2 Documentation of Pharmacotherapy Interventions Flashcards
It is required to record pertinent facts, findings, and observations about a patient’s health history.
Documentation
Responsible provision of drug therapy for the purpose of achieving definite outcomes that improves a patient’s quality of life. (Hepler and Strand 1990)
Pharmaceutical Care
A patient-centered practice in which the practitioner assumes responsibility for a patient’s drug-related needs and is held accountable for this commitment. (Cipolle 1998)
Pharmaceutical Care
A review of the medical conditions and symptoms to determine the need for drug therapy.
Assessment
A decision of an appropriate drug therapy based on the assessment of the patient.
Plan
A review of the outcomes of drug therapy to determine if the patient is obtaining the desired outcomes.
Monitoring
A distinct service or group of services that optimize therapeutic outcomes. Patient centered assessment and evaluation of the patient’s full medication.
Medication Therapy Management
Goals of Medication Therapy Management
• Optimize Medication Use
• Improve Collaboration
• Enhance Communication
• Empower Patients
Core Elements of Medication Therapy Management
- Medication Therapy Review (MTR)
- Personal Medication Record (PMR)
- Medication-Related Action plan (MAP)
- Intervention and/or Referral
- Documentation and Follow-Up
Core Elements of Medication Therapy Management
- Medication Therapy Review (MTR)
- Personal Medication Record (PMR)
- Medication-Related Action plan (MAP)
- Intervention and/or Referral
- Documentation and Follow-Up
A systematic process of collecting patient-specific information, assessing medication therapies to identify medication-related problems, developing a prioritized list of medication-related problems, and creating a plan to resolve them.
Medication Therapy Review
Purposes of Medication Therapy Review (MTR)
To improve patients’ knowledge of their medications; Address problems or concerns that patients may have; and Empower patients to self-manage their medications and their health condition(s).
A comprehensive record of the patient’s medications (prescription and non-prescription medications, products, herbal and other dietary supplements).
Personal Medication Record (PMR)
Purposes of Patient Medication Record (PMR)
To communicate and collaborate with physicians and other healthcare professionals; Widespread use of the PMR will support uniformity of information provided to all healthcare professionals; and Enhance the continuity of care provided to patients.
A patient-centric document containing a list of actions for the patient to use in tracking progress for self-management.
Medication-Related Action Plan (MAP)
