#community pharmacy
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Credentialing Pharmacists: Reflection on the Need for Advocacy, Expertise, and Outcomes
In recent years, our nation has seen pharmacist provider status legislation take off like a wildfire. Pharmacist providers are more ready than ever to make use of their advanced clinical training and patient relationships. Currently over half of the states have active Medicaid payment parity laws and about a third require provider status and/or payment by Commercial Insurance. Scope enables collaborative practice agreements and prescribing services in all states. Recognizing the growing shortages in the primary care sector, pharmacists are perfectly situated in the community to effectively manage chronic diseases and address acute needs. Why, then, are pharmacists still not commonplace as in-network providers with medical plans in our healthcare system? There are many factors that contribute to this discrepancy. Community pharmacists, unlike other healthcare provider types, have competing alternative routes for receiving payment which pose fewer barriers. Additionally, workflow in a community pharmacy is “retail” oriented. Spending extended time beyond a transaction-based encounter requires planning, modifications and sometimes even changes to the physical layout of a pharmacy. Perhaps one of the biggest barriers is awareness. Collaborating providers, health plans, patients and even our own pharmacy community are often unaware of the patient care services pharmacists already provide and can receive reimbursement for. Despite these challenges, I envision pharmacist credentialing with medical plans as the first of many steps required to generate a long-term shift in our profession. A necessary shift towards reimbursement for products AND cognitive services. I have been fortunate to have had enough conversations with a myriad of payors to know that this is something payors have a vested interest in supporting. This holds true even in states that do not yet mandate pharmacists to be credentialed and enrolled to be reimbursed for services. Let's embark on this journey as a unified profession, combining efforts of advocacy, expertise, and outcomes to transform together!
Follow the link to read full article: https://blog.assurecare.com/pharmacy-bridging-gaps-via-advocacy-and-expertise
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Impact of intervention of community pharmacists on cardiovascular outcomes in Spain: A systematic review
Article published in J. Pharm. Pharmacogn. Res., vol. 10, no. 5, pp. 952-976, September-October 2022. DOI: https://doi.org/10.56499/jppres22.1422_10.5.952 Marjan Manouchehri1,2, María S. Fernández-Alfonso1,2, Marta Gil-Ortega3* 1Instituto Pluridisciplinar, Unidad de Cartografía Cerebral, Universidad Complutense de Madrid, 28040 Madrid, Spain. 2Departamento de Farmacología, Facultad de…
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#cardiovascular interventions#Cochrane risk of bias#Community pharmacy#PRISMA-S#Spanish cohort#systematic review
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⛈️ 20.05.2024 // I studied a bit today (2 hours) and I did a lesson about the ophthalmic dosage form! There was a storm while I was doing it so it was just perfect to study with some real thunder noise!!
I also cooked some pizzas (like we choose the ingredients and all) and they were really good!! :))
I try to get back into studying, my exams are in a month so I really really have to study more!!!
#dailylar#studyblr#french student#french studyblr#study#studyblr community#pharmacyblr#pharmacy student#pharma student
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this is so ridiculous but imagine you and your f/o goofing off in a Walmart or target.
"babe can I buy a $400 Lego set"
"no we're leaving—"
"hey look at this" *knocks over the entire shelf* "ohjeezfuckuhm—"
imagine getting yelled at by an old karen because you're acting like kids giggling in the lube aisle or something dumb. not being a nuisance to workers of course! just being giggly and stupid
#🥀📜#suggestive#what do i tag this as#hashtag lube mention#one time i wss in the line at the pharmacy and looked over at the lube section and said to myself (accidentally out loud);#“i should do a lube review”#self ship#self shipping#self shipper#selfshipper#selfship#selfshipping#f/o#f/o community#fictoromantic#romantic f/o#fictoromantism#ficto#fictional other#yumedanshi#yumejoshi#self ship imagine#selfship community
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Bam bing bong, summary of my doodles in 2024
#what a year#ive never compiled it neatly before#i was gonna wait it out cuz i havent finish my Christmas pieces yet but im also like ehhhhhhhhhhhhhhhh fuck it so yeah hehe#this year I’ve expanded my socials to bluesky and instagram#I’ve always did two collabs this year which is still wild to me (im planning to do more next year hopefully)#(if my social anxiety can just get over it)#in tappy’s voice: gomz no balls#i also need to do more color piece#launching ☕️ this year has helped to do that#to do at least one colored piece each month#i have a video of me going thru my doodles from January to December in the works but i think i might not able to finish it on time#we’ll see#still gotto tackle the last few ☕️ requests after con#this year I’ve drawn a lot more Price!! that’s why he’s the main character this year#i would put Raven but she’s always a main so#im really happy to have found a nice chibi style and stick with it#consistency is always a struggle for me esp with my non chibi style#some of what i drew this year was awful HDJSHSHS but its nice seeing progress#December suit Price is my proudest non-chibi work and I wish to continue that style next year#moving forward I want to continue to improve and do better but also take it easy#burnt myself out too many times this year due to drawing nearly every day + stress + uni#stress management plan is needed but i SUCK at it#me as a pharmacy student counselling patients [it is important to try to relax and manage stress properly]#what a joke JDJDHDHHD#at least my blood pressure readings stabilized finally on gawd it was on the borders for a few months#it’s been a fun year and I’ve made a lot of new friends too#drabbled in a few fandom and community here and there#thank you for having me everyone :)#gummmyart#art summary 2024
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IMPORTANT ANNOUNCEMENT~!
Hello all! This is your mod speaking!! This is not exactly good but nor bad news either.
I will be taking an indefinite pause on lore posting!! I will focus on vitamin posting for the time being, as a normal daily character blog would!
I'm sorry if I am disappointing everyone, but I think this is for the best. I feel a little too caught up in all the ARG stuff that I've lost sight of what this blog was made for in the first place. I will not be abandoning this blog or lore-posting (for now), so there isno need to worry!
I have some personal issues going on that are very distressing for me. I personally am fine, just family stuff. This, along with the upcoming midterm exams and ongoing Indoor Percussion season, is too much to try and focus solely on lore.
Thank you everyone for understanding, really :)
#pharmacist's notes#sigh also me being lowk nostaligc#i miss interacting with other pharmacies in a silly way#I feel as though the rise in lore-focused/arg focused stuff contributed to the future lack of interactions within the community#which like. its not anyones fault#but#yeah
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it’s not too late! you can still get your flu shot and COVID booster :))
#remember! us fatties are more at risk for serious illness when it comes to flu and covid & vaccines help protect you and your community!#most places offer routine shots for very cheap if not for free 🩷 I got mine done at CVS but other pharmacies and your local health#department are also great places :)
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#spaces we share to get our basic needs met include pharmacies; grocery stores; doctor's offices; amongst others#mask up protect your communities#not wearing a mask is eugenics#mask up stop eugenics
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I completely understand the massive staffing, social, and structural issues that are faced by pharmacists and pharmacy techs, and I know there are plenty of reasons going to the pharmacy is unpleasant that are in no way the fault of the staff. But the experience of going to pick of medication is actually so unbalanced and absurd. You stand at the counter waiting to be acknowledged while they ignore you and avoid eye contact like you're a Gorgon. If you draw their attention they act like you just interrupted them performing open heart surgery even though you've been there a solid 5 minutes in silence alone with a line starting behind you. Then it becomes psychological warfare as you try to give them the information to get your scripts but you're never fast enough and they always seem to be waiting on you in a huff even if you blurt it all out like "LASTNAMEFIRSTNAMESPELLEDN-A-M-EDATEOFBIRTH" in one breath. Then they go to get your medication and it's $500 a pop and you have to bow and thank them for the privilege. And then the next time you come back the song and dance starts all over again. Every single pharmacy I've ever been to has been like this, small or big
#one time I went to a pharmacy near me#6 white coated individuals on duty#ALL completely ignoring me#no one else in the store at this point#two were talking about a baseball game#when I got them to acknowledge me it turned out their pharmacy didn't accept my insurance#which I have never heard of before#and nobody had called either me or my doctor about it#like 0 communication of this issue to anybody who could resolve it#they just like shrugged at me and were like we can transfer it to another pharmacy#in our brand#me: won't they not accept my insurance either if you're all the same company?#them: 🤷
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tbh its fucking incredible how well T's treating me right now considering the Horrible application schedule ive been on. imagine how nice it would be to me if i was on a Proper Application Schedule *glares at my doctors office*
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my household depends on disability income that is for sure going to be on the chopping block. I’m not trying to be doomerist, I’m just going off what this man has historically tried to do during his last tenure and what he has been promising to do all along his recent campaign.
Im going to have to open up some amount of donations at some point, im sure. In the meantime I’m going to have to pursue things seriously that I was putting off because of self-doubt and insecurity. I’m going to have to figure out if opening up art commissions is something I can feasibly get a handle on, I’m going to actually try to cobble together my cringe plans for a YouTube channel. I am going to have to iron out plans b and c and d and e if these primary ways of getting back into the non-traditional workforce don’t pan out. I think the only way to insulate my vulnerable household to any degree is to, unfortunately, try to accrue some amount of money, and try to relocate to a city/state that has more available community — which also takes money.
I wish everyone I know the easiest life possible. I hope you catch every single break that is conceivable for you to catch. I’m not sure I will make it, to be totally fucking honest with you, but I’m going to have to try. If you’re trying too, I hope it is smooth sailing as much as possible. I hope miracles happen for you. I hope whatever burdens you have are light. Even if you don’t really see me around, I am rooting for you.
#we have a lot of (mostly medical) debt to tackle and after that we need to insulate against losing our benefits#there is not really accessible community where we are and we are discussing where to set our sights for leaving — which will take#multiple years most likely but. what can we do but try.#I’m just hoping at this point the trouble I’m having at the pharmacy (already!) smooths over because I legit do not know how I will get#through anything unmedicated#anyway. I love you. I’m glad you exist.
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i am simultaneously the best and worst employee a corporation could ever have
#am i reliable hardworking and self sacrificing? yes!#will i encourage everyone to unionize and publicly expose our poor staffing conditions using various community resources?#also yes!#getting an actual union job in healthcare after 5 years in retail pharmacy was insane#shshgbfbshj and they still hired me back prt time at another store for more money after i quit
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🚆 13.07.2024 // Studied thermodynamics and took the train to celebrate the national holiday with my bf's family :))
#dailylar#studyblr#french student#french studyblr#study#studyblr community#pharmacyblr#pharmacy student#pharma student
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i love when i spend like three hours dealing with a killer fucking migraine! and i also love how im left totally wiped out after it goes away.
#my new doctors office and my pharmacy are not great at communicating with each other so i didnt have any migraine meds on hand for this one#blah blah blah
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What Are The Stages of Fetal Growth During Pregnancy?
The development of a fetus during pregnancy is a complex and remarkable process, marked by significant changes and growth each month. This journey is typically divided into three stages known as trimesters, each lasting approximately three months. For Healthcare professionals we discuss fetal development in terms of weeks. Here’s a detailed overview of what entails during each month of pregnancy.
a) First Trimester
The first trimester of pregnancy encompasses weeks 1 through 12 and is characterized by the initial formation and rapid development of the embryo. This period is critical for establishing the foundation of the future baby’s organs and body systems. The first trimester is often associated with the onset of pregnancy symptoms, such as nausea, fatigue, and hormonal changes.
Month 1 (Weeks 1–4)
Weeks 1–2: The first two weeks of pregnancy are technically considered a preparatory period. During this time, the body releases hormones and prepares the uterus for a potential pregnancy. This period includes ovulation, where an egg is released from the ovary. If fertilization occurs, the zygote forms and marks the beginning of pregnancy.
Week 3: Fertilization occurs when a sperm cell meets the egg, creating a zygote. This single-celled entity undergoes rapid cell division as it travels down the fallopian tube towards the uterus.
Week 4: The zygote becomes a blastocyst, which is a cluster of cells that implants itself into the uterine lining. The amniotic sac and placenta begin to form, playing crucial roles in protecting and nourishing the developing embryo. By the end of this month, the blastocyst is about 2 millimeters long, roughly the size of a poppy seed.
Month 2 (Weeks 5–8)
The second month of pregnancy marks significant developmental milestones as the embryo transitions into more complex forms.
Week 5: The neural tube, which will become the brain and spinal cord, begins to form. The heart, initially a simple tube, starts to pulse, setting the stage for the development of the circulatory system.
Week 6: Limb buds appear, which will eventually become arms and legs. Structures for the ears, eyes, and mouth start to take shape. Blood cells begin to form, and circulation starts within the embryo.
Week 7: The process of ossification starts as bones begin replacing the soft cartilage, and the formation of the genitals commences. The embryo now resembles a tadpole due to its prominent tail.
Week 8: Major organs and body systems continue to develop. The hands and feet start to form web-like structures, and the umbilical cord, which provides nutrients and oxygen to the embryo, is fully developed. By the end of this month, the embryo, now referred to as a fetus, is about 0.5 to 1 inch long, similar to a black bean.
Month 3 (Weeks 9–12)
The third month of pregnancy is marked by significant growth and maturation of the embryo, transitioning into a more recognizable human form.
Week 9: Teeth and taste buds begin to form. The fetus starts developing muscles, and its body takes on a more human appearance, although the head remains disproportionately large.
Week 10: Limbs and digits are fully formed, and the external genitals start to develop, although they are not yet visible on an ultrasound. The placenta continues to grow, providing essential nutrients to the fetus.
Week 11: The fetus begins to move spontaneously, exploring its surroundings by opening and closing its fists and mouth. The bones harden, though the skin remains translucent. Facial features such as the nose and lips become more defined.
Week 12: All essential organs, limbs, bones, and muscles are present and will continue to mature and develop. The fetus is about 2.5 to 3 inches long, roughly the size of a plum. At this stage, the risk of miscarriage decreases significantly, and many women begin to feel relief from early pregnancy symptoms like morning sickness.
Second Trimester
The second trimester of pregnancy spans from weeks 13 to 26. This period is often considered the most comfortable phase of pregnancy as many early symptoms subside, and the risk of miscarriage decreases. The fetus undergoes significant growth and development, and the mother begins to feel fetal movements, known as quickening.
Month 4 (Weeks 13–16)
During the fourth month, the fetus continues to develop rapidly, and its features become more distinct.
Week 13: Vocal cords form, and the fetus’s head starts to grow proportionally to the rest of the body. The fetus begins to practice breathing movements by inhaling and exhaling amniotic fluid, which helps develop the lungs.
Week 14: The skin starts to thicken and fine hair, known as lanugo, begins to grow. The fetus can bring its fingers to its mouth and may start sucking its thumb. External genitals are fully formed, and fingerprints start to develop.
Week 15: The intestines and ears move to their final positions. The fetus practices more purposeful movements, such as thumb-sucking and smiling. The developing nervous system allows the fetus to respond to external stimuli, such as light and sound.
Week 16: The fetus can hear and respond to external sounds. Its eyes, although still closed, can perceive light. By the end of this month, the fetus is about 5 inches long and weighs around 4 ounces, comparable to an avocado.
Month 5 (Weeks 17–20)
The fifth month of pregnancy is marked by increased fetal activity and continued growth.
Week 17: Fat begins to accumulate under the skin, providing insulation and energy reserves. The fetus’s skin is covered with a protective coating called vernix, which prevents it from becoming chapped by the amniotic fluid.
Week 18: The fetus is covered in lanugo, which helps keep it warm and provides an additional layer of protection. The fetus starts to establish a sleep-wake cycle, and its movements become more noticeable to the mother.
Week 19: The fetus’s movements, including kicks and punches, become more frequent and noticeable. Unique fingerprints are fully formed, and the fetus may start to experience hiccups.
Week 20: Nails develop fully, and the sensory areas of the brain mature, allowing the fetus to respond more actively to its environment. By the end of this month, the fetus is about 9 to 10 inches long and weighs around 1 pound.
Month 6 (Weeks 21–24)
The sixth month of pregnancy is a period of significant development, particularly in the nervous and respiratory systems.
Week 21: Coordinated limb movements become more frequent, and the fetus’s bone marrow begins producing blood cells.
Week 22: The fetus’s grasping reflex strengthens, and it can touch its surroundings, including its own body and the umbilical cord. It can hear internal sounds, such as the mother’s heartbeat and external sounds, such as voices and music.
Week 23: The fetus’s viability outside the womb increases, though intensive medical care would be necessary if it were born prematurely. The fetus starts rapidly accumulating fat, which is essential for temperature regulation after birth.
Week 24: Lung development progresses, although the lungs are not yet mature enough for the fetus to breathe independently. The fetus is about 12 inches long and weighs around 2 pounds.
Third Trimester
The third trimester of pregnancy spans from weeks 27 to 40 and is characterized by rapid growth and final preparations for birth. During this period, the fetus gains weight quickly and undergoes the final stages of development necessary for survival outside the womb.
Month 7 (Weeks 25–28)
During the seventh month, the fetus continues to grow and develop reserves of body fat.
Week 25: Increased body fat makes the fetus’s skin less wrinkled and more plump. The nervous system matures rapidly, enhancing the fetus’s ability to respond to stimuli.
Week 26: Melanin production begins, contributing to the skin and eye color. The lungs start producing surfactant, a substance that helps the lungs function properly after birth.
Week 27: The fetus’s eyes open, and it develops eyelashes. The fetus begins to develop regular sleep and wake patterns, and its movements become more coordinated.
Week 28: The fetus may begin to position itself head-down in preparation for birth. By the end of this month, the fetus is about 14 to 15 inches long and weighs between 2 to 3 pounds.
Month 8 (Weeks 29–32)
The eighth month of pregnancy involves continued maturation and growth of the fetus, with a focus on brain development.
Week 29: The fetus’s movements become more distinct as space in the uterus becomes cramped. The brain develops rapidly, allowing the fetus to control its body temperature more effectively.
Week 30: The fetus’s brain continues to grow, and it can process information and respond to stimuli. The fetus begins to establish more distinct patterns of activity and rest.
Week 31: The fetus’s skin loses its translucency as fat accumulates beneath it. Most organs, except for the brain and lungs, are fully developed and ready for birth.
Week 32: The fetus is about 17 to 18 inches long and weighs up to 5 pounds. The brain continues to develop rapidly, and the fetus can hear and respond to a variety of sounds.
Month 9 (Weeks 33–36)
During the ninth month, the fetus continues to grow and mature, preparing for birth.
Week 33: The fetus’s bones harden, although the skull remains soft and flexible to facilitate passage through the birth canal.
Week 34: The protective vernix coating thickens, providing additional protection to the fetus’s skin.
Week 35: Brain growth continues, and the fetus’s brain is now capable of regulating essential body functions.
Week 36: The lanugo covering the fetus’s body begins to disappear, and hair growth occurs on the head. The fetus is about 17 to 19 inches long and weighs 6 to 7 pounds.
Month 10 (Weeks 37–40)
The final month of pregnancy is a period of final preparations for birth, with the fetus reaching full maturity.
Week 37: The fetus’s toenails reach the tips of its toes. It continues to gain weight rapidly, preparing for the energy demands of life outside the womb.
Week 38: The fetus’s weight gain continues, and it starts to shed the vernix coating. The fetus moves lower into the pelvis in preparation for birth.
Week 39: The fetus is considered full-term and continues to develop and gain weight. It measures about 18 to 20 inches long and weighs between 7 to 9 pounds.
Week 40: The fetus is ready for birth. Its organs are fully developed and capable of functioning independently. The fetus positions itself head-down in the pelvis, preparing for delivery.
Throughout pregnancy, the fetus undergoes substantial growth and development, preparing for the transition to life outside the womb. Regular monitoring and care by healthcare providers are crucial to ensure the health and well-being of both the mother and the fetus. This comprehensive journey from a single cell to a fully developed baby highlights the incredible complexity of human development.
Expert Academic Assignment Help specializes in supporting medical students to study fetal growth during pregnancy. Our assistance includes study materials, tutoring, assignment help, and exam preparation, ensuring students understand fetal development. We provide mentorship, empowering students to excel academically and become competent healthcare professionals. Email: [email protected]
#medical students#healthcare#nursing school#nursing student#medicine#assignment help#medical student#medical school#medical university#study inspiration#studying#study motivation#study blog#studyblr community#studyblr#studyspo#case study#study notes#student life#student#study aesthetic#academic writing#academic assignments#college student#pharmacology#pharmacy student
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