Patient Assessment Processes, etc Flashcards

1
Q

Social Determinant of Health

A

conditions in the place where people live, learn,work, and play that affect a wide range of health and quality-of-life-risks and outcomes

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2
Q

Examples of SDOH

A
Economic stability
Neighborhood and Physical Environment
Education
Food
Community and Social context
Health care systems
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3
Q

Prejudice

A

A preconceived opinion that is not based on reason or actual experience

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4
Q

Bigotry

A

Intolerance toward those who hold different opinions or are different from oneself

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5
Q

Discrimination

A

The unjust or prejudicial treatment of different categories of people or things, especially on the grounds of race, age, or sex

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6
Q

Racism

A

Prejudice, discrimination, or antagonism directed against a person or people on the basis of their membership of a particular racial or ethnic group, typically one that is a minority or marginalized

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7
Q

Implicit Bias

A

attitudes or stereotypes that affect our understanding, actions, and decisions in an unconscious manner

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8
Q

What is transition of care?

A

when patient leaves care of particular unit or health care facility and moves to another facility, setting or their own home

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9
Q

Poorly coordinated Transition of care can cause….

A

med discrepancies
readmissions
adverse events
Higher costs

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10
Q

Pharmacist role in TOC

A

Admin = taking best possible med history
During hospital = optimize drug therapy
Discharge = perform med rec
after discharge = follow up

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11
Q

JCPP Patient Care Process

A
Collect
Assess
Plan
Implement
Follow up: Monitor and Evaluate
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12
Q

JCPP Patient Care Process: Collect

A
Med terms/abbreviations
Med history
Med Rec
Lab results
Pt lifestyle habit, preferences, beliefs
Socioeconomic factors
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13
Q

JCPP Patient Care Process: Assess

A
clinical data interpretation
Risk factors
Pt specific outcomes
Health literacy
Access to meds
preventative health
ID problems
Develop problems list
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14
Q

JCPP Patient Care Process: Plan

A

address problems and make recommendations using evidence based med

ID goals of therapy to achieve clinical outcomes

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15
Q

JCPP Patient Care Process: Implement

A

Initiate, modify, DC med therapy
Pt ed and self management training
Preventative care strategies

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16
Q

JCPP Patient Care Process: Follow up

A

Monitor clinical endpoints
monitor outcomes of care/care goals
Re-eval each encounter

17
Q

Quest Scholar-MAC

A

QUick and accurately assess the patient
E- estabilsit if patient appropriate for OTC therapy
S- Suggest appropriate therapy
T-Talk w/ patient

S- Symptoms
C- Characteristics
H- History
O- Onset
L- Location
A- Aggravating factor
R- Remitting factors

M- Other meds
A- Allergies
C - Coexisting conditions

18
Q

SOAP

A

Subjective
Objective
Assessment
Plan

19
Q

Subjective

A

described by patient themselves

cannot be reliably reproduced

20
Q

Objective

A

observations made and info acquired by HC practitioner

ex. lab results, tests, vital signs

21
Q

Assessment

A

Practitioners clinical opinion or judgement about problem

find problems

include rational for therapy recommendations

22
Q

Plan

A

Course of actions deemed appropriate for each problem

concise

23
Q

Do not use list

A
U (unit)
IU (International Unit)
Lacking 0 or trailing 0
QD,QOD
MS, MSO4
24
Q

Info on intervention form?

A
Name
Date
Time
Intervention category
Clinical Significance
Outcomes
Response
25
Q

Progress Note Structure

A
  1. Descriptor/Chief Complaint
  2. Prioritized Problem List
  3. Subjective/Objective section
  4. Assessment Section
  5. Plan Section
26
Q

Steps to answer physician calling

A
  1. ID the requestor
  2. Obtain background info
  3. eval, analyze, and synthesize info found
  4. Determine ultimate question
  5. Develop strategy and conduct search
  6. Formulate and provide response
  7. Conduct follow-up