Principles of Pharmacotherapy Flashcards
PCPP: Patient-Centered Care Process
A patient-centered care process that respects the patient’s values, preferences, and needs in coordination, information, communication, education, physical comfort, and emotional support.
Principles of Pharmacotherapy
Guiding principles for the judicious use of medications in the treatment of diseases, ensuring safe, appropriate, and economical use of medications.
Guiding Principles of Pharmacotherapy
Justifiable and documented indication for every medication, lowest effective dosage and duration, preference for monotherapy when possible, evidence-based medication selection, and consideration of timing of drug administration.
Possible Reasons for Medication Regimen Failure
Factors that may lead to the failure of medication regimens, including inappropriate drug selection, poor adherence, incorrect dosing, misdiagnosis, interactions with food and drugs, environmental and genetic factors.
Drug Therapy Problems
Undesirable events involving drug therapy that interfere with achieving therapy goals, requiring professional judgment to resolve.
Significance of Drug-Related Morbidity and Mortality
Fact: Estimated annual cost of drug-related morbidity and mortality due to non-optimized medication therapy is $528.4 billion.
Common Drug-Related Problems in Older Adults
Drug effectiveness, adverse drug events, over/underdose, drug interactions.
Guiding Principles of Pharmacotherapy
Justifiable and documented indication for every medication, lowest effective dosage and duration, preference for monotherapy, evidence-based medication selection, consideration of timing, patient’s perception, and careful observation.
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Categories of Drug Therapy Problems: Effectiveness
Ineffective drug, dosage too low.
Categories of Drug Therapy Problems: Safety
Adverse drug reaction, dosage too high.
Drug Therapy Problems: Adherence
Non-adherence, noncompliance, unnecessary drug therapy.
Documenting Drug Therapy Problems
The process of stating, describing, and specifying the drug therapy problem and its association with the patient’s condition.
Unnecessary Drug Therapy
Medications without a justifiable and documented indication.
Duplicate Therapy
Patient is receiving the same medication from multiple providers without medical necessity.