Patient Assessment and consultations Flashcards
What is a method of sustainability for global healthcare spending?
Transition from prescription meds to OTC
Manage mild ailments and some chronic conditions under the guidance of a pharmacist
Decrease clinic visits and health-care related costs
Why OTCs
Affordability and accessibility
T or F: Pharmacists are liable for advice on OTC use
True, pharmacists are held liable for any advice they might give regarding OTC products as evident by the case of Whiting v. Rite Aid
What are the 2 steps when completing self-care consultations?
1.) evaluate the situation
2.) recommend a course of action
What do you need to do what you are evaluating the situation?
1.) gather information
2.)obtain physical date, complete review of systems
3.)evaluate gathered data to determine cause and severity
4.) identify if patient at risk of complications with self-care (age, conditions, pregnant/breastfeeding)
What do you do when you are recommending a course of action?
1.) consider pros and cons of self-care v. referral
2.)develop a care plan in collaboration with patient(drug, non-drug, referral)
3.) educate patient
4.) determine appropriate followup
What should be your goals during a patient assessment?
- patient centered process
- collect enough information to determine appropriateness of self-care
3.if appropriate, gather enough info to make recommendation to resolve condition
What process is recommended?
QuEST/SCHOLAR-MAC
What does the Q stand for?
Quickly and accurately assess the patient
What does the E stand for?
Establish that the patient is appropriate for self-care
-Is patient avoiding medical care? Are the symptoms severe? Do symptoms persist?
**If yes, REFER
What does the S stand for?
Suggest appropriate self-care strategy
Drug vs non-drug measures. Match variables to patient variables for both drug and non-drug options
What does the T stand for?
Talk with the patient
Walk thru the drug facts with the patient! How the medication works, any side effects they may experience, and when they may expect improvement
What does MAC stand for?
Medications, Allergies and medical conditions
FInd out if there are any factors that may interfere with what recommendation you might make including those that inhibit you from making a self-care recommendation
What does the SCHOLAR stand for
Symptoms
Characteristics
History
Onset
Location
Aggravating factors
Remitting factors
What does PPCP stand for?
Pharmacist’s Patient Care Process
