Self care lecture 2 Flashcards

1
Q

Who regulates nonprescription meds?

A

Food and Drug Administration (FDA)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What did the Pure Food and Drug Act of 1906 ensure?

A

Strength,purity, and quality

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What did the 1938 Federal Food, Drug, and Cosmetic Act ensure?

A

Safety

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What did the 1951 Durham-Humphrey Amendment ensure?

A

Categories of prescription and OTC

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What did the 1962 Kefauver- Harris Amendment ensure?

A

Efficacy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

How does a Rx to OTC switch over?

A

Manufacturer requests the switch

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

FDA requires standardized content and format for labels

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Which one is NOT a pillar of self-care?
A. physical activity
B. mental well being
C.herbal and alternative treatments
D.healthy eating

A

C. herbal and alternative treatments

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Which of the following is a behind-the-counter medication?

A.acetaminophen
B.ibuprofen
C.aspirin
D.pseudoephedrine

A

D.pseudoephedrine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

_________ use a patient-centered approach in collaboration with other providers on the health care team to optimize patient health and medication outcomes.

A

Pharmacists

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

__________ are the drug therapy experts.

A

Pharmacists

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

___________: The pharmacist assures the collection of the necessary subjective and objective information about the pt in order to understand the relevant medical/medication history and clinical status of the pt.

A

Collect

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

________:The pharmacist assesses the information collected and analyzes the clinical effects of the pt’s therapy in the context of the pt’s overall health goals in order to identify and prioritize problems and achieve optimal care.

A

Assess

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

_________:The pharmacist develops an individualized patient-centered care plan, in collaboration with other health care professionals and the pt or caregiver that is evidenced-based and cost-effective

A

Plan

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

_______:The pharmacist implements the care plan in collaboration with other health care professionals and the patient or caregiver.

A

Implement

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

___________:The pharmacist monitors and evaluate the effectiveness of the care plan and modifies the plan in collaboration with other health care professionals and the patient or caregiver as needed.

A

Follow-up: Monitor and Evaluate

17
Q

“the sorting of patients according to the urgency
of their need of care”

A

Triage

18
Q

Pharmacist: Self Treatment

  • Assist in ______________
  • Assess patient _____ factors
  • Counsel regarding proper drug use
  • Maintain OTC’s on patient profile
  • Monitor for efficacy and toxicity
  • Discourage “__________” remedies
  • Assess potential of OTC to mask
    symptoms of more serious condition
A

product selection, risk, Quack

19
Q

2 requirements for triage are _________ and _________ and that’s the role we are going to play when we are trying to figure out how to treat someone

A

sorting and urgency

20
Q

Recognize Bogus Therapy

-Lack of medical
______________
* Perception of
nontoxicity
* Aura of natural
medicine
* Empowerment
* _________ claims
* Appeal to easy
answers
* Absolute assurance
* Simplicity
* Sell direct to
customer
* Using the internet

A

credentials, overblown

21
Q

Consequences of Bogus Therapy

-_______ losses
-________hazards
-Indirect hazards

A

Economic, Direct

22
Q

Analyzing OTC Information

  • Did the patient make the right ___?
  • Is the condition ___________?
  • Are there any contraindications?
  • Is an OTC product likely to benefit?
A

Dx (diagnosis), self-treatable

23
Q

Problem Solving Model
* Identify the __________
* Gather pertinent ______________
* Identify exclusions for self-treatment
* Patient Assessment and Triage
* Identify alternate _________
* Select optimal solution
* Prepare and implement a plan
* Provide patient education
* Evaluate patient outcome

A

Problem, information, solutions

24
Q

QuEST/SCHOLAR-MAC
___________ and __________ assess the patient
___________ that the patient is an appropriate self-care candidate
Suggest appropriate self-care strategies
Talk with the patient

A

Quickly, accurately, establish

25
Q

SCHOLAR-MAC

_________: What are main and associated symptoms?
__________: What are the symptoms like?
History: Done so far? Happened before?
_______: When did particular problem start?
_________: Where is the problem?
Aggravating factors: What makes it worse?
Remitting factors: What makes it better
________: rx and non-rx, natural, herbals,
generic
Allergies: medication and other with reaction
__________: other medical conditions

A

symptoms, characteristics, onset,location, medications,conditions

26
Q

Interview Style

  • ___________ vs. closed questions
  • Medical jargon vs. everyday language
  • _________(You don’t have…)
  • Asking questions in series?
  • Control vs. spontaneity (Controlled, systematic approach to history taking)
  • Clarification
  • Nonverbal communication (open and welcoming, don’t be on your phone when talking to pt, make eye contact, be engaged)
  • Listening skills (repeat back what pt said so pt knows your listening and then in your head solidify what your saying)
  • Empathy, respect, consideration
A

Ask open ended questions only, Assumptions

27
Q

____________
* Objective
* What clinician OBSERVES or
SEES or MEASURES
* Contributes to diagnose
* Ex: Runny nose
* Ex: Fever

A

Sign

28
Q

_____________
* Subjective
* Not observed by another
person
* What person is experiencing
* Ex: Sinus pain
* Ex: Loss of taste or smell

A

Symptom

29
Q

What is the difference between a sign and a symptom?

A ________is something that can be observed externally,

A

sign

30
Q

A ________ is felt internally

A

symptom

31
Q

Patient Counseling/Triage Options

Educate everyone
* No product
* Refer to MD
* OTC product

A
32
Q

When to refer…

  • If symptoms are too __________ to be endured by the patient without definitive diagnosis and treatment
  • If symptoms are minor but __________and do not appear to be the result of some easily identifiable cause
  • If symptoms have _____________ returned with no readily recognizable cause
  • If pharmacist is in doubt about patients medical condition
A

severe,persistent, repeatedly

33
Q

Key Points
* Health care providers should use _____________ to effectively address patients’ self-care needs.
* The consistent and systematic patient care process helps providers be _________ and ________ when assuming responsibility for a patient’s selfcare needs.
* There are special drug-related needs associated with high-risk groups, such as infants and children, older persons, and pregnant and breastfeeding women.

A

systematic cognitive processes, complete, concise

34
Q

HOW does a Rx to OTC switch occur?

  • The ______ OTC drug review process
  • Manufacturer requests switch via supplemental application to its approved NDA
  • ____________or other party* petitions FDA
A

FDA

Manufacturer