Professional Documents
Culture Documents
Pharmaceutical care
Abuzar abdulwahab, B.Sc, M.Sc
Pharmacy practice department
College of pharmacy
Qassim university
10 march 2010
Introduction :
why patientfocused?
multiple practitioners writing prescriptions for a single
o
o
o
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Matern
al Care
Pediatric
Care
Eye
Care
Nursing
Care
Nutrition
al
Care
Geriatric
Pharmaceutical
Care
care
Patient
Surgical
care
Physiotherap
y
SelfCare
care
Pharmaceutica
l
services
Menta
l
Herbal
Healt
medicine h
Care
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What is the
pharmaceutical
care ?
Pharmaceutical care :
The philosophy of pharmaceutical care is
centered on 4 primary element :
1. Social need to address DRPs
2. Patient-centered approach to meet
this need
3. Practice based on caring about and
for patients
4. Responsibility for finding and
responding to DRPs
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Pharmaceutical care :
pharmaceutical care is the responsible
provision of drug therapy for the
purpose of achieving definite
outcomes that improve a patients
quality of life
1.
2.
Pharmaceutical care :
Pharmaceutical care :
Pharmaceutical care :
Pharmaceutical care :
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Drug therapy
problem :
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Medication problem
check list :
The following list covers the range
of DRPs that could be
encountered by pharmacist
seeking to deliver pharmaceutical
care :
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DRPs :
DRPs :
DRPs :
DRPs :
Therapeutic duplication
Allergic reaction to prescribed drug
Problem arising from the financial impact
of medication therapy on the patient
Lack of understanding of the medication
therapy by the patient
failure of the patient to adhere to the
medication therapy
Interference with medical therapy by
social recreational drug use
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DRPs :
PRIME
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NO
Yes
Effective
NO
Increase dose
Initiate additional agent
Alternative agent
Yes
Adverse effect
Yes
Decrease dose
Less toxic alternative
NO
Is cost an issue
Yes
Use generic
Substitute with less costly
agent
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Drug interaction ?
Can regimen be
Simplified ?
Yes
Change drug
Dose
Schedule
Or preparation
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Evaluate adherence :
NO
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1
To insure that the patient drug therapy is
appropriately indicated, the most
effective available, the safest possible, the
most convenient to take, and the most
economical.
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2
Identify, resolve, and
prevent any drug
therapy problems
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3
Ensure that the patient
therapeutic goal are met
and that optimal healthrelated outcomes are
attained
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Opportunity
For Error
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Opportunity
For Error
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How to practice
pharmaceutical
care ?
Practice principles
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Patients receiving or
requiring
a pharmaceutical
product or service
Initiate relationship
with patient
or care giver
Develop a care
plan and goals
Of therapy
Implement
Follow-up
evaluation
Identify and
Prioritize actual
or potential DRPs
Gather patient
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information
(Subjective and
Objective)
Patient assessment
(Assess information)
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Subjective data :
Objective data :
Assessment :
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Goals of therapy :
Goals of therapy :
Example of clinical out comes :
Curing a disease
Eliminate or reduce patient symptoms
Arresting or slowing the disease
process
Preventing an un wanted condition
(COC, immunization, prophylaxis)
Improving the quality of life
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Care Plan :
Detailed description of
Recommended further workup
(lab, radiology, consultation)
Treatment (diet, medication,
physiotherapy)
Patient education
Monitoring and follow up
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Documentation :
SOAP note :
The End
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