Pharmaceutical Care

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Author:
dineane
ID:
36165
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Pharmaceutical Care
Updated:
2010-09-20 22:37:24
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Pharmaceutical Care short answers definitions
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what is pharmaceutical care and other trivia
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  1. Definition of Pharmaceutical Care:
    “The responsible provision of drug therapy for the purpose of achieving definite outcomes that improve a patient’s quality of life.”
  2. What study defined pharmaceutical care?
    (two names)
    • Hepler & Strand 1989
    • Opportunities and Responsibilities in pharmaceutical care
  3. Name 3 causes of suboptimal care
    Acts of Commission

    Idiosyncratic causes

    Acts of Omission
  4. Acts of Commission examples of suboptimal care are:
    • misreads
    • wrong dosing
    • wrong drug

    prescribing, dispensing, & medication administration errors
  5. Idiosyncratic causes of suboptimal care are:
    adverse reactions to meds
  6. Acts of Omission examples of suboptimal care are:
    absence of individual / profession to assume responsibility for pt. medication outcomes

    ex: 90 day follow up on a new depression medication
  7. In 1765 this man proposed a split between medicine and pharmacy.
    John Morgan

    He was a physician and pharmacist
  8. What was the first school of pharmacy

    When was it founded?
    1821 Philadelphia College of Pharmacy
  9. Who is considered the 'father of American pharmacy'?
    William Proctor

    • first professor of practical pharmacy
    • editor of American Journal of Pharmacy
    • started APhA - 1852
  10. What university offered the first 6 year PharmD degree
    Univ of Southern California
  11. Tell the history of pharmacy in America in your own words...
    • frequent dramatic changes in practice
    • spurred by advances in technology, by economic alterations, and by legislation.
    • Between 1860 - 1990s, the profession’s orientation has moved from manufacturing, to compounding, to distribution, to a more clinical role and finally to pharmaceutical care
    • Often initiated by others outside of the profession
  12. What is central fill?
    one automated location takes and fills orders for many locations which are then mailed to pts

    mostly maintenance meds
  13. What is remote medication order processing?
    prescriptions are read and processed at another location using computers

    scanned scrips read at off location sites, typed, and filled if necessary and sent back to original location
  14. Summarize the 6 goals of the 2015 ASHP initiative
    • Increase extent that:
    • 1) health-system pharmacists help inpatients achieve the best use of medications
    • 2) health-system pharmacists help non-hospitalized patients achieve the best use of medications
    • 3) health-system pharmacists actively apply evidence-based methods to improve medication therapy
    • 4) pharmacy depts have a significant role in improving the safety of medication use
    • 5) health systems apply technology to improve safety
    • 6) pharmacy depts can engage in public health initiatives in their communities
  15. Site examples of 2015 goal 1
    increase extent that pharmacists help inpatients achieve best use of medications:
    • obtain medical histories
    • medication reconciliation
    • ~ dif. btwn home and hospital medications
    • medication monitoring
    • provide discharge medication counseling
  16. Site examples of 2015 goal 2 increase extent that pharmacists help non-hospitalized patients achieve best use of medications:
    manage medication therapy in collaborations w/ other health care professionals

    provide medication counseling
  17. Site examples of 2015 goal 3 increase extent that pharmacists increase the use of evidence-based methods to improve medication therapy:
    provision of care using evidence-based medicine

    involved in the development and use of drug-therapy protocols
  18. Site examples of 2015 goal 4 increase extent that health care system pharmacy departments improve the safety of medication use:
    routine medication orders reviewed by pharmacist prior to administration of 1st dose

    certified pharmacy technicians

    ASHP-accredited residency training
  19. Site examples of 2015 goal 5 increase extent that health systems apply technology effectively to improve the safety of medication use:
    • use of bar coded medication
    • use of bar coded medication administration to patients
    • use of computerized prescriber order entry system
  20. Site examples of 2015 goal 6 increase extent that pharmacy departments engage in public health initiatives on behalf of their communities
    • brown bag
    • diabetes clinics
    • smoking cessation
    • -- ashville project --
  21. define beneficence
    doing the very best for the patient within the context of pharmaceutical care

    • patient-centered
    • non-coercive
  22. define nonmaleficence
    do no harm
  23. list some values and behaviors necessary to be a professional in pharmacy
    • altruism---concern for welfare of others
    • equality---having the same rights, privileges or status
    • freedom---capacity to exercise choice
    • justice---upholding moral and legal principles
    • truth---faithfulness to fact or realityhuman dignity---inherent worth and uniqueness of an individual
  24. why should pharmacists be making >$100,000 per year?
    • Economic argument
    • Health Outcome argument
    • Profession argument

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