Lecture 1 - Pharmacist Patient Care Process

Question 1

List the 5 steps of the pharmacist patient care plan

Answer 1

1. COLLECT/organize patient info to identify any problems (subjective/objective findings)
2. ASSESS and link to drug therapy problems (DTP)
3. PLAN - develop patient-centered plan w other healthcare providers and the pt
4. IMPLEMENT - pharmacist implements the care plan w other HC providers and the pt
5. MONITOR and EVALUATE the patient’s response

Question 2

the decision making process is concerned with..

Answer 2

Appropriateness
Effectiveness
Safety
Adherence

Question 3

What is the acronym for documentation standards

Answer 3

SOAP

Subjective
Objective
Assessment
Plan

Question 4

What are subjective findings?

Answer 4

information that the patient describes

Question 5

How do you find out subjective findings

Answer 5

through good communication with the patient

Question 6

the big thing with documenting subjective and objective findings is that we want to make sure they are….

Answer 6

PERTINENT

Question 7

Where can objective findings be found

Answer 7

in the chart
electronic health record
physical assessment

Question 8

Explain what objective findings are

Answer 8

information that can be MEASURED

Question 9

Give some examples of objective findings

Answer 9

blood pressure
A1c level
LDL/HDL
CrCl
X-ray
height/weight
vital signs
specimen cultures

Question 10

What is the A part of SOAP

Answer 10

ASSESSMENT
answers the question “WHY” the problem is happening
Describes your thought process in linking the drug therapy problem to a REASON that it is occurring

Question 11

What exactly should we be writing in the Assessment portion of SOAP

Answer 11

-state the severity/urgency of the problem
-indicate if an intervention should be made
-state disease state (if possible)
-state if patient is not at the goal
(WHAT is the goal, WHY are they not at the goal, HOW can i get them to the goal)

-state desired outcomes/goals
-short term goals
-long term goals

Question 12

give an example of a short term goal and a long term goal

Answer 12

short term — eliminate symptoms of a UTI
long term – cure the infection

Question 13

list the format of the assessment portion of SOAP

Answer 13

clear and concise. aim for 3 sentences

1: state the problem identified
2: list findings that support your conclusion
3: state short and long term goals

USE CRITICAL THINKING AND APPLY EVIDENCE BASED MEDICINE

Question 14

the “PLAN” portion of SOAP states what needs to be done by..

Answer 14

-the patient
-the primary provider/prescriber
-the pharmacist

Question 15

In the “plan” portion of SOAP, you should list what your action will be to help correct the patient’s problem.
This includes which 3 interventions?

Answer 15

-resolution of drug therapy problems
-goals of therapy
-prevention of future problems

Question 16

evidence-based interventions under SOAP can be ____ or non____

Answer 16

pharmacologic or nonpharmacologic

Question 17

Besides reccomendation, what else is part of the “PLAN” part of soap?

Answer 17

MONITORING

Question 18

Monitoring the outcomes includes monitoring…

Answer 18

efficacy and toxicity

Question 19

What can you say about the format of the med-related problem list?

Answer 19

prioritized – listed in order of importance/urgency

Question 20

recap: list the 5 steps of the pharmacist’s patient care process

Answer 20

collect (identify problems and prioritize. subjective and objective findings)
assess (rationale. assessment)

plan (recommendations, desired therapeutic outcomes and goals)
implement (counseling points. a part of the plan part of soap)
monitor and evaluate (follow up) (part of PLAN)