Week 2 - Patient assessment, counseling, and product selection Flashcards
What is the QUEST/SCHOLAR method?
Method to quickly collecting information and assessing patients requisition self-care advice
What does the the QUEST/SCHOLAR method provide?
- Structure
- Allows for thorough info gathering
- More complete counseling
- Helps gain rapport with patients
What is the acronym for QUEST?
Quickly and accurately assess the patient
Establish that the patient is an appropriate candidate for self care
Suggest appropriate self-care strategies
Talk with the patient
How do we quickly and accurately assess the patient?
COllect objective and subjective infor
How do we collect objective info?
MAC: check interactions
M: ask about medications
A: allergies
C: Coexisting health conditions
How do we collect subjective info?
SCHOLAR: ask about current complaints
Symptoms
Characteristics of symptoms
History of symptoms
Onset
Location
Aggravating factors
Remitting factors
How do we Establish that the patient is an appropriate candidate for self care?
- No severe symptoms
- No symptoms that persist or return repeatedly
- No self-treating to avoid medical care
How do we suggest appropriate self-care strategies?
- Medication
- General care measures
How should we talk with patient?
- About medication actions
- Dosing and admin
- Adverse effects
- Follow-up
What are the components of the PPCP?
Collect, Assess, Plan, Implement, Follow-up: Monitor and Evaluate
What are we collecting?
- CC
- HPI
- PMH
- Med history
- Allergies
Using MAC/SCHOLAR
How do we collect for symptoms?
What are the main and associated symptoms
What are we collecting for characteristics?
Specific questions to characterize patient’s symptoms
What are we collecting for history?
- What has been done so far?
- Has this happened in the past?
What are we collecting for onset?
When did it start
What are we collecting for location
Where is the problem
What are we collecting for aggravating factors?
What makes it worse?
What are we collecting for remitting factors?
What makes it better?
What is assess?
- Establish that the patient is an appropriate candidate for self-care
- Assess the appropriateness of self-care
- Patients health status or history precludes them for self-care
What is medication assessment?
- Potential interactions with possible recommendation
- Medication side effect could be the origin of the chief complaint
What are we assessing?
- Health literacy and cultural needs
- Preventative care
- Patient history
What is plan?
Develop an appropriate self-care plan by suggesting appropriate self-care strategies
How do we implement?
Talk with the patient
What are the characteristics of patient counseling?
- Use open-ended questions
- Closed-ended questions for clarification
- Avoid leading questions
- Active listening
- Minimize distractions
- Empathizing with the patient is essential for establishing a therapeutic alliance and gaining trust
What is follow-up?
- Rarely seen in OTC care
- Document specifics
What is summary?
- Help with product selecting if patient is eligible for self-care
- Refer to emergency health care services when necessary
- Counsel patients of appropriate OTC product
What do we counsel for pediatric patients?
- Counsel caregivers regarding the use of appropriate dosing devices
- calculate the appropriate weight-based dose
- Mark the dose on a dosing device for the patient or caregiver
What do we counsel for geriatric patients?
- Consume 33% of all OTCs
- Polypharmacy
- Alteration in ADME
What do we counsel for pregnant or breastfeeding patients?
- most OTC products directs pregnant and breastfeeding women to “ask a health
professional before use.” - Most medication cross the placenta or transfer into breast milk
- recommend nonpharmacologic therapy
- identify which trimester of pregnancy
