elements of the care plan - Answers -goals of treatment
-specific medication recommendations
-non-pharmacologic recommendations
-monitoring- efficacy/therapeutic and safety/adverse effect
-patient education
-follow up
therapeutic decision making - Answers the process involved in making the decision with your patient
(and other healthcare providers) for their care plan
diagnosis - Answers in medical practice, the emphasis is on __________ not therapeutics
making therapeutic decisions - Answers -to ensure safety
-optimizing therapy
-initiate therapy
ensure safety - Answers -checking prescription during dispensing
-medication reconcilliation
optimizing therapy - Answers comprehensive medication management
initiate therapy - Answers self care/OTC recommendations
-collaborative practice agreement/collaborative disease therapy management
-recommendations to other providers
why we need TDM - Answers evidence supports choice of treatment for the average patient
five assertions for pharmacy practice - Answers 1. professional identity
2. TDM is an important component of professional competency
3. TDM is required to support expanding pharmacists' roles
4. TDM skills are underdeveloped
5. diagnostic reasoning and TDM require different skills and processes
information gathering - Answers collect step of PPCP
, clinical reasoning - Answers contextualizing goals
-what are the patient's goals
-how do these goals map to the clinical goals related to med therapy?
-what are therapeutic options available?
clinical judgement - Answers weight each option to determine the best choice
-assess the benefits and risks
the decision - Answers enact decision in your plan
-implement
-follow up
goals of therapy - Answers patient goals, clinical goals
pharmacologic recommendation - Answers action verbs, med name, strength, formulation, route,
directions, duration
non pharmacologic recommendation - Answers include recommendations to improve health condition
or resolve problems that are not medications
implement - Answers collaboration with other healthcare providers, caregivers, and the patient that
includes
-addressing med and health related problems, engaging in preventative care strategies including vaccine
admin, initiating, modifying, discontinuing, or administering therapy, education and self-management,
coordination of care, scheduling follow-up
implement problems - Answers differences in complexity
different collaborations
different priorities
initiate examples - Answers -hormonal contraceptives
-tobacco cessation aids
-test and treat
-naloxone
modify examples - Answers quantity