Chapter 14-The drug use process Flashcards
Patient _________ is the key determinant
for proper drug use, or, conversely, inappropriate use
behavior related to taking medication
The drug process in the U.S. is influenced by what 3 things?
- patient behaviors
- patient compliance
- other variables
How do medications provide an enormous help to many in the HCS?
- lives are saved/enhanced
- life spans are lengthened
Where can OTC’s be purchased? (4)
- pharmacies,
- grocery and superstores
- convenience stores
- Internet outlets
- other resources as well
Prescription medications can be purchased through what? (6)
- traditional channels (community chain/independent pharmacies)
- mail-service pharmacies
- internet
- physicians
- healthcare institutions
- elsewhere
T/F?
Patients can obtain prescription medications from any
number of pharmacies or physicians (either samples or dispensed prescriptions).
-true
What drives the increase in spending on drugs? (4)
- increased available technologies
- increasing numbers of patients
- prescriptions per patient
- increasing number of seniors taking advantage of Medicare Part D drug benefit
Problems occurring with the use of medications can include the following: (7)
- medication errors
- suboptimal drug, dose, regimen, dosage form, and duration of use
- unnecessary drug therapy
- therapeutic duplication
- drug to drug, disease, food, and nutrient interactions
- drug allergies
- adverse drug effects
Who needs
to take ownership of these problems and improve patient outcomes resulting
from inappropriate drug use?
pharmacist and other health professionals
T/F?
For most appropriate self-care to occur, patients need to be able to interpret their
symptoms AND understand what these symptoms actually mean.
true
A patient relying on a physician to obtain a diagnosis but NOT treatment is an example of what?
Self-care/self-help
What type of conditions can be and are treated by
individual patients with advice from pharmacists in many practice settings?
-self-limiting
T/F?
Self-care is NOT convenient, and does NOT save money for patients.
- false
- Self-care can be a convenient, time-saving option for patients.
What may be a cause of or contributor to patient noncompliance
with recommendations, whether for prescribed medications or other recommended
and/or prescribed therapeutic regimens?
-self-care
T/F?
SELF-CARE is a decision made by a patient to
consume a drug with or without the approval or direction of a health professional.
- false
- SELF-MEDICATION
What fuels the increase in self-medication?
- increasing ways to purchase OTC’s
- prescription items becoming OTC items
- patients becoming comfortable with self-diagnosis and self-selection of OTC remedies
T/F?
Self-medication can be beneficial in helping patients avoid more costly therapies or expenditures.
true
What allows the patient to have a degree of autonomy in health care decisions?
Self-medication for certain conditions, if handled appropriately
When do manufactures leverage OTC’s
when prescription-only products are more suitably made available
for patient self-use and when patent protection is lost on products.
Who must approve RX to OTC switches?
FDA
What is one of the most understated
problems in the health care system as it pertains to patients?
Patient noncompliance with prescription regimens
T/F?
Interventions that are organizational, educational, and behavioral are necessary to combat SELF-CARE?
- false
- PATIENT NON-COMPLIANCE
What are the 4 types of compliance?
- initial noncompliance
- partial compliance
- total compliance
- hypercompliance
When a patient gets a RX from the MD but does not “FILL” it, this is considered what?
-initial noncompliance
