Finals Flashcards
Incorporates consideration of patient factors that influence therapeutics regimens.
Planning
Incorporates well-thought-out alternative treatment regimens.
Planning
Seek out patient data from all sources.
Identify the problems
Consider all available patient data. Review all previously charted data.
Step 1 - Obtain Patient Data (Identify the problems)
Evaluate the list of objective and subjective data for possible relationship among the data.
Step 2 - Group-Related Data (Identify the Problems)
Evaluate each group of related subjective and objective data items to determine the specific patient problem or issue.
Step 3 - Determine each Problem (Identify the problems)
Each problem is then assessed in terms of each of the following characteristics:
Step 4 - Assess each problem
(Acute or Chronic)
Acuity
(mild, moderate, or severe)
Severity
(symptomatic or asymptomatic)
Symptom Level
(treated or untreated)
Treatment Status
(controlled or uncontrolled)
Degree of Control
(Staging of disease)
Classification
Means ranking the patient problems with the most urgent problems at the top of the list and the least urgent problems at the bottom of the list.
Prioritize the problems
are not ranked but are simply listed at the bottom of the problem list.
Historical (inactive) problems
Helps clinicians plan their workload and patient interventions.
Problem Prioritization
Active problems are problems that require some kind of drug or nondrug intervention to resolve and/or manage the problem.
Step 1 - Identify the Active Problems (2. Prioritize the problems)
Rank-order the active patient problems. One approach to ranking patients problems is to identify the problem that needs the most immediate attention and the rank the remaining active problems in order the need for intervention.
Step 3 - Rank the Problems (2. Prioritize the Problems)
Once the prioritized patient problem list is developed, the next step is to select patient-specific drug.
- Select Patient - Specific Drug and Non Drug Interventions
All drug and nondrug interventions should be in the context of the specific short-term and long- term goals.
Step 1 - Determine short-term and long-term goals of theraphy (3. Select Patient-Specific Drug and Non Drug Interventions)
Identify all classes of drugs and possible therapeutic approaches for each problem.
Step 2 - Create a list of options (3. Select Patient-specific drug and non-drug interventions)
Once all therapeutic options are identified, eliminate options based on the comparative effectiveness of the drugs.
Step 3 - Eliminate options based on patient specific and external factors (3. Select Patient-Specific Drug and Non-Drug Interventions)
Decisions about appropriate drug and nondrug interventions are based on past patients experiences.
Step 4 - Select Appropriate Drug and Nondrug Interventions (3. Select Patient-Specific Drug and Non-Drug Interventions)
An important part of the planning process is anticipation of potential patient problems with prescribed and/or recommended drug and non drug interventions (“what if”).
Step 5 - Identify Alternative Interventions (3. Select Patient-Specific Drug and Nondrug Interventions)
