documentation of pharmacotherapy interventions

Question 1

is required to record pertinent facts, findings, and observations about a patient’s health history, including past and present illnesses, examinations, tests, treatments, and outcomes

Answer 1

documentation

Question 2

responsible provision of drug therapy for the purpose of achieving definite outcomes that improves a patient’s quality of life

Hepler and Strand, 1990

Answer 2

pharmaceutical care

Question 3

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

Answer 3

pharmaceutical care

Question 4

pharmaceutical care major functions

Answer 4

• identify potential and actual drug-related problems
• resolve actual drug-related problems
• prevent potential drug-related problems

Question 5

pharmaceutical care expected outcomes

Answer 5

• cure disease
• eliminate or reduce symptoms
• arrest or slow down disease process
• prevent disease or symptoms

Question 6

3 components of pharmaceutical care plan

Answer 6

• assessment
• plan
• monitoring

Question 7

a review of the medical conditions and symptoms to determine the need for drug therapy

Answer 7

assessment

Question 8

a decision of an appropriate drug therapy based on the assessment of the patient

Answer 8

plan

Question 9

a review of the outcomes of drug therapy to determine if the patient is obtaining the desired outcomes

Answer 9

monitoring

Question 10

a distinct service or group of services that optimize therapeutic outcomes for individual patients

Answer 10

medication therapy management

Question 11

patient centered assessment and evaluation of the patient’s full medication regimen and not only individual medications

Answer 11

medication therapy management

MTM

Question 12

4 goals of medication therapy management

MTM

Answer 12

• optimize medication use
• improve collaboration
• enhance communication
• empower patients

Question 13

5 core elements of medication therapy management

MTM

Answer 13

• medication therapy review (MTR)
• personal medication record (PMR)
• medication-related action plan (MAP)
• intervention and/or referral
• documentation and follow-up

Question 14

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

Answer 14

medication therapy review

MTR

Question 15

a comprehensive record of the patient’s medications (prescription and non-prescription medications, herbal products, and other dietary supplements)

Answer 15

personal medication record

PMR

Question 16

DOCUMENTATION CATEGORY

basic information: address, phone, e-mail, gender, age, ethnicity, education status, patient’s special needs, health plan benefit/insurance coverage

Answer 16

patient demographics

Question 17

DOCUMENTATION CATEGORY

pertinent patient-reported information: previous medical history, family history, social history, chief complaints, allergies, previous adverse drug reactions

Answer 17

subjective observations

Question 18

DOCUMENTATION CATEGORY

laboratory results, vital signs, diagnostic signs, physical exam results, review of systems

Answer 18

objective observations

Question 19

is the healthcare professional’s course of action for helping a patient achieve specific health goals

Answer 19

care plan

Question 20

DOCUMENTATION CATEGORY

a record of all medications, including prescription and nonprescription medications, herbal products, and other dietary supplements

Answer 20

personal medication record

PMR

Question 21

DOCUMENTATION CATEGORY

patient-centric document containing a list of actions to use in tracking progress for self-management

Answer 21

medication-related action plan

MAP

Question 22

DOCUMENTATION CATEGORY

transition plan or scheduling of next follow-up visit

Answer 22

follow-up

Question 23

DOCUMENTATION CATEGORY

amount of time spent on patient care, level of complexity, amount charged

Answer 23

billing

Question 24

2 main parts of MTM flowchart

Answer 24

• collaboration
• problem solving

Question 25

SOAP stands for

Answer 25

**S** - Subjective **O** - Objective **A** - Assessment **P** - Plan

Question 26

FARM stands for

Answer 26

**F** - Findings **A** - Assessment **R** - Resolution (and prevention) **M** - Monitoring (and follow-up)

Question 26

it contains pharmacist evaluation of the present situation

Answer 26

assessment

Question 27

it highlights the actions proposed to resolve drug related problem based upon **preceding analysis**

Answer 27

resolution

Question 28

PRIME stands for

Answer 28

**P** - Pharmaceutical-based problems **R** - Risks to the patients **I** - Interactions **M** - Mismatch between medication and condition or patient needs **E** - Efficacy issues

Question 29

# PRIME pharmaceutical-based problems assess for incorrect

Answer 29

- dose - route - duration - form - timing - frequency

Question 30

# PRIME risks to the patient assess for

Answer 30

* known contraindications * patient medication allergy * drug induced problems * improper utilization * common serious adverse effects * medication error considerations

Question 31

# PRIME interactions assess for what types of interactions

Answer 31

* drug-drug * drug-food * drug-disease * drug-laboratory

Question 32

# PRIME mismatch between medication and condition or patient needs assess for

Answer 32

* medications used without indication * untreated condition or complaint * actual barriers for the implementation of medication or behavior regimens

Question 33

# PRIME efficacy issues assess for

Answer 33

* suboptimal selection of pharmacotherapy * minimal or no evidence of therapeutic effectiveness * suboptimal utilization of pharmacotherapy * patient preference considerations * medication availability considerations * compliance or administration considerations

Question 34

CORE stands for

Answer 34

**C** - Condition of the patient **O** - Outcomes desired in the specific patient **R** - Regimen selected **E** - Evaluation parameters

Question 35

the widespread use of this will support uniformity of information provided to all healthcare professionals

Answer 35

personal medication record | PMR

Question 36

is an **alternative approach to documenting** drug-related problems and plan which is a pharmacist equivalent of a physician progress note in a systematized approach

Answer 36

FARM note

Question 37

it actually includes provisions for identification and assessment of actual or potential medication related problems, description of a therapeutic plan and appropriate follow-up monitoring of problems

Answer 37

FARM note

Question 38

this should delineate the thought process that led to the conclusion on problem whether it did or did not exist and active intervention either was or was not necessary

Answer 38

assessment