Lecture 3 - Pharmaceutical Care

Question 1

What does patient-centered care include? (7 things)

Answer 1

• Health or medication counselling and education
• Medication review
• Clinical services
• Screening for disease
• Developing & implementing pharmacotherapeutic care plans
• Recommending or prescribing medications
• Referral to other health care professionals

Question 2

Why has the need for patient-centered care emerged? (6 things)

Answer 2

• Multiple prescribers of medications
• Large numbers of differing medications in a patients regimen
• Emergence of patient autonomy (patient guiding decisions about medical care)
• Increased complexity of pharmacotherapy
• Increased self-care
• Significant level of drug-induced morbidity and mortality

Question 3

What are 5 benefits to pharmacist-managed medication services?

Answer 3

• Increased patient safety
• Improved disease and drug therapy management
• More effective health care spending
• Improved medication adherence
• Improved patient quality of life

Question 4

What was pharmacy practice evolved from and to?

Answer 4

• From drug/product focused

- Patient-focused

Question 5

What is the goal of pharmaceutical care?

Answer 5

Optimize all of the patients drug therapy to achieve the best possible patient outcomes and improve patients quality of life

Question 6

What are 2 questions asked during the “pharmacotherapy work up”?

Answer 6

• Is the problem caused by a drug?

- Can the problem be treated using drug therapy?

Question 7

What is the goal of an assessment?

Answer 7

Evaluate if the patients drug-related needs are met

Question 8

What are 7 possible drug-related problems?

Answer 8

• Drug therapy is needed
• Drug therapy is not indicated for a specific drug the patient is currently taking
• Drug therapy is ineffective or there is a more effective drug available
• Dose too low
• Dose too high
• Drug is causing an adverse effect
• Patient is not adhering to prescribed regimen

Question 9

What 5 questions should be asked when justifying a pharmacotherapeutic plan?

Answer 9

1) Which medications are available for self-treatment?
2) Which medications would be considered appropriate?
3) Which medications would be considered most effective?
4) Which medications would be considered safest?
5) Which medications would be best from an adherence perspective?

Question 10

What is just as important as the drug selection process?

Answer 10

Developing a monitoring plan and ensuring patient follow-up