T2 - Week 1 Lecture Flashcards
What is the purpose of the PPCP?
A systematic consistent process for delivering patient-centered care in any setting
How do we achieve positive patient outcomes by patient centered care?
- Keep the patient first in mind
- What matters to the patient matters to us
What ways can we keep the patient first in mind?
- Concept of illness
- Mediation experience
- Patient desires
What are the steps of PPCP?
- Collect
- Assess
- Plan
- Implement
- Follow-up: Monitor and Evaluate
What information would you collect in PPCP?
Subjective and objective
What types of subjective and objective info would you collect for PPCP?
- Complete med list
- Med history, lab, and physical
- Lifestyle, health goals, socioeconomic factors, beliefs
What does it mean to assess according to the PPCP?
Identify and prioritizing problems
What are the characteristics of a plan according to the PPCP?
- Plan should be patient-centered
- Plan should be collaborative
What does it mean to implement according to the PPCP?
- Put the plan into action
- Collaborate with the patient
What are questions that should be answered during follow up of the PPCP?
- How are things going?
- Is the plan effective
- What changes do we need to make?
What are the components of a med history?
- Current medications
- Past medications
- Allergies
- Adverse drug reactions
- Adherence
- Immunization status
- Social drug use
- Adherence challenges
- Special needs
- Physical limitations
What is adherence?
- Discrepancies in administration
- Frequency of missed doses
What questions should you address for adverse drug reactions?
- Type of reaction
- When it occurred
- How is was addressed
What questions should you address for allergies?
- Type of reaction
- When it occurred
- How is was treated
What are examples of social drug uses?
- Caffeine
- Alcohol
- Nicotine
- Illegal drugs
Why would someone come across adherence challenges?
- Dementia
- Swallowing
- Cost
How can culture be a medication therapy consideration?
- Language barriers
- Alternative therapies
How can religion be a medication therapy consideration?
- Beliefs about illness
- Belief about treatment
How should you consider a medication therapy with a patient?
- Culture
- Religion
- Listen to patient and seek to understand
- Patient makes the final decision
What is the difference between open and closed ended questions?
Open: Requires more than a yes or no response, useful for gathering info
Closed: Yes or no questions, useful for clarifying information
What are examples of open ended questions?
Who, what, where, why, and how
What are examples of closed ended questions?
Will, can, do, did
What step of the PPCP is the most important for patient centered care?
Collect
What are examples of medication history?
- List of medications
- Medication specfics
How do maintain a good first impression?
- Be respectful
- Provide clarifying information
- Obtain permission
How do we obtain professionalism in patient interviews?
- Dress
- Speech
- Timeliness
10% words, 30% sound, 60% body language
How do we create a professional environment?
- Temperature
- Lighting
- Moise
- Cleanliness
- Proximity
- Privacy
- Equal status seating
What are the 3 C’s for successful patient interviewing?
Character, chemistry, competence
How can character be applied to patient interviewing?
Establishing trust by being honest, reliable, and having integrity
How can chemistry be applied to patient interviewing?
Building rapport by seeking first to understand, active listening, and cooperationHow can character be applied to patient interviewing?
How can competence be applied to patient interviewing?
Be prepared by being diligent, skilled, and taking initiative
What are we listening for in active listening?
- Content
- Intent
- Feeling
What is the importance of active listening?
Understanding what’s being communicated not what’s being said
What are verbal cue for effective active listening?
- Remember
- Question
- Clarify
- Summarize
- Reflect
What are non-verbal cues for effective active listening?
- Smile
- Eye contact
- Low distraction
- Posture
- Mirroring