M6 Flashcards

1
Q

Are health professionals who assist individuals in making the best use of medications

A

PHARMACISTS

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2
Q

PHARMACISTS

Promise to help individuals achieve ____ from their medications, to be committed to their welfare and to maintain their trust

A

OPTIMUM BENEFIT

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3
Q

PHARMACISTS

Promote the right of ____ and recognize individual self-worth by encouraging patients to participate in decisions about their health

A

SELF-DETERMINATION

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4
Q

PHARMACISTS

Communicate with patients in terms that are ____

A

UNDERSTANDABLE

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5
Q

PHARMACISTS

In all cases, respect ____ and ____ differences among patients

A

PERSONAL & CULTURAL

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6
Q

PHARMACISTS

Shall personally ____ of matters which will enhance or optimize drug therapy with each patient

A

INITIATE DISCUSSION

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7
Q

New Responsibility of Pharmacists…

Changes in ____ and ____ made the provision of information and responsibility

A

STANDARDS & LEGISLATION

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8
Q

New Responsibility of Pharmacists…

The ____ developed by APhA describes pharmacist’s activities that involved patient interaction

A

PHARMACIST PRACTICE ACTIVITY CLASSIFICATION

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9
Q

The Pharmacist Practice Activity Classification [PPAC] is developed by

A

APhA

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10
Q

New Tasks for Pharmacists

____ the patient

A

INTERVIEWING
EDUCATING

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11
Q

New Tasks for Pharmacists

Obtaining ____

A

patient information

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12
Q

New Tasks for Pharmacists

Providing ____ and ____ communication

A

verbal & written

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13
Q

New Tasks for Pharmacists

Discussing
Demonstrating

A

thnx

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14
Q

New Tasks for Pharmacists

____ patient contact

A

face-to-face

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15
Q

New Tasks for Pharmacists

most important

A

patient counseling

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16
Q

A key competency element of the pharmaceutical care process which involves provision of appropriate, understandable and relevant information to patients about their medications through oral or written form

A

PATIENT COUNSELING

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17
Q

Providing medical information verbally or in written form to the patients or their representatives on directions of use, advice on side effects, precautions, storage, diet and lifestyle modifications

A

PATIENT COUNSELING

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18
Q

It is a two-way communication process whereby drug and health-related information is provided by a pharmacist to the patient during…
* the dispensing of (initial or refill) medications in a drugstore or outpatient pharmacy setting
* discharge of a patient from the hospital
* the review of medications of a patient

A

PATIENT COUNSELING

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19
Q

Functions of Patient Counseling

____ patient care

A

IMPROVE

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20
Q

Functions of Patient Counseling

Provide ____

A

professional pharmacy services

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21
Q

Patient Counseling to Improve Patient Care

____ of their illness and the role of medication in its treatment

A

better patient understanding

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22
Q

Patient Counseling to Improve Patient Care

Improved ____

A

medication adherence

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23
Q

Patient Counseling to Improve Patient Care

____ drug treatment

A

more effective

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24
Q

Patient Counseling to Improve Patient Care

____ incidence of adverse effects and unnecessary healthcare costs

A

reduced

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25
Q

Patient Counseling to Improve Patient Care

Better ____ to deal with medication related adverse effects

A

coping strategies

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26
Q

Patient Counseling to Improve Patient Care

Improved ____ for the patient

A

quality of life

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27
Q

Patient Counseling to Improve Patient Care

Improved ____ between the patient and pharmacist

A

professional rapport

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28
Q

Providing Professional Pharmacy Services through Patient Counseling

Provides ____ with pharmacy legislations, standards and regulations

A

compliance

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29
Q

Providing Professional Pharmacy Services through Patient Counseling

Affords ____, since pharmacists may be held accountable for injury resulting from insufficient information provided to the patient

A

legal protection

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30
Q

Providing Professional Pharmacy Services through Patient Counseling

Maintains ____ as part of primary care and health care team

A

professional status

31
Q

Providing Professional Pharmacy Services through Patient Counseling

Increases ____ and reduces stress

A

job satisfaction

32
Q

Providing Professional Pharmacy Services through Patient Counseling

Is an ____ to meet patient demand and aid in market competition

A

added service

33
Q

Providing Professional Pharmacy Services through Patient Counseling

Increases ____ through payment of counseling services and reduces loss resulting from unfilled or unrefilled prescriptions

A

revenue

34
Q

WHO and WHEN to counsel…

The amount and type of information provided to the patient will vary based on the ____ and ____

A

patient’s need and practice setting

35
Q

Patients Who Should ALWAYS Be Counseled…

A

new patients
children & parents
px w drugs that has special storage reqs & complicated directions

36
Q

COUNSELING AREA

A

private semi-private (away from other people & ditractions)
confidential, secure, conducive to learning
focus discussion, minimize interruptions

37
Q

Counseling uses ____ and ____ communication skills

A

verbal and nonverbal

38
Q
A
38
Q

Verbal Communication Skills

A

language
tone
volume
speed

39
Q

Non-Verbal Communication Skills

A

proximity
facial expression

40
Q

STAGES OF PATIENT COUNSELING

A
  1. introduction
  2. process content
  3. conclusion
41
Q

STAGES OF PATIENT COUNSELING

  • Review the patient’s record
  • Introduce yourself
  • Explain purpose of counseling
  • Obtain drug related information such as allergies, use of herbals etc.
  • Assess the patient’s understanding of the reasons for therapy
  • Assess any actual/potential concerns or problems of importance to the patient
A

introduction

42
Q

STAGES OF PATIENT COUNSELING

  • Use language that the patient understands
  • Use appropriate counseling aid
  • Present facts and concepts in simple words and in logical order
  • Use open-ended questions
A

process content

43
Q

STAGES OF PATIENT COUNSELING

  • Verify the patient’s understanding by means of feedback
  • Summarize by emphasizing key points
  • Give an opportunity to the patient to put forward any concerns
  • Help the patient to plan follow up
A

conclusion

44
Q

considered to be the heart of the counseling session

A

counseling content

45
Q

It is during this step that the pharmacist explains to the patient about his or her medications and treatment regimen and other related matters.

A

counseling content

46
Q

STAGES OF PATIENT COUNSELING

  • Name and strength of medication
  • Reason why it has been prescribed or how it works
  • How to take the medication
  • Expected duration of treatment
  • Expected benefits of treatment
  • Possible adverse effects
  • Possible medication or dietary interaction
  • Advice on correct storage
  • Minimum time duration showing therapeutic benefit
  • What to do if a dose is missed
  • Special monitoring requirements, e.g. blood tests
  • Arrangements for obtaining further supplies
A

counseling content

47
Q

Document PEC in ____

A

patient’s permamnent medical records

48
Q

The pharmacist should record:

A

counseling was offered & accepted
pharmacists’ perceived level of the patient’s understanding

49
Q

EDUCATIONAL METHODS

  • Traditional style of presenting information
  • Limited to large groups
  • Often boring and retention of listeners is fairly low
  • Incorporate other educational techniques such as audiovisual aids
  • Public speaking is one of the best ways to gain public trust for the profession and to serve patients
A

lectures

50
Q

EDUCATIONAL METHODS

  • One-on-one dialogue with the patient through patient counseling is the essence of the pharmacist’s regular duties
  • The discussion maybe guided by the pharmacist, but should allow for as much participation as possible by the patient
  • More time consuming but is more effective in improving the patient’s understanding of medication use and in altering patient’s attitudes
A

dialogue & discussion

51
Q
A
51
Q

EDUCATIONAL METHODS

  • Gives brief knowledge about the medication
  • Understanding of information depends on patient’s level of comprehension
  • Not effective if not combined with discussion and lecture
A

printed information

52
Q

EDUCATIONAL METHODS

  • Involves the use of sound and slide shows, audiotapes, videotapes, comic books
  • Used with one patient or with small groups
  • More effective when combined with discussion
  • A viewing area can be set up in the pharmacy, in the waiting area or preferably in an area with some privacy
  • Expensive but can be used repeatedly
  • Effective in improving patient knowledge and skills as well as patient satisfaction
  • AV materials should be reviewed and evaluated by the pharmacist to determine appropriateness of the material
A

audiovisual materials

53
Q

EDUCATIONAL METHODS

  • A superior and effective method useful when a medication requires a particular technique of administration
  • Done by demonstration by the pharmacist or by videotape
  • Allow patients to practice the technique to develop requisite skill
  • Clarifies procedures
  • By observing the patient practicing, the pharmacist can detect possible errors and subsequently correct them
A

demonstration & practice techniques

54
Q

EDUCATIONAL METHODS

  • With the increased availability and ease of development of software, computer-assisted programs became available to assists pharmacist in providing general information as well as
  • information about health and medication topics
  • A type of educational method that is useful for pharmacists in assessing patient’s educational needs
  • An example is a trial of a computer-assisted lesson on general drug knowledge in a quiz format
A

computer-assisted patient education

55
Q

EDUCATIONAL METHODS

  • Recording of symptoms in a diary
  • Listing of questions to ask the physician
  • Talking to patient support groups
  • Written or verbal contract between the patient and the pharmacist
A

miscellaneous methods

56
Q
  • Are use to assist the patient.
  • May reduce noncompliance by simplifying multiple drug regimen
  • Helps in overcoming difficulties resulting from cognitive or physical impairments
A

counseling aids

57
Q
A
58
Q

it consist of a calendar on which each day is divided into sections according to the number of doses to be taken.

A

reminder card

59
Q
  • For patients with reading difficulties, use a medication-instruction clock
  • For patients with impaired vision, provide labels with large print, symbols and Braille
  • For patients who find it difficult to interpret instructions or to coordinate dosing of several medications, use a medication chart
A

assisted labeling

60
Q
  • Assist patients in remembering to take their medications
  • These containers are filled by the pharmacist, the patient, a family member or anyone else involved in the patient’s care
A

pill-reminder containers

61
Q

DISADVANTAGE of pill-reminder

A

provide only 1 compartment per dosing time
do not include spaces for written instructions
no child-proofing mechanism

62
Q
  • Various packing methods can be used that assist patients by providing one dose of medication at a time
  • Medication compliance was found to be significantly better among group of elderly patients provided with
A

unit-of-use packing

63
Q

provided 31 large blister on each card. One card was provided for each dosing time

A

calendar blister-pack system

64
Q

DISADVANTAGE of unit-of-use packaging

A
  • inability to add or deleter once set up
  • minimal flexibility
  • lack of portability
  • higher costs of labor
  • difficult to open, lack child resistance
65
Q
  • Direction of tablets or liquid measurements may be more accurately followed with the help of ____
  • help patient to accurately measure their medications
A

dosing aids

66
Q

DOSING AIDS

  • Devices that accurately divide tablets of all sizes and shapes
  • Patients should be advised, however, that these devices cannot be used for
    1. sustained-release or
    2. long-acting medications or
    3. tablets with enteric or protective coating
A

PILL CRUSHERS

67
Q

DOSING AIDS

  • Available for administration of liqiud medication
  • This assist in accurate dosing since household teaspoons can range in volume measure from 4 to 7 ml.
A

calibrated spoons or various liquid dispenser

68
Q

DOSING AIDS

  • Help direct inhaled medication into the mouth.
  • These assist patients in using inhaled medication whom often fail to get complete doses because they find it difficult to press the inhaler and inhale simultaneously.
A

AERO-CHAMBER & MASK

69
Q

Computerized systems that link to patient records and telephone patients
* Calculates drug usage
* Determines refill dates
* Initiates a** telephone call** using the actual voice of the pharmacist
* Reminds the patient that the drug needs to be refilled
* Allows additional comments by the pharmacist and accepts the patient’s response

A

MEDICATION REFILL REMINDER SYSTEM & TELEPHONE FOLLOW UP

70
Q
  • A record of information about a patient’s drug therapy
  • A current list of all medications for an individual, any allergies the individual has, and any information relevant to an individual’s ability to safely take medications
A

patient medication profile

71
Q

Components Patient Medication Profile

A
  • patient infromation (name, age, weight, height, gender)
  • allergies (drug, environment, food, medical information, chief complaint, medical history, family history)
  • social history (use of tobacco & alcohol)
  • medication list (date, name of drug, dosage, frequency, route, indication, response, remarks)