How to Provide Care

Question 1

What is the framework for providing care?

Answer 1

Four components:
1. gathering information
2. assessment and decision-making
3. communication of decision with patient and/or Healthcare team
4. follow up: monitor and evaluate

Question 2

What are 7 types of information you can gather?

framework: gathering information

Answer 2

1. medical history
2. family history
3. social history
4. demographics
5. presenting complaint
6. medication history
7. patient perspective

Question 3

What does assessment and decision-making entail? What are the two frameworks associated with it?

Answer 3

[i] Identifying and prioritizing medicine-related problems.

[ii] [a] Framework 1:
* patient factors: health literacy, demographics, understanding, affordability, beliefs;
* disease factors: past and current history;
* medication factors: is it funded? affordability, adverse drug effects, drug interaction, how easy is it to take;
* environment/system factors: prescription errors, confusion during care transition.

[ii] [b] Framework 2:
* indication: why is drug being used? Unnecessary or additional medicine required;
* efficacy: ineffective medicine or dose too low;
* safety: side effects, dose too high, interactions;
* adherence: nonadherence or overadherence.

Question 4

What two tools can you use to communication?

Answer 4

1. ISBAR:
   identify (introduce self, position, location and patient); situation (what concern is about / urgency); background (provide context and clinical information); assessment (consideration of options); recommendations (by whom and when).
2. SOAP Notes:
   (introduce yourself); subjective information; objective information; assessment (your thought process on problem); plan (actions to be taken to address problem).

Question 5

What does evaluation and monitoring entail?

Answer 5

[I] identify goals of therapy & adjust medication plan as necessary.

[2] monitoring may be required to ensure safety, adherence and efficacy of drug.

identify clinical or lab tests needed to monitor achievement toward goals: what is monitoring required for? (safety? efficacy? adherence?) What will be monitored? Who will do the monitoring? When will monitoring need to occur?