Pharmaceutical Care Introduction (DONE) Flashcards
What is the definition of pharmaceutical care?
The responsible provision of drug therapy for the purpose of achieving definite outcomes that improve a patient’s quality of life
Why do we administer drug therapy?
To cure a disease To prevent a disease To halt disease progression To reduce or eliminate symptoms To normalise a physiological parameter
Why do suboptimal outcomes occur from drug therapy?
Inappropriate prescribing Inappropriate monitoring Patient behaviour Patient idiosyncrasies Inappropriate delivery
Why do we establish a relationship with the patient and their family?
To show competence
Accept responsibility for actions/ outcomes
What do we collect information on for pharmaceutical care?
Patient characteristics
Pharmacotherapy
Disease processes
What patient characteristics could affect drug therapy?
Age Gender Race Ethnicity Occupation Literacy/ education Motivation Family (support) Lifestyle Culture
What information would you collect regarding pharmacotherapy?
Current medications
Past medications (recent, historical)
Allergies and intolerances
Patient considerations and preference e.g. device, packaging, labelling
What information do we collect on the disease processes for pharmaceutical care?
Present medical condition
Previous medical history
Severity
Prognosis
Where do we get information for pharmaceutical care from?
Patient Carer Medical records- PMR, hospital notes etc. Other HCPs Lab tests
How do we measure if pharmaceutical care outcomes have been achieved?
Patient factors- patient has high blood pressure which needs lowering
Time factors- how long to achieve the desired effect
Progress factors- degree of improvement we need to see
What is a drug related problem (DRP)?
An undesirable patient experience that involved drug therapy and that actually or potentially interferes with a desired patient outcome
Examples of drug related problems
Wrong drug, dose too high, dose too low, unnecessary drug therapy, ADR/ side effects, interaction, adherence problem, untreated indication
How do we establish outcomes for pharmaceutical care?
Set SMART targets for each DRP
Outcomes should be agreed with patient and HCPs
How do we review monitoring of pharmaceutical care?
Are the desirable outcomes achieved and the undesirable outcomes avoided? What to monitor When to monitor How often is monitoring needed How long does monitoring last Who is responsible for monitoring
How do we create an action plan (pharmaceutical acre plan)?
Decision on outcomes and indicators
Consideration of drug related problems
Monitoring plan
