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CPP101 > Self Care > Flashcards

Self Care Flashcards

1
Q

self care

A

Preventing, diagnosing and treating one’s illness WITHOUT seeking professional advice.

Wellness: lifestyle, vitamins, exercise, diet

Sickness: non prescription meds, home diagnostics, etc.

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2
Q

non prescription meds (OTC)

A

REGULATED by the center for drug evaluation and research division of FDA

standards: purity, stability, labeling, safety vs risk.

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3
Q

Nutritional dietary supplements

A

-amino acids
-vitamins
-herbs
-minerals

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4
Q

natural products/ homeopathic remedies

A

complementary and alternative medicine (CAM)

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5
Q

common self care conditions

A

nicotine addiction
yeast infections
contraception
acne
warts
skin problems
mino infections
indigestion/ heartburn
dihherea, alleries
sinus, cold or cough
constipation
gas
**incontinence

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6
Q

self care condtions

A

will have exceptions, limitations

non pharmacogical treatments

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7
Q

Examples of things that should NOT be self treated?!?

A

Excessive vomiting, bleeding, leg cramps, other examples …

Chronic conditions!!! Cholesterol, High Blood pressure which can lead to complications . Or conditions where patients cannot monitor on their own.

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8
Q

considerations of a otc product

A

overall safety
risk ratio
benefits
potential for abuse and misuse
no need for exams or labs
self diagnose and recognize symptoms
self treatment

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9
Q

true

A

condition can determine med prescription status

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10
Q

issues of OTC meds

A

-extensive # of meds available
-multiple outlets
-confusing brand names (multiple names for one product : Motrin vs Advil). one name for several formulations
- challenges of reading/understanding label (delay in seeking med advice)

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11
Q

robitussin problems?

A

Unintended consumption of
Acetaminophen
Phenylephrine

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12
Q

NOT considered Self-Care conditions should not be treated without appropriate medical assessment

A

Chronic conditions:
Hypertension, Diabetes, Hyperlipidemia

Severe or abrupt symptoms
Vomiting, prolonged bleeding, debilitating cramps

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13
Q

consider a referral if:

A

-fever: that hasn’t been seen by a physician
-sudden and severe onset of symptoms
-lasted longer than expected
-sensitive co morbidities: dementia, arrhythmia, sever cv PROBLEMS, DISEASES at there end stage

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14
Q

patient centered care- role of pharmacists in OTC meds

A

collect
assess
plan
implement
follow up and monitor/evaluate

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15
Q

collect

A

gather info
-who product is for? age gender lifestyle

-medical history - allergies, meds, conditions, pas self care treatment

-reasons for requesting product

-nature of the condition

-social determinants of health

-culture and religious consideration

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16
Q

collect SCHOLAR METHOD

A

Q- quickly and accurately asses the patient

collect…
Symptoms- what are your symptoms
Characteristics- describe it
History- how long or often
Onset- when it started
Location- where is it
Aggravating factors- what worsens it
Remitting factors- what makes it better

17
Q

COLLECT PQRSTA METHOD

A

P: precipitating/palliating
Q: quality of the symptom
R: radiating/remitting
S: severity
T: time/temporal
A: associated symptoms

18
Q

Assess

A
  1. QUEST:
    Q- quickly and accurately asses the patient
    E- establish if patient is a self care candidate
    S- suggest appro. self care strategies
    T- talk with patient

Severity
Affect on
co-morbidities/diseases
other medications
medical assessments (labs, baseline)
daily activities
Overall Risk vs. Benefit

19
Q

PLAN

A
  1. no recommendation- self limiting, non pharmacological
  2. recommend
  3. product and non-pharm
  4. referral
20
Q

implement

A

education and counseling

21
Q

follow up

A

-duration of therapy
-improvement vs worsening

22
Q

COLLECT Using Effective Questioning and Listening

A

Use open-ended questions and Closed ended questions appropriately
Eliminate distractions
Reflective Listening
Empathy
Remove physical barriers
Let the patient talk
Identify nonverbal cues
Be objective
Be aware of nonphysical barriers
Summarize

23
Q

Drug label parts

A

Active Ingredient. Therapeutic substance in product; amount of active ingredient per unit.

Uses. Symptoms or diseases the product will treat or prevent.

Warnings. When not to use the product; conditions that may require advice from a doctor before taking the product; possible interactions or side effects; when to stop taking the product and when to contact a doctor; if you are pregnant or breastfeeding, seek guidance from a health care professional; keep product out of children’s reach.

Inactive Ingredients. Substances such as colors or flavors.

Purpose. Product action or category (such as antihistamine, antacid, or cough suppressant.

Directions. Specific age categories, how much to take, how to take, and how often and how long to take.

Other Information. How to store the product properly and required information about certain ingredients (such as the amount of calcium, potassium, or sodium the product contains). MOISTURE

24
Q

Additional Information

A

The expiration date, when applicable.
Lot or batch code
manufacturer information to help identify the product
Name and address of manufacturer, packer, or distributor.
Net quantity of contents
how much of the product is in each package
What to do if an overdose occurs.

25
Q

Supplements, vitamins, Herbals, Homeopathy

A

Not regulated by FDA = not required to have a drug facts label

Cannot make claims of effectiveness in certain conditions

Although some support in medical literature for certain products, lack of regulation puts pharmacists in difficult situation

26
Q

Products without a Facts Labelresources

A

Natural Medicine Database
National Institutes of Health
Office of Dietary Supplements
Herbs at a Glance
Medline Plus
Books and other resources

27
Q

Daily MED - LABELS

A

Website operated by the U.S. National Library of Medicine
Up-To-Date and accurate drug labels to health care providers and the general public.
Provided and updated daily by the U.S. Food and Drug Administration

28
Q

plan

A
  1. when no product is needed:
    -Self-limiting or Non-pharmacological treatment
    -Additional medical attention is needed
  2. product is needed:
    Use: when to use ?and how much to use?
    duration: how long to use?
    side effects: interactions with Rx food, diseases
    storage- after opening
    symptoms improve or worsen we change the dose
29
Q

end of consultations

A

Patient must understand:
Why was this product selected
How do to take/use this product
When do I stop taking this product
What do I do if my symptoms get better or worse
When to seek medical attention

30
Q

home test kits

A

screening: Used to identify possibility of disease BEFORE symptoms are present
-Non-specific
-Fecal occult blood tests

home diagnostics:
Used to identify presence of SPECIFIC condition
UTI, Pregnancy, Ovulation, Cholesterol

Monitoring
Used to monitor a condition ONCE patient has been diagnosed
Diabetes, hypertension

31
Q

Criteria for Home Test Kits

A

95-99% Accurate

Safe and effective with low risk: benefit ratio

Meet same standards as professional kits

Permit proper use for variety of users

Offer quality control features

Include simple, easy-to follow instructions for use

Provide warnings and precautions

List interfering substances

32
Q

Examples of Home Test Kits

A

Blood Pressure Monitors
Blood Glucose Kits
A1C Kits
Cholesterol Testing -
Pregnancy Tests
Ovulation Kits
Urinary Track Infections
Drug Tests
HIV testing
COVID-19 testing

Home testing kit Considerations:

Proper selection - patient preference and needs :
Visual Impairment
Dexterity
Learning disabilities
Language barrier

CLIA- clincial labratory imporvement admendment:waiver
not in NYS but is approved in other states . low risk easy to conduct tests

33
Q

Role of the Pharmacist

A

Help recognize appropriate use

Understand steps for use

Recognize precautions and limitations

Help interpret results

Identify interfering substances

Stress ramifications of false-positives and false-negatives

Help patient understand that no test is 100% accurate

34
Q

Pharmacists as Immunizers

A

Screen and Administer
Immunize with a prescription order

Immunize with no prescription but with a Standing Order
Standing order: a prewritten medication order with specific instructions allowing another practitioner to administer a medication/vaccine to a person according to protocol

35
Q

Immunizations

A

Pharmacists, Ph Interns, Certified Pharmacy Technicians
Certified and registered with the state board of pharmacy.
Certificate Program, CPR Certificate
Roles vary dependent on title

Advisory Committee on Immunization Practices (ACIP) guidelines

Each patient must receive
Immunization Record
Vaccine Information Sheet

36
Q

Immunizations- roles in Health and wellness

A

Pharmacist & Intern -CLINICAL DECISIONS

Screen & Counsel Patients:
Identity high risk patients
Identity vaccination needs
Identify contraindications
Education patients on disease and vaccine
Determine timing of new and follow up vaccinations
Administer vaccinations

37
Q

Immunizations- roles in Health and wellness

A

Certified Pharm Tech- TECHNICAL PROCESS

Register Patients
Collect Information identified (history, allergies)
Administer pre-determined vaccine
Provide documentation
Promote Vaccinations

CPP101 (5 decks)

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