pharmaceutical care is the direct responsible provision of medication related care for the purpose of achieving definite outcomes that improve a patient's quality of life
What are the outcomes of Pharmacy?
CRAP
Crap
cure a disease
cRap
reduction or elimination of symptoms
crAp
arresting or slowing of disease process
craP
preventing a disease or symptom
What are the core beliefs of pharmacists
patients need and deserve excellent care
pharmacist have a responsibility to do more than deliver drugs
pharmacists can imporve patient health
pharmacists should provide individual and direct care to patients
What are some of the activities that require pharm care
clinical pharmacy
disease state
vaccinations
consulting pharmacy
What are the steps of the care cycle
(establish a relationship with the patient)
1-gather information about the patient and document
2-set up a plan of action for the patien
3-assure that the patient has the knowledge and supplies to follow through with the goal
4-follow up and review the plan and make changes as needed
Drug related problems
caused by a drug or a lack of a drug
different than medical problems
What is used to describe what is wrong with a patients treatment?
CAUSE
Cause
compliance
cAuse
Appropiate Indications
caUse
Untreated Indications
cauSe
Safety
causE
Effectiveness
What are the goals of pharm care
need to ne achievable, measurable, and within the scope of practice (follow CRAP)
How do you create a care plan?
need a goal for therapy, a plan to achieve that goal, and a plan to monitor that goal
documents include SOAP and MAP
Monitor and follow up with patient
can be formal or informal
MTM
Medication Therapy Management
What are the 5 core elements of MTM
MTR
intervention and referral
PMR
MAP
documentation/follow up
MTM
is the standardization as to what is considered reimbursal care
its for any patient and is patient centered
MTR
Medication Therapy Review
Used to: gather info, look for DRP, list problems, create plan
Comprehensive MTR
is done yearly and with all aspects of anything patient is doing
targeted MTR
happens when the patient is on a new drug or has had some major change and the review needs to happen soon
Intervention/referral
this is where pharmacists make recommendations to doctors and collaborate with them to make decisions that are best for the patient
PMR
personal medication record
PMR
is a patient centered document that lists all of the things a patient is using and the problems or symptoms they have
MAP
is the medication-related action plan
MAP
is a patient centered document where the patient is given things that need to be done in their medication world and when their next appointment is
Documentations and follow up
this includes things for the pharmacist like the SOAP and listing of all of the things to look for in a patient and what to monitor for next time