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Downloads

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2010

2009

  • Discontinuance of Inappropriate and/or Unnecessary Proton Pump Inhibitor Use Can Result in Sizeable Cost Savings for Patients, Government & Third-Party Payers
  • Sun Safety: Protect your skin from damage
  • Zopiclone Withdrawal
  • Breast and Testicular Self‐Exams – Why and How Often?
  • Anticholinergics for Asthma
  • Interactions with HP-Pac
  • Human Swine Influenza
  • What do I Need to do Before I Measure My Blood Pressure?
  • Cough and Cold Medication in Children
  • Measuring Medicine: Tips to accurately measure your child’s medication
  • Medication Safety & Your Child: Measuring Devices, Safety Tips, Poison Control

PACT Program

  • Week 1 – Introduction/Preparing to quit
  • Week 2 – Second hand smoke/Benefits of Quitting
  • Week 3 – Cessation Products/Withdrawal, Cravings, & Triggers
  • Week 4 – cancelled
  • Week 5 – Health Eating
  • Week 6 – Staying Quit
  • Week 7
  • Week 8
  • Week 9
  • Week 10 – Quitting Nicotine: Signs of Recovery

2008

Student Projects

  • Gout (PDF)
  • Champix ADR (PDF)
  • COPD Handout
  • Creatinine Clearance & Renal Dosage Adjustment (PDF)
  • Proton Pump Inhibitors (PDF)
  • Cymbalta (PDF)
  • Seasonale (PDF)
  • Januvia (PDF)
  • Digoxin/Warfarin Toxicity (PDF)
  • The Diet Plate (powerpoint)

2007

Student Projects

2006

  • Situation critical in small rural town – Pharmacy Post, May 2006 (PDF)

Student Projects

  • Medications used to treat high cholesterol and their side effects (PDF)
  • Medications used to treat high cholesterol and their side effects (Powerpoint)
  • Human Papillomavirus Vaccination Program (PDF)
  • Human Papillomavirus Vaccination Program (Powerpoint)
  • Sample Medications Collection Program for PIP/ADAPT (PDF)
  • Medication Samples Project Data (Excel)
  • “Normal Aging” versus Alzheimer Disease (PDF)
  • Crystal Meth (Powerpoint)

2005

Diabetes Pilot Project

Student Projects

2004

Primary Care in UK

Primary Care Pilot

To view PDF files, download the free Adobe Reader here.

Health Information

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Health Information from Stueck Pharmacy

The following articles were prepared by Stueck Pharmacy staff and practicum students, for your health information. Stroke information is courtesy Stroke Recovery Canada.

If you have questions, contact a pharmacist at Stueck Pharmacy.

To view PDF files, download the free Adobe Reader here.

Alzheimer’s

  • “Normal Aging” versus Alzheimer Disease (PDF, 2006)

Blood Pressure

  • What do I Need to do Before I Measure My Blood Pressure? (PDF, 2009)

Children’s Medication

  • Cough and Cold Medication in Children (PDF, 2009)
  • Measuring Medicine: Tips to accurately measure your child’s medication (PDF, 2009)
  • Medication Safety & Your Child: Measuring Devices, Safety Tips, Poison Control (PDF, 2009)

Cholesterol

  • Medications used to treat high cholesterol and their side effects (PDF, 2006)
  • Medications used to treat high cholesterol and their side effects (Powerpoint, 2006)

Chronic Obstructive Pulmonary Disease (COPD)

  • COPD handout (PDF, 2008)

Crystal Meth

  • Crystal Meth (Powerpoint, 2006)

Diet

  • The Diet Plate (PDF, 2008)

Flu

  • Human Swine Influenza (PDF, 2009)

Gout

Human Papillomavirus (HPV)

Lice

Metabolic Syndrome

Self-Exams

  • Breast and Testicular Self‐Exams – Why and How Often? (PDF, 2009)

Smoking

Stroke

  • The Caregiver’s Guide to Stroke Recovery (PDF)
    This guide is courtesy Stroke Recovery Canada. For more information about stroke recovery, visit www.strokerecoverycanada.com.

Sun Safety

  • Sun Safety: Protect your skin from damage (PDF, 2009)

Potential Drug Interactions

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Potential Drug Interactions: What you need to know

  • Plavix and Proton Pump Inhibitors: Losec, omeprazole, Prevacid, lansoprazole, Pariet, rabeprazole, Nexium, and esomeprazole
  • ACE-Inhibitors and ARBs: It is safe to take both?

Plavix and Proton Pump Inhibitors: Losec, omeprazole, Prevacid, lansoprazole, Pariet, rabeprazole, Nexium, and esomeprazole

You may have seen a story aired on CTV in late January 2009 warning about the risk of taking Plavix in conjunction with medication used for acid control. This information is based on a recent study published in the Canadian Medical Journal. The study concluded that patients who took Plavix and one of the above proton pump inhibitors were at risk of experiencing a second heart attack. The study also found that the proton pump inhibitor pantoprazole did not interact with Plavix.

If you are taking one of the proton pump inhibitors mentioned above, we recommend contacting your doctor or pharmacist in order to discontinue this medication. It is important that you continue to take your Plavix as directed. If you are taking pantoprazole we recommend continuing your current medication regimen.

For more information or if you have any questions please contact a Stueck Pharmacy pharmacist at 628-3744

ACE-Inhibitors and ARBs: It is safe to take both?

The Heart and Stroke Foundation of Canada released recent guidelines on the use of ACE Inhibitors and ARBs in combination. ACE-Inhibitors include ramipril, enalapril, captoril, lisinopril, perindopril, and quinapril. ARBs include irbesartan, losartan, valsartan, and telmisartan.

The information is based on hypertension guidelines from a recent trial. Both medications act through a similar mechanism and taking both in combination may cause an increase in the amount or severity of side effects experienced, with a minimal blood pressure benefit. There have been other studies testing the benefit and risk of combination therapy. The decision to use one or both is often not easily made and depends on many factors. An ACE-Inhibitor/ARB combination is generally not recommended if you:

  • Have high blood pressure alone without other conditions
  • Have diabetes without kidney damage
  • Have angina alone
  • Have recently had a heart attack
  • Have experienced a stroke or mini-stroke
  • Uncomplicated chronic kidney disease

However, it is important that you do not stop your medication without consulting a health care professional. Each person is unique and an ACE-Ihibitor/ARB combination may be appropriate in your situation. We recommend speaking to your doctor or pharmacist if you would like to discuss your options or if you have any concerns.

For more information or if you have any questions please contact a Stueck Pharmacy pharmacist at 628-3744

Delivery to Eatonia

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Professional Services

As Primary Care Practitioners, we provide, in addition to traditional dispensary functions, extensive medication and disease state counseling to empower our patients in their own care. Hypertension, cholesterol, osteoporosis, diabetes, and asthma are just a few of the diseases we have targeted for extra patient education and monitoring as part of our services to strive for optimal patient outcomes. We utilize a combination of pharmacy and home visits best suited to the patient to attain this goal.

Since 1995, Stueck Pharmacy has provided at no charge the exchange and disposal of SHARPS needle disposal containers to our patients (this program has since been emulated by other Saskatchewan pharmacies under the auspices of the Saskatchewan College of Pharmacists). We also provide home PILL PAKS to simplify complex and confusing medication regimens. Blood pressure monitoring, diabetic and osteoporosis screening are provided on a regular basis in the pharmacy. Our pharmacists are also certified to provide emergency contraception protection (ECP).

We also direct bill various third party insurance programs. Please present your coverage card when obtaining a pharmacy service.

Service to Outlying Areas

Fox Valley: Home delivery every Thursday afternoon.

Burstall: Next day mail delivery. Canada Post departs Leader at 9:20AM, arrives Burstall 10:15AM Mon-Fri.

** New ** Eatonia:

We have contracted with STL Express for DAILY, Monday to Friday delivery to Eatonia. Deliveries will take place between 2 and 3 PM, to the door for Eatonia residents, or to the Post Office if requested. Out of town residents will still pick their packages up at the Post Office.

We trust our improved delivery service will meet your needs. Should you require further information, please contact us.

Front Store Services

Stueck Pharmacy has an extensive inventory of traditional drugstore items on hand, from shampoo to foot care, Hallmark greeting cards to stationary, cameras to picture developing and much more. A huge giftware section and one of the largest Saskatchewan galleries of Bernie Brown pictures will fulfill all your gift giving requirements. A large toy selection complements our product line with some of the newest toys in stock.

Discovery Asthma Camp

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Discovery Asthma Camp
Stueck Pharmacy is a bronze sponsor of the Discovery Asthma Camp.

The Discovery Asthma Camp is offered through the Lung Association of Saskatchewan so that children with moderate to severe asthma can enjoy the unique experience of summer camp, in a safe setting made for fun and learning.

In serene surrounding, campers receive around the clock care from professionals, and supervision by fully trained counsellors chosen for their leadership and personality qualities.

To learn more about the Discovery Asthma Camp, visit www.asthmacamp.org.

To learn more about healthy lungs, visit the Lung Association of Saskatchewan at www.sk.lung.ca.

Primary Care Pharmacist wanted

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Full time Pharmacist required
to provide Part-time Integrated Primary Care

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We are seeking a primary care pharmacist to join our practice in Leader, Saskatchewan. The position will involve a 50:50 split of your time between community pharmacy practice and team-based practice within our community’s medical clinic. This is a term position to end July, 2007, with a flexible commencement date.

Stueck Pharmacy: Is a busy store with one pharmacist, four full-time and two part-time staff. Offering a full line of traditional drug-store items and large gift ware/toy selections make the store a destination for shoppers in this primarily rural setting. The pharmacy practice constitutes approximately 70% of the business and is very patient focused. The practice currently specializes in primary care team work (diabetes) and documentation is integral to the practice. The owner and former primary care pharmacist, Charity Evans, have firmly established the practice in line with the Fyke Commission by integrating the pharmacist into the health care team. It is intended the pharmacist spend approximately 50% of his/her time in the store dispensary performing traditional pharmacy functions, including coverage for vacations, etc. Store hours are 8:30 AM to 5:30 PM Mondays to Saturdays, no evenings or holidays.

Integrated team-based practice: Sask Health has approved the Leader facilities for three salaried physicians and one nurse-practitioner. The primary care pharmacist can expect to spend more time delivering the quality care one would expect in the new model as proposed by the Romanow and Fyke Commissions. The primary care pharmacist is to perform such duties as hospital and long-term care rounds, patient teaching, etc (as listed below). It will be the responsibility of the pharmacist to develop programs to suit the practice and community. Coverage will be provided in the hospital, nursing home, medical clinic and patient home. Funding will come from the existing pharmacy, but the pharmacist will be responsible for investigating and developing other sources of revenue.

You will be developing the pharmacist’s role in the multidisciplinary team. Providing primary care to patients includes disease prevention, health promotion, acute and chronic care. The pharmacist’s role within the practice may include:

  • patient education (disease state, drug therapy)
  • medication histories
  • pharmacotherapy assessments and follow-up
  • DRP identification/ resolution
  • drug-use evaluation/ evidence-based practice
  • documentation of care
  • responding to drug information requests
  • developing health promotion strategies
  • daily participation at hospital / LTC rounds
  • outcomes / remuneration research
  • development of papers for publication
  • responsible for the supervision of students under the College’s Structured Practical Experience Program (maximum three students, each with a five week rotation).

Prioritization of these activities will be determined in conjunction with the primary care team.

Knowledge/skills required:

We are seeking a dynamic, highly motivated individual with strong interpersonal communication skills. The individual needs to have experience successfully working within a team, but also the ability to pioneer in this new practice environment. S/he will need to be well versed in the broad range of ambulatory therapeutics and have developed basic skills in literature evaluation and evidence-based medicine.

Preference will be given to individuals who have some clinical experience in the team-based setting (for example, experience in the Provincial Primary Care Project).

The Community:

Leader is a progressive community of 950 in the south west of Saskatchewan. With a trading population of approximately 3000 and a trading area of approximately 90 miles in diameter, provision of pharmacy services is a challenge. Numerous recreational opportunities such as hockey, hiking, boating, etc. provide the residents with an active lifestyle. Housing and living expenses are very affordable in the safe, quiet community where neighborliness is not a requirement, but a given. For more, see www.leader.ca.

Salary & Benefits:

Starting salary will be based on experience. Benefits include 3 weeks paid vacation, participation in group health plan, professional licensing fees, moving allowance, and attendance at two or more educational conferences annually.

Contact:

Resumes should be forwarded via mail/e-mail to attention of:

Michele or Gordon Stueck
PO Box 400
Leader, Saskatchewan, S0N 1H0
gstueck@sasktel.net

We thank everyone for their interest but only those applicants to be interviewed will be contacted further.

This represents a unique practice opportunity in Saskatchewan, and in Canada.

The successful candidate can expect support and guidance from Pharmacy Practice Faculty at the College of Pharmacy & Nutrition.

Come be a practice leader in Leader, Saskatchewan!

Leader Primary Care Pharmacist Position

By now, you’ve been through the interview process, had signing bonuses waved in your face and heard about all the “clinical” opportunities that you’ll get if you only join this team…

I was in the same situation two years ago. Knowing that I wanted to begin my career in a site that allowed me true clinical experiences and the freedom to develop my own practice, I chose to accept the position in Leader, Saskatchewan.

Over the past two years, I have developed personally and professionally through the opportunities, experiences, and support that are often hard to find in the profession of community pharmacy. Splitting my time between the pharmacy and the medical clinic, the following is a sample of what I have been doing over the past two years. More specific details can be found on my Primary Care blog here.

  • Development and implementation of clinical studies (accepted for publication)
  • Writing case reports of unique experiences/situations encountered
  • Attending weekly rounds with physician and nurse at the 36-bed long-term care home
  • Individual patient medication reviews, physician consults and patient education
  • Attending numerous provincial and national conferences related to primary care development
  • Speaking at various conferences on pharmacy’s role in primary health care
  • Month long visit to the UK – experiencing and participating in their world renowned primary care system
  • Extensive program and funding proposal development, writing and presentation
  • Development of an interdisciplinary diabetes initiative that has recently been approved for funding by our Health Region (contracting pharmacist services directly from a community pharmacist)
  • Developed a primary care team development strategy for the Cypress Health Region based on my UK experiences
  • Developing relationships with both practitioners and those in government positions
  • Preceptor for the U of S College of Pharmacy SPEP program

Ideal candidates for this position will be self-motivated, enthusiastic about the role of pharmacy in the primary health care system, and be willing to take a lead role in program development. An interest in team development and change management will be a definite asset. Along with hard work, they will be expected to be resilient, as barriers will continue to arise with the evolution of pharmacy’s role in the healthcare system.

Charity Evans BSP
Primary Care Pharmacist

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Pharmacy 580 Specialty Site Placement

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Pharmacy 580 Specialty Site Placement
Stueck Pharmacy – Leader
2006

Purpose:

The purpose of this rotation is to expose the student to a working primary care team.

Site:

The student will spend time at Stueck Pharmacy, the Leader Medical Clinic and will be attending rounds at the Western Senior Citizens Centre. Lodging and meals will be provided.

Preceptors:

Main preceptors for this rotation will be Gordon Stueck, BSP and Mikki Millar, RN(NP), Nurse Practitioner. The student will have opportunity to interact with many other primary health care team members.

Objectives/Assignments:

  1. Attend and participate in patient visits with the Nurse Practitioner. Assist in determining appropriate therapy.
  2. Provide diabetes education as part of an ongoing team project. Medication reviews of diabetic patients on an initial and ongoing basis to ensure clinical guidelines are being met.
  3. Participate in primary care sessions with the team.
  4. Prepare for and participate in care home rounds with physicians and nurses.
  5. Prepare materials as requested by the primary care team under the supervision of the pharmacist and nurse practitioner.
  6. Participate in information seminars at the school.

Activities:

Depending on the time of rotation, the student may:

  • prepare for and participate in long-term care medication reviews.
  • conduct school sessions on drug use, smoking, etc.
  • provide diabetes education in a one-on-one setting.

This specialty rotation will involve the student in an active primary care team environment. The student will be expected to contribute to the team as a knowledge base and to patient care as an active team member. Excellent communication skills and self-confidence are a pre-requisite. This unique site will give the motivated student a view of the future of health care.

For more information, students should contact Bev Allen at the College of Pharmacy & Nutrition.

Diabetes Information

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The World Health Organization has estimated that by the year 2010, more than 230 million people will be diagnosed with diabetes worldwide. Of that, 3 million will be in Canada, with approximately 59,000 in Saskatchewan alone. The scarier statistic is that an estimated 1/3 more of the population is believed to have undiagnosed diabetes.

The purpose of this page is to provide you with credible sources of information, so that you are able to educate yourself on diabetes and its prevention.

You may also wish to download the educational powerpoint presentation entitled “Diabetes: What does it mean for me?”

Diabetes Information:

  • Canadian Diabetes Association
  • Health Canada – Diseases and Conditions
  • Health Canada – Chronic Diseases
  • National Aboriginal Diabetes Association
  • Saskatchewan Health
  • Health Canada Statistics
  • American Diabetes Association
  • Medline® Plus

Lifestyle:

  • Diet
  • Dietitians of Canada

Exercise

  • Health Canada Physical Activity Guide

Cholesterol

  • Health Canada – Cholesterol
  • Health Canada – Controlling Cholesterol

Blood Pressure

  • Heart and Stroke Foundation

Quitting Smoking

  • Health Canada – Go Smoke Free

Mental Health

  • Health Canada – Mental Health

Scope & Funding

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Scope of Practice

Ideally, services will be provided on a referral basis with the pharmacist being available for an average of 20 hours a week. Dr. X has indicated that an office is available for use at the Leader Medical Clinic, which would allow for enhanced communication among all involved health care professionals.

Although certainly not comprehensive, services provided by the pharmacist will include:

  • patient medication and chart reviews to screen for potential/actual drug related problems, ideally before patient is seen by physician
  • pharmacotherapy consultation, including attending rounds at both the hospital and long-term care home.
  • when necessary, patient monitoring and follow-up
  • frequent communication with home care nurses regarding the health status and needs of non-institutionalized patients
  • home visits to those patients who require drug information, monitoring, and compliance assessment

Because this position is a prototype, the pharmacist position will remain dynamic, and be adaptable to best fit the needs of the community and the health district.

Pharmacist interventions, recommendations, physician acceptance and patient outcomes will be documented and presented at the end of the initiative to the appropriate government agencies and participants, in hopes of demonstrating the potential benefits of pharmacists in primary care.

Funding

Funding for this year-long initiative will be the sole responsibility of Stueck Pharmacy.

Objectives

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The ultimate goal is the enhancement of patient care, which we hope to achieve through:

  • initiating a positive working relationship with local physicians, nurses, and other health care professionals
  • maintaining continuity of care
  • identifying potential and/or actual drug related problems
  • promoting patient participation in their own health care through individual patient and group drug and disease education
  • emphasizing disease prevention and maintenance rather than reactive treatments