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Pharmacotherapeutics > Pharmacist Patient Care Process > Flashcards

Pharmacist Patient Care Process Flashcards

(44 cards)

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1
Q

Triple Aim

A

Improved patient experience
Reduced Cost
Improved population health

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2
Q

Patient and Family Centered Care (PFCC)

A

Collaborative approach to health care that involves patients, families, and providers

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3
Q

Patient Care Process

A

Collaboration
Communication
Documentation

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4
Q

Collaboration

A

Working together to achieve common goal
More common in hospitals

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5
Q

Most communication will be with patients in

A

self-care encounters

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6
Q

Documentation

A

Contribution and continuity of care
Legal evidence

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7
Q

Collect

A

Subjective and objective information about patient

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8
Q

Subjective information

A

Information provided by patient

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9
Q

Objective information

A

Information observed or measured in medical or lab reports

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10
Q

CC

A

Chief Complaint

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11
Q

HPI

A

History of Present Illness

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12
Q

PMH

A

Past Medical History

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13
Q

PSH

A

Past Surgical History

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14
Q

FH

A

Family History

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15
Q

MH

A

Medical History

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16
Q

SH

A

Social History

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17
Q

MedHx

A

Medication History

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18
Q

NKDA

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A

No Known Drug Allergies

19
Q

ROS

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A

Review of Systems

20
Q

PE

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A

Physical Examination

21
Q

Lab and Diagnostic

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A

Laboratory Value and Imaging

22
Q

SOAP

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A

Subjective, Objective, Assessment, Plan

23
Q

General Patient Information

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A

Date, time, setting of history
Demographics/personal history

24
Q

Chief Complaint (CC)

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A

Major reason for seeking medical attention
Patient’s own words in quotes
Duration of problem

25
History of Present Illness (HPI)
Thorough description and expansion of CC Onset of problem 7 characteristics
26
Seven Characteristics
Timing Location Quality or character Quantity or severity Setting Aggravating or relieving factors Associated symptoms
27
Past Medical History (PMH)
General Health Childhood/adult illnesses Immunizations Allergies ADRs
28
Past Surgical History (PSH)
Surgeries, hospitalizations, injuries, transfusions
29
Social History (SH)
Tobacco/alcohol use Drug use Health habits Education/employment
30
Family History (FH)
Presence or absence of illness in patient's first degree relatives
31
Review of Systems (ROS)
Summarizes all current patient complaints Organ system approach
32
Physical Examination (PE)
Vital signs Skin --> Extremities
33
Lab and Diagnostic Tests
Serum electrolytes: Chem 7 Complete Blood Count (CBC) Diagnostic Tests
34
Medication/Drug Related Problems (MRP/DRP)
DRP is undesirable event experienced that involves drug therapy and interferes with desired outcomes
35
Common DRPs
Unnecessary drug prescribed Wrong drug Dose too low/high ADE Non-adherence Additional drug therapy
36
SBAR
Situation, background, assessment, and recommendation
37
Assessment
Appraisal of each problem, therapeutic goals/endpoints, appropriateness of drug therapy
38
Plan
Treatment and monitoring plan for each active problem
39
SCHOLAR-MAC
Symptoms Characteristics History Onset Location Aggravating Factors Remitting Factors Medications Allergies Medical Conditions
40
what falls under subjective information?
chief complaint history of present illness past medical history social history family history review of systems
41
what falls under objective information?
medication list vital signs physical exam laboratory values diagnostics
42
Plan includes
treatment plan education and counseling monitoring, follow up and referrals
43
does medication list fall under just objective information?
no! it can fall under subjective if provided verbally by the patient
44
what is included at the end of a SOAP note?
references and signature

Pharmacotherapeutics (28 decks)

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