Damm Lectures Flashcards

1
Q

What is illness behaviour?

A

any activity undertaken by a person who feels ill

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2
Q

Once a diagnosis is made, what happens to illness behaviour?

A

initial illness behaviour: talks to HCP, diagnosis of common cold
once diagnosis is made: withdrawl from usual activities, follow advice and treatment plan

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3
Q

What are the factors that cause variability in illness behaviour?

A

patient factors
disease factors
treatment factors
relationship factors

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4
Q

List some behaviours that can cause patient factors to have an influence on illness behaviour.

A

frustration/anger
fear/anxiety
feeling of damage
dependency
depression/loss of self-esteem
personal reluctance
social and demographic factors
interpersonal influences
ability to cope
knowledge of body functions
misconceptions about disease

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5
Q

Explain characteristics of symptoms than can cause disease factors to have an influence on illness behaviour.

A

degree of interference with normal function
clarity of symptoms
tolerance threshold
familiarity with symptoms
assumptions of the cause
assumptions of the prognosis

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6
Q

Explain how treatment factors can have an influence on illness behaviour.

A

quality of available treatments
belief in medications
belief in other treatments
threshold for medication use
level of risk aversion

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7
Q

Explain how relationship factors can have an impact on illness behaviour.

A

respect and trust in HCPs and the system
influences of family members
view of the pharmacist

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8
Q

What are the different health models?

A

medical model
-absence of a disease or disability
WHO model
-state of complete physical, mental, and social well-being
-achieving patient centred care
wellness model
-health promotion through lifestyle changes, integration of
mind, body, and spirit
environmental model
-adaptation to physical and social surroundings

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9
Q

What is health behaviour?

A

any activity undertaken by an individual believing themselves to be in a state of good health for the purpose of preventing a disease or detecting it in an asymptomatic stage

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10
Q

When is the chance of someone engaging in a health behaviour increased?

A

ready to take action
benefits outweigh the barriers
cue or stimulus exists

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11
Q

What are the components of the health belief model?

A

perceived susceptibility: beliefs about the chances of getting a
condition
perceived severity: beliefs about the seriousness of a condition
and its consequences
perceived benefits: beliefs about the effectiveness of taking
action to reduce risk or seriousness
perceived barriers: beliefs about the material and
psychological costs of taking action
cues to action: factors that activate readiness to change
self-efficacy: confidence in one’s own ability to take action

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12
Q

What is the stages of change model?

A

describes how a person goes through stages of decision process to change

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13
Q

What are the stages of the change model?

A

pre-contemplation: no intent of taking action within next 6mo
contemplation: intends to take action within next 6mo
preparation: intends to take action within next 30d
action: has changed behaviour for less than 6mo
maintenance: has changed behaviour for more than 6mo

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14
Q

What is the basic responsibility of a pharmacist?

A

dispensing

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15
Q

Do all pharmacists utilize their clinical skills?

A

no
-time
-older pharmacists
-lack of resources

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16
Q

What are all the pharmacists activities?

A

dispensing
distribution
management
professional activities
technical activities

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17
Q

How does the view of dispensing differ between the general public and pharmacists?

A

public: putting pills in a vial
pharmacists: ensuring med is safe, ensure safe dose, etc

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18
Q

Describe dispensing as an activity.

A

incorporates the professional and technical aspects

19
Q

Describe distribution as an activity.

A

interpretation of prescriptions
pharmaceutical calculations
selecting ingredients
not many professional aspects of care

20
Q

Describe management as an activity.

A

administrative duties relating to professional and technical functions
-staffing, scheduling, stock, policy decisions
financial duties
-budgeting, investing, obtaining funding

21
Q

What are all the professional activities of a pharmacist?

A

control of medications
monitoring of therapies
education and consultation activities
cognitive functions
professional judgment

22
Q

Describe control of medications.

A

gateway to access medications
aid in self-care product selection
providing medication to patient
preparing a drug product for patient use

23
Q

Describe monitoring of therapies.

A

compliance and adherence
finding and preventing adverse drug reactions/interactions
identify and solve DTPs
follow-up, solve and document problems
lab test interpretation

24
Q

Describe education and consultation activities.

A

providing individualized patient counseling on a new medication
minor ailments consultation
providing drug info to other HCP
triaging patients

25
Q

Describe cognitive functions.

A

participating in drug use decisions
determining the dose and dose schedule
encompasses expanded activities
med reviews
prescribing
specialized counselling
injections
lab test ordering

26
Q

Describe professional judgment.

A

making ethical decisions
making drug therapy decisions

27
Q

Describe technical activities as an activity.

A

indirectly related to medication provision (billing, insurance, stock)
directly involved with medication provision (compounding, labelling, counting)

28
Q

What are some issues that can interfere with our activities?

A

time/resource constraints
type of patient (age, critical care, complex medication, etc)

29
Q

What are the steps in the drug use process?

A

perception of the need for a drug
selection of drug
selection of drug regimen
provision of drug product
patient education
consumption and administration
monitoring effects of drug
evaluation and follow-up

30
Q

What percentage of physician visits result in a prescription?

A

2/3

31
Q

Describe perception of the need for a drug from a HCP-centred view and the patient-centred view.

A

HCP: believes med will help patients issue, selects appropriate
agent for specific problem
patient: expectations that HCP provides something, med will
solve their problem, med will be safe

32
Q

Why do mistakes happen during the perception of the need for a drug?

A

perception of need was incorrect
over prescribing

33
Q

What should drug selection be based on?

A

therapeutic goals
patient variables
cost
availability

34
Q

What are potential problems that can arise during drug selection?

A

sub-optimal agent chosen
drug would not meet therapeutic goals
drug interactions
cost

35
Q

How can pharmacists help HCPs with drug selection?

A

educate the HCP

36
Q

Why can irrational prescribing by HCPs occur?

A

too much information
improper evaluation or application of data
large number of drug products
influence of drug reps
inadequate patient specific consideration

37
Q

What is included in the drug regimen?

A

route of administration
dosage form
dosage regimen
length of therapy

38
Q

What are potential problems that can arise during the selection of a drug regimen?

A

under-dosing
over-dosing
inappropriate route
inappropriate dosage form
adherence

39
Q

What are some errors that can arise during the provision of drug product?

A

wrong medication
wrong instructions
improperly transcribed SIG

40
Q

What are some errors that can arise during patient education?

A

busy pharmacy
done poorly

41
Q

How can compliance be improved?

A

therapy is short duration
regimen is simple
time of administration is convenient
drug therapy is effective and free of side effects
low cost

42
Q

Why might a patient not return for monitoring?

A

drug worked
patient stopped taking the medication
patient went to another pharmacy

43
Q

What are some challenges associated with evaluation and follow-up?

A

establishing meaningful outcomes
identifying all costs involved