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Fall 2019: Patient-Centered Care > Exam 1 Study Questions > Flashcards

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What step of the PPCP differentiates pharmacists from other healthcare providers?



List the five components of the PPCP.

  1. Collect...necessary information about the patient in order to undersand relevant medical history and clinical status
  2. Assess...information collected and analyze the clinical effects of the patient's therapy in the context of overall health goals to identify and prioritize problems and achieve optimal care
  3. Plan...develop a patient-centered plan in collaboration with other professionals and the patient/caregiver that is evidence-based and cost-effective
  4. Implement...the care plan
  5. Follow-up: monitor and evaluate...the effectiveness of the care plan and modify with other professionals and the patient/caregiver as needed


What are some examples of the "collect" step of the PPCP?

Med history, allergies, current diagnoses, insurance coverage, socioeconomic status, substance use/abuse, physical exam findings, lifestyle, beliefs/preferences, etc.


What are some examples of the "assess" step in the PPCP?

 Medication appropriateness, health literacy, risk factors, immunization history/need for preventative care, etc.


What are some examples of the "plan" step of the PPCP?

Medication-related problems, settings goals of therapy, providing education/empowerment/self-management, supporting follow-up and transitions of care


What are some examples of the "implement" step of the PPCP?

Addressing medication- and health-related problems, initiating/modifying/discontinuing/administering medications, educating, helping coordinate care, scheduling follow-ups


What are some examples of the "follow-up" step of the PPCP?

Medication appropriateness/effectiveness/safety based on data/test results/feedback, review clinical endpoints, review outcomes of care and progression toward goals


What are the four drug-related needs?

  1. Is the drug appropriate?
  2. Is the drug effective?
  3. Is the drug safe?
  4. Is the patient willing/able to take as instructed?


List two indication DTPs.

  1. Unnecessary drug therapy
  2. Needs additional drug therapy


List two effectiveness DTPs.

  1. Ineffective drug
  2. Dose too low


List two safety DTPs.

  1. Dose too high
  2. Adverse drug reaction


List the four written documentation types.

  1. SOAP note
  2. Progress note
  3. SBAR note
  4. Care plan


What are the three components that make up assessment?

  1. Drug-related needs
  2. Drug therapy problems
  3. Medication experience


Do care plans go into an EMR?



List in order of most to least formal: progress notes, SOAP notes, SBAR notes

SOAP > SBAR > Progress


In what form should verbal communications be?

SBAR format


What are some examples of subjective information?

Chief complant, PMH/HPI, medication history, allergies, social/family history, lifestyle, health and functional goals, beliefs/preferences, and socioeconomic factors


What are some examples of objective information?

Vitals, labs/diagnostic tests, physical exam findings, current medications (per chart), refill records, immunization records, history documented in medical record, and drug information


What is the acronym (and meanings) for HPI?

  • Symptoms
  • Characteristics
  • History
  • Onset
  • Location
  • Aggravating factors
  • Remitting factors


Generally speaking, what kind of information qualifies as objective?

Measurable/observable facts


Generally speaking, what kind of information qualifies as subjective?

Opinions, point of view, judgements, emotions


List the clinical process for collecting information step-by-step.

  1. Review chart
  2. Utilize drug information resources
  3. Communicate (to patient and other providers)


How do you calculate creatinine clearance?

CrCl = ((140 - age) x weight) / (72 x SCr)

(x 0.85 if female)


How do you calculate ideal body weight?

IBW = 50 + 2.3 x (inches > 60)


How do you calculate % overweight?

% overweight = ABW/IBW


How do you calculate adjusted body weight?

AdjBW = IBW + 0.4 (ABW - IBW)


When should you use adjusted body weight?

If patient is 40% overweight


List the seven types of drug therapy problems

  1. Unnecessary drug therapy (indication)
  2. Needs additional drug therapy (indication)
  3. Ineffective drug (effectiveness)
  4. Dose too low (effectiveness)
  5. Dose too high (safety)
  6. Adverse drug reaction (safety)
  7. Non-adherence (adherence)


In order to assess for DTPs, what are the four key questions that should be asked for each medication a patient is taking?

  1. Is it indicated?
  2. Is it effective?
  3. Is it safe?
  4. Can the patient adhere?


When stating DTPs, list the three components of the problem that must be described.

  1. A description of th patient's medical condition or clinical state
  2. The drug therapy involved (causing or solving the problem)
  3. The specific association between the drug therapy and the patient's condition