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Pharmacotherapeutics > Pharmacist Patient Care Process > Flashcards

Pharmacist Patient Care Process Flashcards

1
Q

Triple Aim

A

Improved patient experience
Reduced Cost
Improved population health

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2
Q

Patient and Family Centered Care (PFCC)

A

Collaborative approach to health care that involves patients, families, and providers

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3
Q

Patient Care Process

A

Collaboration
Communication
Documentation

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4
Q

Collaboration

A

Working together to achieve common goal
More common in hospitals

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5
Q

Most communication will be with patients in

A

self-care encounters

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6
Q

Documentation

A

Contribution and continuity of care
Legal evidence

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7
Q

Collect

A

Subjective and objective information about patient

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8
Q

Subjective information

A

Information provided by patient

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9
Q

Objective information

A

Information observed or measured in medical or lab reports

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10
Q

CC

A

Chief Complaint

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11
Q

HPI

A

History of Present Illness

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12
Q

PMH

A

Past Medical History

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13
Q

PSH

A

Past Surgical History

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14
Q

FH

A

Family History

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15
Q

MH

A

Medical History

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16
Q

SH

A

Social History

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17
Q

MedHx

A

Medication History

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18
Q

NKDA

A

No Known Drug Allergies

19
Q

ROS

A

Review of Systems

20
Q

PE

A

Physical Examination

21
Q

Lab and Diagnostic

A

Laboratory Value and Imaging

22
Q

SOAP

A

Subjective, Objective, Assessment, Plan

23
Q

General Patient Information

A

Date, time, setting of history
Demographics/personal history

24
Q

Chief Complaint (CC)

A

Major reason for seeking medical attention
Patient’s own words in quotes
Duration of problem

25
Q

History of Present Illness (HPI)

A

Thorough description and expansion of CC
Onset of problem
7 characteristics

26
Q

Seven Characteristics

A

Timing
Location
Quality or character
Quantity or severity
Setting
Aggravating or relieving factors
Associated symptoms

27
Q

Past Medical History (PMH)

A

General Health
Childhood/adult illnesses
Immunizations
Allergies
ADRs

28
Q

Past Surgical History (PSH)

A

Surgeries, hospitalizations, injuries, transfusions

29
Q

Social History (SH)

A

Tobacco/alcohol use
Drug use
Health habits
Education/employment

30
Q

Family History (FH)

A

Presence or absence of illness in patient’s first degree relatives

31
Q

Review of Systems (ROS)

A

Summarizes all current patient complaints
Organ system approach

32
Q

Physical Examination (PE)

A

Vital signs
Skin –> Extremities

33
Q

Lab and Diagnostic Tests

A

Serum electrolytes: Chem 7
Complete Blood Count (CBC)
Diagnostic Tests

34
Q

Medication/Drug Related Problems (MRP/DRP)

A

DRP is undesirable event experienced that involves drug therapy and interferes with desired outcomes

35
Q

Common DRPs

A

Unnecessary drug prescribed
Wrong drug
Dose too low/high
ADE
Non-adherence
Additional drug therapy

36
Q

SBAR

A

Situation, background, assessment, and recommendation

37
Q

Assessment

A

Appraisal of each problem, therapeutic goals/endpoints, appropriateness of drug therapy

38
Q

Plan

A

Treatment and monitoring plan for each active problem

39
Q

SCHOLAR-MAC

A

Symptoms
Characteristics
History
Onset
Location
Aggravating Factors
Remitting Factors
Medications
Allergies
Medical Conditions

40
Q

what falls under subjective information?

A

chief complaint
history of present illness
past medical history
social history
family history
review of systems

41
Q

what falls under objective information?

A

medication list
vital signs
physical exam
laboratory values
diagnostics

42
Q

Plan includes

A

treatment plan
education and counseling
monitoring, follow up and referrals

43
Q

does medication list fall under just objective information?

A

no!

it can fall under subjective if provided verbally by the patient

44
Q

what is included at the end of a SOAP note?

A

references and signature

Pharmacotherapeutics (8 decks)

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