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AROUND THE REGION
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         Back Cover Story: Update on Cannabis Care at MorseLife Health System

         Continued from page 40              sion, thanks to the diligent efforts of the   report using fewer opiates, anti-depres-  challenging, especially because the mari-
          There were obstacles to enrolling   Kessler team, a law was passed permitting   sants, anti-anxiety drugs, and sleep med-  juana that must be utilized for them is
        patients in the program. Probably the most   a caregiver in a facility such as MorseLife   ications when using cannabis. We see at   obtained from the federal government and
        common obstacle was the lack of either a   to take care of multiple patients. This is   least a 70% positive outcome. On the   it is inferior quality and arrives in smok-
        valid driver’s license with a current   critical to enable a successful program at a   Memory Care Unit, we have had spouses   able form. Additionally, cannabis medicine
        address, or a Florida state photo identifica-  nursing home facility. The plan was to   and children calling to say that they see a   is unique. Every patient may need a differ-
        tion card. Since many of the residents no   assign a set of patients to a caregiver.   change in their loved one’s behavior and   ent form factor, dose, and strength, and
        longer drive, they have no reason to renew   Unfortunately, we found that there is no   some are now asking about adding THC to   these can vary from day to day. At a recent
        their license or update their address.   pathway to implementing this law. The   the regimen. This is not to say that every   meeting of Florida’s Medical Marijuana
        Without an active license or a photo ID   Registry does not allow for a person to be   patient has benefitted. About 30% take a   Physicians, the consensus among the lead-
        from the state, there is no way to apply for   more than one person’s caregiver.    break or stop using cannabis. The most   ing doctors in the state was to utilize
        a medical marijuana card. No exceptions.    Not surprisingly, the cohort we have   cited reasons are because they do not feel   observational data to inform best prac-
          A second obstacle relates to a law that   gathered at MorseLife is primarily made   it is working, it is too expensive, or other   tices.
        permits every patient in the Registry to   up of residents in the Independent Living   medications work better for them. Some   As we move forward, we plan to reach
        have a caregiver. That designated caregiver   setting and those on the Memory Care   have reverted to cannabis.    out to a larger population of seniors who
        is allowed to go to a dispensary and pur-  Unit. The former, because they are able to   My team has been asked to produce pro-  are housed in the community and are part
        chase product for the patient and then   get their own cannabis and are able to fol-  tocols and algorithms for dosing around a   of MorseLife outreach. Through grass
        deliver it and administer it. The Office of   low up with office visits as needed. The   variety of ailments and diagnoses. We use   roots adoption, we hope to engender inter-
        Medical Marijuana Use has a course for   latter because we use non-THC containing   a planned introduction to cannabinoids   est in cannabis medicine for all who can
        prospective caregivers. Once they pass the   regimens to help with agitation and anxi-  and a stepwise increase in both dose and   benefit. Hopefully, we can use the knowl-
        test and pay the fee, they are sent a card   ety. Both of these groups are doing well.  A   strength of cannabis. Additionally, we have   edge and expertise garnered at MorseLife
        similar to the medical card sent to the   few significant observations have come   investigated doing a traditional random-  to guide utilization at senior care facilities
        patient. During the 2019 legislative ses-  out of the work at MorseLife. Residents   ized controlled trial (RCT). These trials are   and communities across the country.


                     Cannabis News Florida

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         Cannabis News Florida                                                                          cannabisnewsflorida.com                                                              August 2020                         39
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