This study aims to prevent the elderly of the community from developing dementia by collaborating with the community comprehensive support center for early detection and recovery of mild cognitive impairment (MCI). We will conduct a systematic review targeting studies to examine risk factors in dementia in the elderly of Japan to make a checklist. Then this is implemented to 300 participants for one year. Preventing dementia in the community's elderly is of utmost importance as pharmacological treatment is not currently available. Additionally, if recovery from MCI is not expected, we will establish a system to connect participants to the regional comprehensive support center. These trends are outlined in this review.

In clinical environments, difficulty in uniformly preparing Mohs paste due to variations in its physical properties despite the preparation based on the same prescriptions has been noted. Therefore, studies were conducted to clarify physicochemical phenomena influencing such variations, while developing a prescription design that possibly improves the usability of this product through the use of additives with sufficient safety to address the above-mentioned demerit. An improved form of Mohs paste, not containing starch that is responsible for the variations in physical properties, was also developed in consideration of appropriate bases, and pharmacological mechanisms were examined, focusing on its hemostatic effects. It was studied about the usefulness of oral care-related information provision at drugstores to prevent pneumonia, Furthermore, clinical training was provided in medical institutions performing protocol based pharmacotherapy management (PBPM).

The taste and mouthfeel of oral pediatric medications markedly affect adherence. Although they are taken with water, when this is not possible, these medications are often mixed with beverages and foods other than water. At the time of medication instruction, parents may make inquiries regarding the combination of drugs with beverages/foods. Therefore, we conducted a sensory test on the combination of drugs that are frequently prescribed to children with beverages/foods, and created a list. The target drugs were antibacterial agents (1 dry syrup and 4 fine granules), 1 antipyretic analgesic (fine granules), and 1 corticosteroid (crushed tablet). In the test, the ease of drinking was scored on the assumption that the drug was actually taken internally, and the average value was used as an index of the ease of taking the drug with beverages and foods. The results of the sensory test showed that clarithromycin was easy to drink with water, and zithromycin, widecillin, carbocisteine, tosufloxacin, caronal, tomilon, and prednisolone with chocolate ice cream or strawberry jam. In some combinations, significantly changes were noted in the tastes of beverages and foods when they were taken with drugs. This list is considered to be a standard tool for medication instruction.

We examined whether medication instruction by hospital pharmacists functioned as a factor to avoid unexpected readmission for patients discharged from hospitals to community-based care wards.

Starting from May 1, 2017, when hospital pharmacists started drug management guidance work in hospitals for discharge to community-based care wards, we surveyed patients discharged between the period 75 days before (n=120) and 75 days after (n=137) the intervention. Medication guidance was not yet implemented in 76 patients (non-medication guidance group) and implemented in 61 patients (medication guidance group).

The number of unscheduled readmissions within 30 days after discharge was significantly lower in the group after the start of drug management guidance (8.8%) than in the group before the start of drug management guidance (17.5%) (p=0.02).

The number of unscheduled readmissions after the start of drug management guidance work was significantly lower in the medication guidance group (3.3%) than in the non-medication guidance group (13.2%) (p=0.03). Furthermore, the number of readmissions due to drug-induced factors was significantly lower in the medication guidance group (0.0%) than in the non-medication guidance group (6.6%) (p=0.04).

This study found that medication guidance by hospital pharmacists in the hospitals for discharge to community-based care wards significantly reduced unplanned readmissions due to drug-induced factors within 30 days of discharge.

With the aging of the population in Japan, the construction and operation of a comprehensive community care system is being promoted, the demand for home medical care is increasing, and collaboration with other occupations is becoming essential. As a way of thinking as a recuperator at home, grasp the “view and way of thinking” of the International Classification of Functioning, Disability (ICF) model and utilize the recuperator's own abilities, self-help, mutual aid, and public assistance in the community. It is necessary to keep in mind that we will cooperate with local residents and utilize related facilities, occupations, etc. to provide support. In addition, the concept of collaboration and the multidisciplinary collaboration competencies in the medical, health, and welfare field that can be utilized even when it is difficult for other occupations to collaborate in homecare are summarized. We believe that it is necessary to utilize ICT in home medical care, further accelerate cooperation with other occupations, and respond flexibly to the needs of homecare recipients befitting professional standards.