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Self Care > Week 2 - Patient assessment, counseling, and product selection > Flashcards

Week 2 - Patient assessment, counseling, and product selection Flashcards

1
Q

What is the QUEST/SCHOLAR method?

A

Method to quickly collecting information and assessing patients requisition self-care advice

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2
Q

What does the the QUEST/SCHOLAR method provide?

A
  1. Structure
  2. Allows for thorough info gathering
  3. More complete counseling
  4. Helps gain rapport with patients
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3
Q

What is the acronym for QUEST?

A

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

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4
Q

How do we quickly and accurately assess the patient?

A

COllect objective and subjective infor

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5
Q

How do we collect objective info?

A

MAC: check interactions
M: ask about medications
A: allergies
C: Coexisting health conditions

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6
Q

How do we collect subjective info?

A

SCHOLAR: ask about current complaints
Symptoms
Characteristics of symptoms
History of symptoms
Onset
Location
Aggravating factors
Remitting factors

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7
Q

How do we Establish that the patient is an appropriate candidate for self care?

A
  1. No severe symptoms
  2. No symptoms that persist or return repeatedly
  3. No self-treating to avoid medical care
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8
Q

How do we suggest appropriate self-care strategies?

A
  1. Medication
  2. General care measures
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9
Q

How should we talk with patient?

A
  1. About medication actions
  2. Dosing and admin
  3. Adverse effects
  4. Follow-up
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10
Q

What are the components of the PPCP?

A

Collect, Assess, Plan, Implement, Follow-up: Monitor and Evaluate

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11
Q

What are we collecting?

A
  1. CC
  2. HPI
  3. PMH
  4. Med history
  5. Allergies
    Using MAC/SCHOLAR
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12
Q

How do we collect for symptoms?

A

What are the main and associated symptoms

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13
Q

What are we collecting for characteristics?

A

Specific questions to characterize patient’s symptoms

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14
Q

What are we collecting for history?

A
  1. What has been done so far?
  2. Has this happened in the past?
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15
Q

What are we collecting for onset?

A

When did it start

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16
Q

What are we collecting for location

A

Where is the problem

17
Q

What are we collecting for aggravating factors?

A

What makes it worse?

18
Q

What are we collecting for remitting factors?

A

What makes it better?

19
Q

What is assess?

A
  1. Establish that the patient is an appropriate candidate for self-care
  2. Assess the appropriateness of self-care
  3. Patients health status or history precludes them for self-care
20
Q

What is medication assessment?

A
  1. Potential interactions with possible recommendation
  2. Medication side effect could be the origin of the chief complaint
21
Q

What are we assessing?

A
  1. Health literacy and cultural needs
  2. Preventative care
  3. Patient history
22
Q

What is plan?

A

Develop an appropriate self-care plan by suggesting appropriate self-care strategies

23
Q

How do we implement?

A

Talk with the patient

24
Q

What are the characteristics of patient counseling?

A
  1. Use open-ended questions
  2. Closed-ended questions for clarification
  3. Avoid leading questions
  4. Active listening
  5. Minimize distractions
  6. Empathizing with the patient is essential for establishing a therapeutic alliance and gaining trust
25
Q

What is follow-up?

A
  1. Rarely seen in OTC care
  2. Document specifics
26
Q

What is summary?

A
  1. Help with product selecting if patient is eligible for self-care
  2. Refer to emergency health care services when necessary
  3. Counsel patients of appropriate OTC product
27
Q

What do we counsel for pediatric patients?

A
  1. Counsel caregivers regarding the use of appropriate dosing devices
  2. calculate the appropriate weight-based dose
  3. Mark the dose on a dosing device for the patient or caregiver
28
Q

What do we counsel for geriatric patients?

A
  1. Consume 33% of all OTCs
  2. Polypharmacy
  3. Alteration in ADME
29
Q

What do we counsel for pregnant or breastfeeding patients?

A
  1. most OTC products directs pregnant and breastfeeding women to “ask a health
    professional before use.”
  2. Most medication cross the placenta or transfer into breast milk
  3. recommend nonpharmacologic therapy
  4. identify which trimester of pregnancy

Self Care (16 decks)

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