Table 4 Summary of three cases in which the caregiving burden reduced

Primary caregiver

Son

Grandchild

Spouse

Change in J-ZBI scores

51 to 50

15 to 10

31 to 29

Items that improved the J-ZBI score^a

• Afraid of what the future holds for your relative

• Feel that because of the time you spend with your relative that you do not have enough time for yourself

• Feel that you will be unable to take care of your relative much longer

• Feel stressed between caring for your relative and trying to meet other responsibilities for your family or work

• Feel you have lost control of your life since your relative’s illness

• Afraid of what the future holds for your relative

• Feel strained when you are around your relative

• Feel you have lost control of your life since your relative’s illness

Change in comprehension scores

5 to 5

3 to 5

4 to 5

Items that improved in comprehension score^a

• Understand that there are several types of dementia

• Understand that there are several types of dementia

• Understand that dementia has peripheral symptoms

Problems identified by the pharmacist from the Grasp problem sheet^a

• Take medication at one’s own discretion or not at all

• Not coping with continued medications

• Dissatisfied with the current dosing regimen for the rest of their life

• Discontinue the medication at your own discretion when your condition changes

• Lack of care for any changes in the patient’s condition while taking the medicines

• Not being able to ask questions about medications to healthcare providers without hesitation

• Not finding and using the information needed for the patient’s medication

• Not finding and using the information needed for the patient’s medication

Not asking when you do not know about the medication the patient is using

• Not coping with continued medications

• Not knowing about the medication used by patient and why they are needed.

• Not asking when you do not know about the medication the patient is using

Reply to the form for request of information

Reply from family physician and care manager

Reply from family physician and care manager

Reply from family physician and care manager

Actions by the family physician or care manager

• The family physician instructed the pharmacist to visit the patient residence.

• Care manager asked pharmacists to participate in care conferences.

• Family physician contacted separately

• Care manager directly contacted. There was an increase in direct contact from care managers to pharmacists (3 times during the study period).

Details of the prescription change^a

Addition of antitussives

• Donepezil dose increased from 3 to 5 mg.

• Linaclotide and mirabegron tablets were discontinued.

• Changed from internal vicosulfate solution to tablet