Self Care Flashcards
self care
Preventing, diagnosing and treating one’s illness WITHOUT seeking professional advice.
Wellness: lifestyle, vitamins, exercise, diet
Sickness: non prescription meds, home diagnostics, etc.
non prescription meds (OTC)
REGULATED by the center for drug evaluation and research division of FDA
standards: purity, stability, labeling, safety vs risk.
Nutritional dietary supplements
-amino acids
-vitamins
-herbs
-minerals
natural products/ homeopathic remedies
complementary and alternative medicine (CAM)
common self care conditions
nicotine addiction
yeast infections
contraception
acne
warts
skin problems
mino infections
indigestion/ heartburn
dihherea, alleries
sinus, cold or cough
constipation
gas
**incontinence
self care condtions
will have exceptions, limitations
non pharmacogical treatments
Examples of things that should NOT be self treated?!?
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.
considerations of a otc product
overall safety
risk ratio
benefits
potential for abuse and misuse
no need for exams or labs
self diagnose and recognize symptoms
self treatment
true
condition can determine med prescription status
issues of OTC meds
-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)
robitussin problems?
Unintended consumption of
Acetaminophen
Phenylephrine
NOT considered Self-Care conditions should not be treated without appropriate medical assessment
Chronic conditions:
Hypertension, Diabetes, Hyperlipidemia
Severe or abrupt symptoms
Vomiting, prolonged bleeding, debilitating cramps
consider a referral if:
-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
patient centered care- role of pharmacists in OTC meds
collect
assess
plan
implement
follow up and monitor/evaluate
collect
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
collect SCHOLAR METHOD
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
COLLECT PQRSTA METHOD
P: precipitating/palliating
Q: quality of the symptom
R: radiating/remitting
S: severity
T: time/temporal
A: associated symptoms
Assess
- 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
PLAN
- no recommendation- self limiting, non pharmacological
- recommend
- product and non-pharm
- referral
implement
education and counseling
follow up
-duration of therapy
-improvement vs worsening
COLLECT Using Effective Questioning and Listening
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
Drug label parts
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
Additional Information
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.
