Ezzo - Pharmacist Patient Care Process

Question 1

who came up with the pharmacist’s patient care process

Answer 1

a collaboration of national pharmacy organizations

Question 2

what was the purpose of developing the pharmacist’s patient care process

Answer 2

to develop a STANDARDIZED approach to patient care

stimulates consistency, predictability, and measurability in pharmacists’ service

CONSISTENT APPROACH TO OPTIMIZING MEDICAITON USE

Question 3

TRUE OR FALSE

the pharmacist’s patient care process can be used in ANY practice setting

Answer 3

true

Question 4

name the 5 steps of the PPCP

Answer 4

collect
assess
plan
implement
follow up: monitor and evaluate

Question 5

when collecting information on a patient’s medications, what should you ask them

Answer 5

if they’re taking anything not on the “list” – even supplements or OTC items

Question 6

what kind of information is “collected” about the patient

why?

Answer 6

subjective and objective info about the patient

to understand the medical history and clinical status

Question 7

true or false

when collecting information about the patient, it should only be from one source

Answer 7

FALSE - may be from multiple sources

most of the time you have to use multiple to get everything

Question 8

true or false

when collecting information, it is not necessary to obtain their preferences and beliefs

Answer 8

FALSE - it is.

may affect if they take certain meds

Question 9

the pharmacist _____the informaiton collected and then ______ the clinical effects of the patient’s therapy

Answer 9

assesses the information and then analyzes the clinical effects

Question 10

what is the purpose of ASSESSING the collected information

Answer 10

so we can identify and prioritize problems - achieve optimal care

Question 11

each medication is assessed for what acronym?

Answer 11

IESA

indication
effectiveness
safety
adherence

Question 12

aside from assessing EACH MEDICATION name 2 other things to assess

Answer 12

healt/functional status, risk factors, etc

immunization status and need for preventative care

Question 13

the pharmacist develops an ________, ________-centered care plan in collaboration with..

Answer 13

individualized, patient-centerd care plan

other HCP and the pt or caregiver

Question 14

where in the PCPP do you state your receommendations

Answer 14

PLAN

Question 15

in which step of PPCP is the plan delivered to the patient

Answer 15

IMPLEMENT

Question 16

In monitoring, the function of what 2 things should always be monitored

Answer 16

liver and kidney function

Question 17

what is CMM

Answer 17

comprehensive medication management

to optimize medication therapy and improve outcomes

Question 18

list the steps for delivering CMM

Answer 18

assess
identify med-related problems
plan
implement
monitor and follow up

Question 19

when communicating, it is important to use what kind of language

Answer 19

common language

Question 20

explain each component of the IESA process of assessing a medication list

Answer 20

I - is there an indication? is it correct?

E - effectiveness. will it work/is it working? is the dose likely to achieve clinical goals?

S – ensure monitoring parameters and drug isn’t causing any ADRs (any geri/ped considerations)

A - is the pt taking it and taking correctly

Question 21

true or false

assessing a medication list is an ongoing process

Answer 21

true

Question 22

medication related problems are also known as…

Answer 22

drug therapy problems

Question 23

explain what a medication related problem is

Answer 23

an undesirable or unintended event involving meds that interferes with desired therapeutic outcome, neg impact health, or poses risks

Question 24

true or false

MRPs can occur only after the prescription has been written and dispensed

Answer 24

FALSE - can occur at ANY stage of med use process

from prescription -> dispensin -> administration -> monitoring

Question 25

medication related problems can be divided into how many categories?

Answer 25

7

Question 26

name 2 med related problem categories under “indication”

Answer 26

unnecessary drug therapy
needs additional therapy

Question 27

name 2 med related problem categories under “effectiveness”

Answer 27

ineffective drug
dose too low

Question 28

name 2 med related problem categories under “safety”

Answer 28

adverse drug reaction
dose too high

Question 29

name 1 medication therapy problem category under “adherence”

Answer 29

nonadherence

Question 30

pt not receiving folic acid when given methotrexate is under what medication problem category

Answer 30

indication - “needs additional therapy”

Question 31

sleep medications for short term insomnia is considered what MRP?

Answer 31

unnecessary drug therapy

Question 32

“persistent pain” is considered what MRP

Answer 32

needs additional therapy

Question 33

wrong antibiotics for infection is considered what MRP

Answer 33

ineffective drug

Question 34

Antibiotics for viral infection is considered what MRP

Answer 34

ineffective drug

Question 35

“excessive use of antibiotics” is what MRP

Answer 35

dosage too high

Question 36

financial barriers is considered what MRP

Answer 36

nonadherence

Question 37

the overuse of cough and cold meds in kids is considered what MRP

Answer 37

unnecessary drug therapt

Question 38

the use of prophylactic antibiotics for UTIs is considered what MRP

Answer 38

unnecessary drug therapy

Question 39

inadequate asthma control is considered what MRP

Answer 39

needs additional drug therapy

Question 40

depression treatment resistance is what MRP

Answer 40

needs additional drug therapy

Question 41

true or false

if a med has been identified to be an ineffective drug, it may sometimes be the case that no therapy at all is the best option

Answer 41

true

Question 42

as mentioned, problems identified should be prioritized

what 3 things could be considered the #1 priority

Answer 42

the patient’s chief complaint
a quality of life issue
detrimental to the patient’s health

Question 43

what is a common method of documenting patient information in medical and healthcare settings?

Answer 43

SOAP notes

Question 44

what does SOAP stand for

Answer 44

subjective
objective
assessment
plan

Question 45

how can a SOAP note be condensed

Answer 45

combine both the subjective and objective information and title it “findings”

Question 46

what part of the SOAP note do you write what you think is happening

Answer 46

assessment

Question 47

what part of the SOAP note should contain YOUR THOUGHT PROCESS and why the problem is happening

Answer 47

assessment