pharmacy care

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Author:
marinir
ID:
36851
Filename:
pharmacy care
Updated:
2010-09-23 12:01:24
Tags:
pharm care exam
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Description:
pharm care
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  1. Key result in the 1950's
    it was not ethical to discuss drugs with patients
  2. key resule in 1970's
    • change the focus from product to patent
    • Mills commission
  3. key aspect of 1990's
    • Hepler and Strand defined the term pharmaceutical care
    • pharmD is mandatory
    • OBRA
    • Asheville project
  4. keyy aspect of 2000's
    • MMA was passed which created MTM
    • Medicare Modernization Act creater Medication Therapy Mangagement
  5. Who was the first to define pharmaceutical care
    Hepler and Strand
  6. What is the definition of pharmaceutical care
    pharmaceutical care is the direct responsible provision of medication related care for the purpose of achieving definite outcomes that improve a patient's quality of life
  7. What are the outcomes of Pharmacy?
    CRAP
  8. Crap
    cure a disease
  9. cRap
    reduction or elimination of symptoms
  10. crAp
    arresting or slowing of disease process
  11. craP
    preventing a disease or symptom
  12. What are the core beliefs of pharmacists
    • patients need and deserve excellent care
    • pharmacist have a responsibility to do more than deliver drugs
    • pharmacists can imporve patient health
    • pharmacists should provide individual and direct care to patients
  13. What are some of the activities that require pharm care
    • clinical pharmacy
    • disease state
    • vaccinations
    • consulting pharmacy
  14. What are the steps of the care cycle
    • (establish a relationship with the patient)
    • 1-gather information about the patient and document
    • 2-set up a plan of action for the patien
    • 3-assure that the patient has the knowledge and supplies to follow through with the goal
    • 4-follow up and review the plan and make changes as needed
  15. Drug related problems
    • caused by a drug or a lack of a drug
    • different than medical problems
  16. What is used to describe what is wrong with a patients treatment?
    CAUSE
  17. Cause
    compliance
  18. cAuse
    Appropiate Indications
  19. caUse
    Untreated Indications
  20. cauSe
    Safety
  21. causE
    Effectiveness
  22. What are the goals of pharm care
    need to ne achievable, measurable, and within the scope of practice (follow CRAP)
  23. How do you create a care plan?
    • need a goal for therapy, a plan to achieve that goal, and a plan to monitor that goal
    • documents include SOAP and MAP
  24. Monitor and follow up with patient
    can be formal or informal
  25. MTM
    Medication Therapy Management
  26. What are the 5 core elements of MTM
    • MTR
    • intervention and referral
    • PMR
    • MAP
    • documentation/follow up
  27. MTM
    • is the standardization as to what is considered reimbursal care
    • its for any patient and is patient centered
  28. MTR
    • Medication Therapy Review
    • Used to: gather info, look for DRP, list problems, create plan
  29. Comprehensive MTR
    is done yearly and with all aspects of anything patient is doing
  30. targeted MTR
    happens when the patient is on a new drug or has had some major change and the review needs to happen soon
  31. Intervention/referral
    this is where pharmacists make recommendations to doctors and collaborate with them to make decisions that are best for the patient
  32. PMR
    personal medication record
  33. PMR
    is a patient centered document that lists all of the things a patient is using and the problems or symptoms they have
  34. MAP
    is the medication-related action plan
  35. MAP
    is a patient centered document where the patient is given things that need to be done in their medication world and when their next appointment is
  36. Documentations and follow up
    this includes things for the pharmacist like the SOAP and listing of all of the things to look for in a patient and what to monitor for next time
  37. SOAP
    • Subjective
    • Objective
    • Assesment
    • Plan

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