Ezzo - Pharmacist Patient Care Process Flashcards

(48 cards)

1
Q

who came up with the pharmacist’s patient care process

A

a collaboration of national pharmacy organizations

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2
Q

what was the purpose of developing the pharmacist’s patient care process

A

to develop a STANDARDIZED approach to patient care

stimulates consistency, predictability, and measurability in pharmacists’ service

CONSISTENT APPROACH TO OPTIMIZING MEDICAITON USE

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3
Q

TRUE OR FALSE

the pharmacist’s patient care process can be used in ANY practice setting

A

true

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4
Q

name the 5 steps of the PPCP

A

collect
assess
plan
implement
follow up: monitor and evaluate

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5
Q

when collecting information on a patient’s medications, what should you ask them

A

if they’re taking anything not on the “list” – even supplements or OTC items

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6
Q

what kind of information is “collected” about the patient

why?

A

subjective and objective info about the patient

to understand the medical history and clinical status

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7
Q

true or false

when collecting information about the patient, it should only be from one source

A

FALSE - may be from multiple sources

most of the time you have to use multiple to get everything

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8
Q

true or false

when collecting information, it is not necessary to obtain their preferences and beliefs

A

FALSE - it is.

may affect if they take certain meds

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9
Q

the pharmacist _____the informaiton collected and then ______ the clinical effects of the patient’s therapy

A

assesses the information and then analyzes the clinical effects

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10
Q

what is the purpose of ASSESSING the collected information

A

so we can identify and prioritize problems - achieve optimal care

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11
Q

each medication is assessed for what acronym?

A

IESA

indication
effectiveness
safety
adherence

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12
Q

aside from assessing EACH MEDICATION name 2 other things to assess

A

healt/functional status, risk factors, etc

immunization status and need for preventative care

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13
Q

the pharmacist develops an ________, ________-centered care plan in collaboration with..

A

individualized, patient-centerd care plan

other HCP and the pt or caregiver

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14
Q

where in the PCPP do you state your receommendations

A

PLAN

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15
Q

in which step of PPCP is the plan delivered to the patient

A

IMPLEMENT

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16
Q

In monitoring, the function of what 2 things should always be monitored

A

liver and kidney function

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17
Q

what is CMM

A

comprehensive medication management

to optimize medication therapy and improve outcomes

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18
Q

list the steps for delivering CMM

A

assess
identify med-related problems
plan
implement
monitor and follow up

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19
Q

when communicating, it is important to use what kind of language

A

common language

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20
Q

explain each component of the IESA process of assessing a medication list

A

I - is there an indication? is it correct?

E - effectiveness. will it work/is it working? is the dose likely to achieve clinical goals?

S – ensure monitoring parameters and drug isn’t causing any ADRs (any geri/ped considerations)

A - is the pt taking it and taking correctly

21
Q

true or false

assessing a medication list is an ongoing process

22
Q

medication related problems are also known as…

A

drug therapy problems

23
Q

explain what a medication related problem is

A

an undesirable or unintended event involving meds that interferes with desired therapeutic outcome, neg impact health, or poses risks

24
Q

true or false

MRPs can occur only after the prescription has been written and dispensed

A

FALSE - can occur at ANY stage of med use process

from prescription -> dispensin -> administration -> monitoring

25
medication related problems can be divided into how many categories?
7
26
name 2 med related problem categories under "indication"
unnecessary drug therapy needs additional therapy
27
name 2 med related problem categories under "effectiveness"
ineffective drug dose too low
28
name 2 med related problem categories under "safety"
adverse drug reaction dose too high
29
name 1 medication therapy problem category under "adherence"
nonadherence
30
pt not receiving folic acid when given methotrexate is under what medication problem category
indication - "needs additional therapy"
31
sleep medications for short term insomnia is considered what MRP?
unnecessary drug therapy
32
"persistent pain" is considered what MRP
needs additional therapy
33
wrong antibiotics for infection is considered what MRP
ineffective drug
34
Antibiotics for viral infection is considered what MRP
ineffective drug
35
"excessive use of antibiotics" is what MRP
dosage too high
36
financial barriers is considered what MRP
nonadherence
37
the overuse of cough and cold meds in kids is considered what MRP
unnecessary drug therapt
38
the use of prophylactic antibiotics for UTIs is considered what MRP
unnecessary drug therapy
39
inadequate asthma control is considered what MRP
needs additional drug therapy
40
depression treatment resistance is what MRP
needs additional drug therapy
41
true or false if a med has been identified to be an ineffective drug, it may sometimes be the case that no therapy at all is the best option
true
42
as mentioned, problems identified should be prioritized what 3 things could be considered the #1 priority
the patient's chief complaint a quality of life issue detrimental to the patient's health
43
what is a common method of documenting patient information in medical and healthcare settings?
SOAP notes
44
what does SOAP stand for
subjective objective assessment plan
45
how can a SOAP note be condensed
combine both the subjective and objective information and title it "findings"
46
what part of the SOAP note do you write what you think is happening
assessment
47
what part of the SOAP note should contain YOUR THOUGHT PROCESS and why the problem is happening
assessment
48