Pharmacist as Self-Care Advisor-Helping patients use Self-Care & OTCs

Question 1

What are 2 goals of an OTC patient encounter?

Answer 1

1. to get information and then give information
2. To improve the safe and effective uuse of OTC medications

Question 2

Approaching an OTC Patient Encouter using these processes?

Answer 2

1. PPCP
2. Quest/SCHOLAR-MAC
3. The OTC Process

Question 3

What are the steps of the OTC process?

Answer 3

1. Patient Assessment (do they qualify for self-care or not)
2. Patient Evaluation
3. Treatment Options
4. Treatment Selection (Rx Medication dispensing)
5. Treatment Counseling (Rx medication dispensing)

Question 4

What is the goal of Patient Assessment? And what does this correspond to in PPCP?

Answer 4

1. gather patient informatio to inform the decision-making process (subjective and objective)
   (Symptom severity and duration
   Patient characteristics (age)
   Other conditions and medications)
2. Collect step in PPCP

Question 5

What is the goal of Patient Evaluation? And what does this correspond to in PPCP?

Answer 5

1. Determine if patient is a candidate for self-care/OTCs: determine exclusion criteria for a condition, review patient history, identify patients who are self-treating to avoid medical care
2. Access step in PPCP

Is the patient trying to treat a self-limiting condition?
Will treatment with an OTC product delay care for an underlying condition that does not respond to self-care?
Will the patient understand how to properly use the product that is recommended?

Question 6

What is the goal of Treatment option? And what does this correspond to in PPCP?

Answer 6

Goal: Identify which treatment options (pharmacologic and nonpharmacologic) could work for this patient
2. Access in PPCP

Question 7

What is the goal of Treatment selection? And what does this correspond to in PPCP?

Answer 7

Goal: Identify which treatment option is best for this patient (individualized)

Plan in PPCP

Question 8

What is the goal of Treatment counseling? And what does this correspond to in PPCP?

Answer 8

1. Assist the patient in knowing how to use the recommended product (implement)
2. : Counsel about duration of use and what to do if symptoms do not improve (follow-up)

Question 9

The APhA reported counseling about self-care topic and nonprescription medication about how many times each day?

Answer 9

7 times each day

Question 10

APhA said the frequent counseling involved what?

Answer 10

Product selection for specific symptoms (90%)

Question 11

How to use OTCs?

Answer 11

1. Services in clinic
2. Determining coverage and preferred therapies
3. Transition of Care

Question 12

OTCs in Ambulatory Care

Answer 12

1. Medication Reconciliation (interaction management)
2. Transitions of Care (OTC pain medication on discharge)
3. Chronic Condition Management (cost concerns or diabetic supplies)
4. Medical Resident Clinic (answering questions)