clinical pharmacy vs pharmaceutical care Flashcards
(14 cards)
why was clinical pharmacy developed?
Clinical pharmacy services developed to enhance DUP, including specialist pharmacist roles
originated where but encompasses what pharmacies
Clinical pharmacy originated in hospital BUT it encompasses hospital, community and primary care pharmacy
what is clinical pharmacy
- Is comprised of a set of functions that promote the safe, effective and economic use of medicines for individual patients
- A process requiring the application of current knowledge of pharmacology, pharmacokinetics, pharmaceutics and therapeutics to a patients care
achieved by clinical pharmacy
identifying potential and actual medication-related problems
– resolving actual medication-related problems
– preventing potential medication related problems
What is Pharmaceutical Care?
Concept of shift in focus to patient outcomes and taking responsibility to do so by the healthcare
professional “responsible provision of drug therapy for the purpose of achieving definite outcomes that improve a patient’s quality of life
Outcomes of pharmaceutical care:
– cure of disease
– elimination or reduction of a patient’s symptom
– arresting or slowing of a disease process
– preventing a disease or symptomatology
- how many categories of medication-related problems
Eight categories
what are the categories of medication-related problems
- Untreated indications
- Improper drug selection
- Sub-therapeutic dosage
- Failure to receive drugs
- Over dosage
- Adverse drug reactions
- Drug interactions
- Drug use without indication
- medication related problems = developed by who/when
Hepler and Strand 1990
what is Medicines Optimisation?
“engaging with individual patients to get their medicines right for them, making sure they are happy with that and checking that others involved in their care know.”
‘’ It is a patient-focused approach to getting the best from investment in and use of medicines that requires a holistic approach, an enhanced level of patient centred professionalism, and partnership between clinical professionals and a patient.”
how many principles are there of patient centred approach
4
what are the Four Guiding Principles from the RPS
- Exploring the patient’s choice & experience of using medicines to manage their condition. Recognising this may change over time, even if the medicines do not
- Most appropriate choice of clinically and cost effective medicines that can best meet the needs of the patient
- Unwanted effects, interactions, safe processes and systems, and effective communication between professionals
- Health professionals routinely discuss with each other and with patients and/or their carers
example of patient centred care
e.g. providing options, rather than reccs
e.g. if I say what does the patient already know, instead of,, my role is to give advice etc
Pharmaceutical care was proposed in 1990 by Hepler and Strand as
‘the responsible provision of drug therapy for the purpose of achieving definite outcomes that improve a patient’s quality of life’ in response to the increase in morbidity and mortality associated with medicine-related problems
