Week 2 - Patient assessment, counseling, and product selection

Question 1

What is the QUEST/SCHOLAR method?

Answer 1

Method to quickly collecting information and assessing patients requisition self-care advice

Question 2

What does the the QUEST/SCHOLAR method provide?

Answer 2

1. Structure
2. Allows for thorough info gathering
3. More complete counseling
4. Helps gain rapport with patients

Question 3

What is the acronym for QUEST?

Answer 3

Quickly and accurately assess the patient
Establish that the patient is an appropriate candidate for self care
Suggest appropriate self-care strategies
Talk with the patient

Question 4

How do we quickly and accurately assess the patient?

Answer 4

COllect objective and subjective infor

Question 5

How do we collect objective info?

Answer 5

MAC: check interactions
M: ask about medications
A: allergies
C: Coexisting health conditions

Question 6

How do we collect subjective info?

Answer 6

SCHOLAR: ask about current complaints
Symptoms
Characteristics of symptoms
History of symptoms
Onset
Location
Aggravating factors
Remitting factors

Question 7

How do we Establish that the patient is an appropriate candidate for self care?

Answer 7

1. No severe symptoms
2. No symptoms that persist or return repeatedly
3. No self-treating to avoid medical care

Question 8

How do we suggest appropriate self-care strategies?

Answer 8

1. Medication
2. General care measures

Question 9

How should we talk with patient?

Answer 9

1. About medication actions
2. Dosing and admin
3. Adverse effects
4. Follow-up

Question 10

What are the components of the PPCP?

Answer 10

Collect, Assess, Plan, Implement, Follow-up: Monitor and Evaluate

Question 11

What are we collecting?

Answer 11

1. CC
2. HPI
3. PMH
4. Med history
5. Allergies
   Using MAC/SCHOLAR

Question 12

How do we collect for symptoms?

Answer 12

What are the main and associated symptoms

Question 13

What are we collecting for characteristics?

Answer 13

Specific questions to characterize patient’s symptoms

Question 14

What are we collecting for history?

Answer 14

1. What has been done so far?
2. Has this happened in the past?

Question 15

What are we collecting for onset?

Answer 15

When did it start

Question 16

What are we collecting for location

Answer 16

Where is the problem

Question 17

What are we collecting for aggravating factors?

Answer 17

What makes it worse?

Question 18

What are we collecting for remitting factors?

Answer 18

What makes it better?

Question 19

What is assess?

Answer 19

1. Establish that the patient is an appropriate candidate for self-care
2. Assess the appropriateness of self-care
3. Patients health status or history precludes them for self-care

Question 20

What is medication assessment?

Answer 20

1. Potential interactions with possible recommendation
2. Medication side effect could be the origin of the chief complaint

Question 21

What are we assessing?

Answer 21

1. Health literacy and cultural needs
2. Preventative care
3. Patient history

Question 22

What is plan?

Answer 22

Develop an appropriate self-care plan by suggesting appropriate self-care strategies

Question 23

How do we implement?

Answer 23

Talk with the patient

Question 24

What are the characteristics of patient counseling?

Answer 24

1. Use open-ended questions
2. Closed-ended questions for clarification
3. Avoid leading questions
4. Active listening
5. Minimize distractions
6. Empathizing with the patient is essential for establishing a therapeutic alliance and gaining trust

Question 25

What is follow-up?

Answer 25

1. Rarely seen in OTC care 2. Document specifics

Question 26

What is summary?

Answer 26

1. Help with product selecting if patient is eligible for self-care 2. Refer to emergency health care services when necessary 3. Counsel patients of appropriate OTC product

Question 27

What do we counsel for pediatric patients?

Answer 27

1. Counsel caregivers regarding the use of appropriate dosing devices 2. calculate the appropriate weight-based dose 3. Mark the dose on a dosing device for the patient or caregiver

Question 28

What do we counsel for geriatric patients?

Answer 28

1. Consume 33% of all OTCs 2. Polypharmacy 3. Alteration in ADME

Question 29

What do we counsel for pregnant or breastfeeding patients?

Answer 29

1. most OTC products directs pregnant and breastfeeding women to “ask a health professional before use.” 2. Most medication cross the placenta or transfer into breast milk 3. recommend nonpharmacologic therapy 4. identify which trimester of pregnancy