Ezzo - Pharmacist Patient Care Process Flashcards
who came up with the pharmacist’s patient care process
a collaboration of national pharmacy organizations
what was the purpose of developing the pharmacist’s patient care process
to develop a STANDARDIZED approach to patient care
stimulates consistency, predictability, and measurability in pharmacists’ service
CONSISTENT APPROACH TO OPTIMIZING MEDICAITON USE
TRUE OR FALSE
the pharmacist’s patient care process can be used in ANY practice setting
true
name the 5 steps of the PPCP
collect
assess
plan
implement
follow up: monitor and evaluate
when collecting information on a patient’s medications, what should you ask them
if they’re taking anything not on the “list” – even supplements or OTC items
what kind of information is “collected” about the patient
why?
subjective and objective info about the patient
to understand the medical history and clinical status
true or false
when collecting information about the patient, it should only be from one source
FALSE - may be from multiple sources
most of the time you have to use multiple to get everything
true or false
when collecting information, it is not necessary to obtain their preferences and beliefs
FALSE - it is.
may affect if they take certain meds
the pharmacist _____the informaiton collected and then ______ the clinical effects of the patient’s therapy
assesses the information and then analyzes the clinical effects
what is the purpose of ASSESSING the collected information
so we can identify and prioritize problems - achieve optimal care
each medication is assessed for what acronym?
IESA
indication
effectiveness
safety
adherence
aside from assessing EACH MEDICATION name 2 other things to assess
healt/functional status, risk factors, etc
immunization status and need for preventative care
the pharmacist develops an ________, ________-centered care plan in collaboration with..
individualized, patient-centerd care plan
other HCP and the pt or caregiver
where in the PCPP do you state your receommendations
PLAN
in which step of PPCP is the plan delivered to the patient
IMPLEMENT
In monitoring, the function of what 2 things should always be monitored
liver and kidney function
what is CMM
comprehensive medication management
to optimize medication therapy and improve outcomes
list the steps for delivering CMM
assess
identify med-related problems
plan
implement
monitor and follow up
when communicating, it is important to use what kind of language
common language
explain each component of the IESA process of assessing a medication list
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
true or false
assessing a medication list is an ongoing process
true
medication related problems are also known as…
drug therapy problems
explain what a medication related problem is
an undesirable or unintended event involving meds that interferes with desired therapeutic outcome, neg impact health, or poses risks
true or false
MRPs can occur only after the prescription has been written and dispensed
FALSE - can occur at ANY stage of med use process
from prescription -> dispensin -> administration -> monitoring
medication related problems can be divided into how many categories?
7
name 2 med related problem categories under “indication”
unnecessary drug therapy
needs additional therapy
name 2 med related problem categories under “effectiveness”
ineffective drug
dose too low
name 2 med related problem categories under “safety”
adverse drug reaction
dose too high
name 1 medication therapy problem category under “adherence”
nonadherence
pt not receiving folic acid when given methotrexate is under what medication problem category
indication - “needs additional therapy”
sleep medications for short term insomnia is considered what MRP?
unnecessary drug therapy
“persistent pain” is considered what MRP
needs additional therapy
wrong antibiotics for infection is considered what MRP
ineffective drug
Antibiotics for viral infection is considered what MRP
ineffective drug
“excessive use of antibiotics” is what MRP
dosage too high
financial barriers is considered what MRP
nonadherence
the overuse of cough and cold meds in kids is considered what MRP
unnecessary drug therapt
the use of prophylactic antibiotics for UTIs is considered what MRP
unnecessary drug therapy
inadequate asthma control is considered what MRP
needs additional drug therapy
depression treatment resistance is what MRP
needs additional drug therapy
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
true
as mentioned, problems identified should be prioritized
what 3 things could be considered the #1 priority
the patient’s chief complaint
a quality of life issue
detrimental to the patient’s health
what is a common method of documenting patient information in medical and healthcare settings?
SOAP notes
what does SOAP stand for
subjective
objective
assessment
plan
how can a SOAP note be condensed
combine both the subjective and objective information and title it “findings”
what part of the SOAP note do you write what you think is happening
assessment
what part of the SOAP note should contain YOUR THOUGHT PROCESS and why the problem is happening
assessment
