Pharmaceutical care Flashcards
1
Q
Define pharmaceutical care
A
- The mixture of clinical pharmacy knowledge, skills and attitudes into a system of MD care which aims to provide quality assurance of medicine use (2010)
- The responsible provision of drug therapy to achieve define outcomes which improves the patience quality of life (1990)
2
Q
Define “responsible provision” in terms of pharmaceutical care
A
- Pharmacist have legal responsibility in protecting patient from harm
- Pharmacists share responsibility for the consequences of medicines on patient
3
Q
Name the steps of the process taken when a patient requires pharmaceutical care
A
4
Q
Name some examples of drug related problems
A
- Adverse drug reactions
- Innappropriate dose e.g. over or under
- Drug or food interactions
- Drug without indication (patient doesnt need the drug)
- Non-adherence either intentional or non intentional
- Failure to receive a drug - cost, carer administration
5
Q
What factors should be taken into account when choosing treatment options?
A
- Is drug therapy appropriate - is it necessary?
- Is it following NICE guidelines?
- Does it cause problems with existing co-morbidities?
- Does is cause problems with existing treatment?
- Can the patient swallow/use the device/inject
themselves? - Is the patient happy to be on this medication?
- Is it cost effective?
- Is it safe?
6
Q
How to implement and monitor care effectively?
A
- Document processes and assign responsibilities
- Outcomes should be recorded so improvements can be made
- Pharmaceutical care should be targeted to certain patient groups to contribute to health gains with health promotion
- Pharmacists should be encouraged to contribute to pharmaceutical care by developing and evaluating new services to patients
7
Q
Prioritise problems
A
8
Q
What do we need to monitor?
A
- Safety - adverse effects, drug interactions
- Efficacy - therapeutic effects, signs of improvement
9
Q
Name six essential services of community pharmacists
A
- Screening prescriptions
- Patient counselling
- Respondinh to symptoms
- Discharge medicine servce
- NMS
- Promote healthy lifetsyle
10
Q
Name six essential services of a GP pharmacist
A
- Patient counselling
- Monitoring
- Structured med review
- Health promotion
- Acute medication request
- RP request
11
Q
Pharmaceutical care in hospitals
A
- Drug history on admission
- Medicine reconciliation
- Screen drug charts
- Patient mo prescriptions and discharge med services DMS
12
Q
Name some forms of record keeping required
A
- Writing on drug charts
- Near miss logs
- Writing in medical notes/discharge letters
- Accountability - date and sign
- Prescriber contracted PC
- Prescriber no contract PNC
13
Q
The RSoP care plan
A
As well as patient diagnosis, drug history and recommended new treatment
14
Q
add some of the questions in
A
lol
