CMR) to address the patient's concerns of possible Parkinson's disease (PD). While PD may occur over the progression of age, medications that affect dopamine transport can also cause DIP, a secondary form of Parkinson's disease. Although PD and DIP may be clinically indistinguishable, differentiation may be possible by reviewing a patient's medication history for any potential causative drugs correlating to the timeline of the onset of symptoms. In this case, the pharmacist reviewed the medication profile and identified medications that could be responsible for causing DIP, specifically bupropion. The pharmacist suggested discontinuing bupropion and identifying another option for treating depression. The patient appreciated the suggestion and education, but ultimately preferred continuing her bupropion therapy instead of discontinuing therapy or changing to an alternative agent. At a follow-up meeting with the pharmacist, not only was the patient still experiencing tremors despite taking carbidopa/levodopa, but additional medications known to be potential inducers of tremors were added to her regimen. Although the pharmacist repeatedly discussed DIP with the patient and believed stopping bupropion would determine whether her Parkinsonism was PD or DIP, ultimately the patient continued taking bupropion because of concerns related to depression severity and the impact on her well-being. The patient's wishes were respected.
    Language English
    Publishing date 2022-01-04
    Publishing country Switzerland
    Document type Case Reports
    ZDB-ID 2737194-3
    ISSN 2226-4787 ; 2226-4787
    ISSN (online) 2226-4787
    ISSN 2226-4787
    DOI 10.3390/pharmacy10010010
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Hypothermia as a Possible Symptom of Serotonin Toxicity: A Case Report.

    McKeirnan, Kimberly C / Vaitla, Kavya / Gilbert, Rubi / Anderson, Candace B / Undeberg, Megan R

    The Senior care pharmacist

    2023  Volume 38, Issue 6, Page(s) 223–232

    Abstract: ... ...

    Abstract Background
    MeSH term(s) Humans ; Serotonin/adverse effects ; Serotonin Syndrome/chemically induced ; Serotonin Syndrome/diagnosis ; Serotonin Syndrome/therapy ; Hypothermia/chemically induced ; Hypothermia/diagnosis ; Selective Serotonin Reuptake Inhibitors/adverse effects ; Fluoxetine/adverse effects
    Chemical Substances Serotonin (333DO1RDJY) ; Selective Serotonin Reuptake Inhibitors ; Fluoxetine (01K63SUP8D)
    Language English
    Publishing date 2023-05-26
    Publishing country United States
    Document type Case Reports ; Review ; Journal Article
    ISSN 2639-9636
    ISSN 2639-9636
    DOI 10.4140/TCP.n.2023.223
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: The Role of the Pharmacist in Patient Self-Advocacy for Osteoporosis Screening.

    McKeirnan, Kimberly C / Anderson, Candace B / Powell, Alexa J / Gilbert, Rubi / Undeberg, Megan R

    The Senior care pharmacist

    2022  Volume 37, Issue 12, Page(s) 612–622

    Abstract: ... ...

    Abstract Background
    MeSH term(s) Humans ; Female ; Pharmacists ; Osteoporosis/chemically induced ; Osteoporosis/diagnosis ; Osteoporosis/drug therapy ; Bone Density ; Physicians ; Fractures, Bone ; Proton Pump Inhibitors
    Chemical Substances Proton Pump Inhibitors
    Language English
    Publishing date 2022-12-02
    Publishing country United States
    Document type Case Reports ; Journal Article
    ISSN 2639-9636
    ISSN 2639-9636
    DOI 10.4140/TCP.n.2022.612
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Educational Prescriptions to Document Evidence-Based Medicine Questions in Ambulatory Care Advanced Pharmacy Practice Experiences.

    Philbrick, Ann M / Hager, Keri D / Lounsbery, Jody L / Moon, Jean Y / Pereira, Chrystian / Undeberg, Megan R / Westberg, Sarah M / Reidt, Shannon

    American journal of pharmaceutical education

    2019  Volume 83, Issue 8, Page(s) 7299

    Abstract: Objective. ...

    Abstract Objective.
    MeSH term(s) Ambulatory Care/statistics & numerical data ; Ambulatory Care Facilities/statistics & numerical data ; Clinical Competence/statistics & numerical data ; Curriculum/statistics & numerical data ; Education, Pharmacy, Graduate/statistics & numerical data ; Educational Measurement/statistics & numerical data ; Evidence-Based Medicine/statistics & numerical data ; Humans ; Pharmaceutical Services/statistics & numerical data ; Problem-Based Learning/statistics & numerical data ; Self Efficacy ; Students, Pharmacy/statistics & numerical data ; Surveys and Questionnaires/statistics & numerical data
    Language English
    Publishing date 2019-11-27
    Publishing country United States
    Document type Journal Article
    ZDB-ID 603807-4
    ISSN 1553-6467 ; 0002-9459
    ISSN (online) 1553-6467
    ISSN 0002-9459
    DOI 10.5688/ajpe7299
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Supporting formative peer review of clinical teaching through a focus on process.

    Moon, Jean Y / Schullo-Feulner, Anne M / Kolar, Claire / Lepp, Gardner / Reidt, Shannon / Undeberg, Megan R / Janke, Kristin K

    Currents in pharmacy teaching & learning

    2018  Volume 10, Issue 6, Page(s) 771–778

    Abstract: Background: The professional need for development of clinical faculty is clear. Previous scholarship provides insight into the formative potential of peer review in both didactic and experiential settings. Less information exists on a comprehensive peer ...

    Abstract Background: The professional need for development of clinical faculty is clear. Previous scholarship provides insight into the formative potential of peer review in both didactic and experiential settings. Less information exists on a comprehensive peer review process (PRP) designed to support faculty change.
    Educational activity and setting: A clinical faculty PRP was developed and implemented based on input from the literature, stakeholders, and field experts. The process included: 1) self-reflective pre-work, 2) a peer-observation component, 3) self-reflective post-work, and 4) creation of a specific action plan via meeting with an educational expert. The process was assessed by collecting evaluative data from peer reviewer and clinical faculty participants.
    Findings: Eight of 26 faculty members participated in a pilot of the PRP and formed four clinical faculty-peer dyads. When surveyed, all participants unanimously reported that they would participate in the PRP again. Aspects perceived among most helpful to clinical teaching included peer observation, self-reflection, and meeting with an educational expert. Challenges related to the process included anxiety of peer observation, burden of pre-work, and logistics of scheduling meetings.
    Discussion: While instruments are important in guiding and documenting the evaluation of clinical teaching during an observation period, this initiative focused on the process supporting the observation and evaluation, in order to optimize the formative feedback received by participating faculty and encourage professional development actions.
    Summary: A PRP that incorporates preparation, reflective practice, and a meeting with an educational expert may support meaningful faculty development in the area of clinical teaching.
    MeSH term(s) Education, Pharmacy/methods ; Education, Pharmacy/standards ; Faculty, Pharmacy ; Humans ; Peer Review/methods ; Peer Review/trends ; Pilot Projects ; Process Assessment (Health Care)/methods ; Process Assessment (Health Care)/standards ; Staff Development/methods ; Staff Development/standards ; Students, Pharmacy/statistics & numerical data ; Surveys and Questionnaires
    Language English
    Publishing date 2018-04-07
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2515217-8
    ISSN 1877-1300 ; 1877-1297
    ISSN (online) 1877-1300
    ISSN 1877-1297
    DOI 10.1016/j.cptl.2018.03.011
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Entrustable Professional Activities for Specialty Pharmacy Practice.

    Pittenger, Amy L / Chapman, Scott A / Frail, Caitlin K / Moon, Jean Y / Undeberg, Megan R / Orzoff, Jordan H

    American journal of pharmaceutical education

    2017  Volume 80, Issue 10, Page(s) 178

    Language English
    Publishing date 2017-02-06
    Publishing country United States
    Document type Journal Article ; Comment
    ZDB-ID 603807-4
    ISSN 1553-6467 ; 0002-9459
    ISSN (online) 1553-6467
    ISSN 0002-9459
    DOI 10.5688/ajpe8010178
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Entrustable Professional Activities for Pharmacy Practice.

    Pittenger, Amy L / Chapman, Scott A / Frail, Caitlin K / Moon, Jean Y / Undeberg, Megan R / Orzoff, Jordan H

    American journal of pharmaceutical education

    2016  Volume 80, Issue 4, Page(s) 57

    Abstract: The profession of pharmacy is facing a shifting health system context that holds both opportunity and risk. If the profession of pharmacy is to advance, pharmacists must be recognized as a consistent member of the health care team in all clinical ... ...

    Abstract The profession of pharmacy is facing a shifting health system context that holds both opportunity and risk. If the profession of pharmacy is to advance, pharmacists must be recognized as a consistent member of the health care team in all clinical settings, contributing at the fullest extent of licensure and education. One part of achieving this broad goal is to implement a new way of defining and assessing pharmacy practice skills, such as entrustable professional activities (EPA). Assessment of professional tasks and practice activities with EPAs has been successfully implemented in medical education for assessing trainee preparation for practice. This EPA model is being applied to pharmacy education to develop an assessment framework across the advanced pharmacy practice experience (APPE) curriculum. The APPE course directors, practice faculty members, and the Office of Experiential Education collaboratively defined a set of universal EPAs critical for pharmacists in any practice setting and would be assessed in all practice experience types.
    MeSH term(s) Clinical Competence/standards ; Education, Pharmacy/methods ; Education, Pharmacy/standards ; Humans ; Pharmaceutical Services/standards ; Pharmacists/standards ; Professional Role ; Trust
    Language English
    Publishing date 2016-05-05
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 603807-4
    ISSN 1553-6467 ; 0002-9459
    ISSN (online) 1553-6467
    ISSN 0002-9459
    DOI 10.5688/ajpe80457
    Database MEDical Literature Analysis and Retrieval System OnLINE

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