chapter 10 Flashcards
cc meaning
Chief Complain
FH
Family History
HPI
History of Present Illness
DH
Drug/Medication History
PMH
Past Medical History
PTC
Pharmacy and Therapeutics Committee
PRN
Pro re Nata (as needed)
SH
Social History
ROS
Review of System
In the context of RA 10918, also known as the “Phillippine Pharmacy Act”, the State recognizes the vital role of pharmacists in:
the delivery of quality health care services
This law affirms that pharmacists are indispensable professionals of the nation’s healthcare system in terms of ensuring the physical well-being of the Filipinos.
RA 10918, Philippine Pharmacy Act
Acording to the ___ under DOH, the traditional role of pharmacists in drug product preparation and dispensing broadened to a patient centered approach.
Hospital Pharmacy Manual by the National Center for Health Facility Development
It is defined as a record of information on a patient’s drug therapy.
It is a current list of all medications prescribed for an individual, any allergies the individual has, and any information relevant to an individual’s ability to take medicatión safely
Patient Medication Profile
Itis also a comprehensive, systematically-derived list of regularly used medication, both prescription and nonprescription agents.
Patient Medication Profile
what to record in patient medication profile, according to the philippine pharmacy law
• the name and address of the patient
• name of prescribed generic name and brand
• dosage strength
• quantity of drug
• initials of pharmacist
Benefit of PMP to Patient
Reduced risk of medication error
Benefit of PMP to General Practitioner
Receive accurate, timely information that enables them to continue the patient’s care after discharge
Benefit of PMP to Hospital Doctor / Attending Physician
Safe foundation for prescribing new or acute medication
Benefit of PMP to Clinical/Hospital/Ward Pharmacist
Clear basis form managing medicines throughout the patient journer
Benefit of PMP to Nurse
Administer prescribed medicines with greater confidence
It may indicate his or her likely ability to metabolize and excrete medicines and has implications for Step 2 of the drug use process.
Patient’s Age
May alter the choice of therapy for certain indications. It may also prompt consideration of the potential for pregnancy or breastfeeding.
Gender
Racialy determined predispositions to intolerance or ineffectiveness should be considered with certain classes of medicines
Ethnic or Religious Background
Thsi may impact the ability to manage medicines and influence pharmaceutical care needs, such as living alone or in a care home, or availability of nursing, social or informal careers.
Social History
Take note if the patient has allergic reactions to food or medication, type of reaction, and when the reaction occurred (recent or was it during childhood).
Allergies
List any maintenance prescription medication and PRN medications.
Indication - Assess if the patient is aware of what the medication is for.
Current Medications
Take note if the patient is taking the following: Vitamins, Antacids, Analgesics (Paracetamol, baby Aspirin, Ibuprofen), Laxatives, anti- diarrheal agents, cough and cold preparations, decongestants, topical preparations, sleeping agents and sedatives, ear and eye products, herbal and homeopathic preparations.
Over-the-Counter Medicines
Especialy if it concerns any antibiotics, changes in chronic therapies, or changes in OTC’ s.
Any medication used to take but have stopped
Is there anyone at home that is aiding them to adhere to their medicines? E.g., significant other, caregiver, nurse, or do they live alone.
How the patient manages their medicines at home
It is a conversation with a purpose.
Medication History Interview
The primary goal of patient-clinician interview
to improve the well being of the patient
the purpose of conversation with patients
• to establish a trusting and supportive relationship
• to gather more information
• to offer information
The primary way of obtaining comprehensive information about the patient
Through Patient Medical Interview
It refers to the “medical issue that the patient has for the visit. Normally, the documentation is done using the patient’s own words by quoting the writen or oral presentation.
Chief Complaint (CC)
Mnemonics
WWHAM
PQRST
AS METTHOD
QuEst
CHAPS-FRAPS
SCHOLAR-MAC
BASIC 7
It is the story of the illness. The pharmacist will further explore the patient’s chief complaint.
History of Present Illness (HPI)
Specifics about where the symptoms are occurring. (In some cases, it is important to ask the patient if it is okay for you to inspect the area.)
Locatikn
Describe the symptom in terms of characterization.
Quality
Quantify the severity of the symptom. If the symptom is pain, ask the patient to rate the pain on a scale of 1 to 10.
Quantity/Severity
Find out when the symptom started and if there was anything occurring at the time to link it to the onset of the symptom. Also clarify how long the symptom has been occurring and the frequency of occurrence; that is, is it constant or intermittent?
Timing
This includes addressing the possible cause of the symptom.
Setting
Determine what makes the symptom better or worse. Ask about any medications or non-pharmacologic therapies used to relieve the symptoms worse.
Factors that aggravate or relieve the symptom
Note any other symptoms the patient is experiencing. Also, ask about symptoms that may be a consequence of the primary symptom.
Associated Manifestations
It includes past diseases, surgical history, history of childhood illnesses, and obstetric and gynecologic history
Past Medical History
It includes past diseases, surgical history, history of childhood illnesses, and obstetric and gynecologic history
Past Medical History
It should include the type of operation undertaken, when it was undertaken, and the indication for the operation.
Surgical History
Among those pointed out to be are measles, mumps, chickenpox, whooping cough, rheumatic fever, scarlet fever, and polio.
Childhood Illnesses
It includes the number of pregnancies, even the deliveries, miscarriages, and terminations.
Obstetric/Gynecologic History
These includes information on what immunization that patient has received, such as influenza, pneumococcal, tetanus, COVID 19, and hepatitis B, as well as the dates they were acquired.
Health Maintenance/Immunizations
It refers to the health information on the patient’s immediate relatives.
Includes: Parents, Grandparents, Siblings, Children, and Grandchildren
Family History (FH)
It is the part of the interview where we learn about the patient’s life, including health behaviors and personal choices.
Personal and Social History (SH)
It is a systematic, head-to-toe evaluation of the presence or absence of symptoms.
Review of Systems (ROS)
Often, a medical student, resident; and physician or a healthcare professional accomplishes this.
Comprehensive Physical Examination
It has to be detailed and accurate. It has to be a complete account of all prescribed and non-prescribed medications of a patient, or patient’s medication prior to a newly initiated institutionalized or ambulatory care.
Medication History
Information in PMP: It can be located on the label or the medication list.
Medication Name
Information in PMP: Also found in on the label. Must make sure to include the information for both the strength and its corresponding units.
Strength and Dose
Information in PMP: how often does the patient take the medication
Frequency
Information in PMP: When does the patient take the medication
Timing
Information in PMP: Inquiring about it enables the interviewer to assess the patient’s understanding of his/her medications and provide patient- specific education
Indications
Information in PMP: What side effects are you experiencing with any of your medications?
Adverse reactions
Information in PMP: It can be helpful to find out what medications the patient has taken in the past.
Past Medication Use
Information in PMP: A key component to the medication history.
Medication Adherence
Information in PMP: Inquiring about it that the patient may have experienced at any point in his/her life
Allergies
