safe med Flashcards
when a patient receives a prescription but never gets it filled
primary nonadherence
example of unintentional nonadherence
forgetting to take meds
example of intention nonadherence
not taking meds because you don’t like the side effects
therapy related factors that can influence adherence
regimen changes frequently
drug side effect
complex admin technique such as use of a spacer
med requires multiple daily dosing
(expensive is not a THERAPY related factor)
likely ways a pharmacist would assess med adherence of a patietn
ask patient to self report
assess patient’s refills
assess clinical response to med (BP Monitoring)
administer a questionnaire (SEAMS)
NOT electronic monitoring devices– those are mostly used in trials
concept of self efficacy means
assessing a person’s confidence that they can take their medications as prescribed
what adherence measure is endorsed by the pharmacy quality alliance (PQA)
proportion of days covered (PDC)
what is the PDC threshold above which patients are generally considered to be adherent
80%
Morisky-4 assesses for?
forgetfulness, abatement of disease symptoms, side effects
NOT affordability
what med adherence tool assesses self efficacy
SEAMS
Merck Adherence estimator assesses
affordability
harm/side effects
beliefs about meds
NOT forgetfulness
how can pharmacists improve med adherence
adherence packaging
med sync
simplifying the regimen
asthma control test
for patients 12 and older
(5 items, asks about the last 4 weeks)
depression screening with PHQ-2
is SCREENING only; not a diagnosis; have to get evaluated
GAD-7 is used for
screening for generalized anxiety disorder
what is DAST-10
questions on drug use, using yes/no questions
what is the opioid risk tool
self-administered tool assessing a patient’s history of substance abuse for alcohol and prescription/illicit drugs, includes personal and family history, male/female changes score, history of psych diseases is included in scoring
brief pain inventory short form
asks about how pain impacts patient’s daily living activities
stanford pain scale
uses 0-10 pain scale with detailed descriptions for each number ranking
what is STEADI
screens for fall risk
REALM-SF
does not assess for numeracy
requires subjects to read 7 lay medical terms
takes less than a minute
newest vital sign (NVS)
nutritional label to assess health literacy
assesses numeracy
health risk assessments
some payors ask pharmacists to conduct
cover topics like diet, exercise, medical conditions, living situations
pharmacists can use to identify opportunities for patient services
when to administer NAC for APAP overdose
4 hr levels > 150 mg/dl
can’t plot it prior to 4 hr