Patient assessment in pharmacy practice pdf


 

This text offers a practical approach to patient assessment skills in pharmacy in Pharmacy Practice. Patient Assessment in Pharmacy Practice View PDF. PATIENT. ASSESSMENT IN. PHARMACY. Richard N. Herrier, Pharm. D., FAPhA, CAPT., USPHS (Ret.) Professor, Department of Pharmacy Practice and. Patient Assessment in Pharmacy: A Culturally Competent Approach is an Research, clinical practice, and government regulations often.

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Patient Assessment In Pharmacy Practice Pdf

Patient Assessment in Pharmacy Practice 2nd terney.info 24 MB | Created Apr 21, by najibullah hakimi. Thumbnails Document Outline Attachments. Find. Part Three: Assessment in the Diagnosis and Management of Chronic Diseases and Their Complications Introduction to Patient Assessment for Pharmacists. Patient Assessment in Pharmacy Herrier RN, Apgar DA, Boyce RW, Foster SL. Herrier R.N., Apgar View Table|Favorite Table|Download .pdf). TABLE 1 The focus of this textbook is on two major practice areas for pharmacists. The first is.

In this four part series, the College will focus on the four domains of the pharmacist practice assessment, highlighting trends that we are seeing in practice. Part 1 focuses on the patient assessment domain. This includes gathering relevant information through dialogue with the patient, and creating, adjusting or reviewing the patient profile. Relevant information can include, but is not limited to: Allergies, Lifestyle factors e. Utilizing this information allows for the pharmacist to ensure the appropriateness of the prescription for the patient and identify any drug therapy problems or issues that have the potential to affect the optimization of health outcomes, while also considering patient specific needs. Every prescription — new and refill — regardless of how they are packaged — must have both the therapeutic check for appropriateness and technical check for accuracy completed prior to release to the patient. A complete therapeutic check process for refill prescriptions is also an opportunity to address medication management and monitoring see the example patient scenario below. The best practice for refill prescriptions is to have a process in place to communicate with every refill patient to determine if there are any changes or issues e. Having a pharmacy staff member ask the patient if they have any questions as a courtesy might be considered good customer service, however it is not a substitute for a patient assessment.

Methods A item questionnaire was developed to gather information pertaining to patient assessment.

Teaching Patient Assessment Skills to Doctor of Pharmacy Students: The TOPAS Study

Pharmacy practice department chairs were mailed a letter with an Internet link to an online survey instrument. Results Ninety-six percent of the programs indicated that patient assessment skills were taught. Forty-five percent of respondents indicated their course was a standalone course. The most common topics covered in assessment courses were pulmonary examination, vital signs, and cardiovascular assessment. Conclusion There is significant variability in the topics covered, depth of content, types of instruction, and evaluation methods used in patient assessment courses in US colleges of pharmacy.

This survey was an initial assessment of what is being done regarding education of student pharmacists on patient assessment. Pharmacists are using these skills daily as they continue the transition from pharmacotherapy advisors to managers of medication therapy.

Patient Assessment in Pharmacy Practice

Thus, the purpose of our study was to determine what is currently being taught to students within the doctor of pharmacy curriculum. For the purpose of this study, the terms patient assessment and physical assessment are used interchangeably. The primary focus of patient assessment is to identify, resolve, and prevent drug therapy problems. Pharmacists will need the ability to provide patient-centered care through providing care plans and communication with patients and other health care providers.

The goal of Medication Therapy Management is to optimize therapeutic outcomes and the improvement of quality of life for patients. In order to achieve this, it will be necessary for pharmacists to perform patient assessment skills related to medication therapy to determine efficacy and tolerability, and interpret the findings of other providers. Pharmacists in diverse clinical settings assess patients using a variety of patient assessment skills.

Two national reviews of patient assessment instruction in US colleges and schools of pharmacy were identified. In a investigation, Closson found that approximately half of US colleges offered instruction in patient assessment and concluded that this number might need to increase in order to meet the growing need for patient assessment skills in community pharmacy. Since this study was published, the ACPE has revised their standards and guidelines for pharmaceutical education.

The survey instrument included items addressing the following: timing of patient assessment course, overall course design, topics covered, equipment used, instructional and assessment techniques used, education of instructors, collaboration with other healthcare professionals, and the use of integrated teaching techniques.

These questions were adapted from items from the survey instruments by da Camara and Closson as well as from the authors' personal experience and informal discussions with other faculty members teaching similar courses at other institutions.

More Topics in Pharmacy Practice

Both the electronic and hard copy versions of the survey instrument were reviewed by faculty members at the Bernard J. Dunn School of Pharmacy who had previously been involved with the instruction of patient assessment.

Based on the feedback from these internal reviewers, adjustments were made to both versions of the instrument to allow for optimal data collection. Pharmacy practice department chairs were selected as the recipients of the survey instrument based on the approach used by the previous study by da Camara.

His patient profile shows that he has Type 2 Diabetes, dyslipidemia, osteoarthritis and is a smoker. He is currently on: Atorvastatin 10mg once daily Gliclazide MR 30mg daily Venlafaxine mg once daily The prescriptions were written six months ago, with a one year supply.

There is nothing on file that indicates whether he is on any over the counter medications or natural health products. It is not likely that he will have any kind of follow-up until his refills run out. Understand the indication and if it is still valid for example, has anything changed with his health status? Was the medication meant for short term use?

E: Is the therapy effective? Understand if the goals of the therapy are being met for example, are the medications supporting changes in blood sugar? S: Is the therapy safe? Understand if there are changes in medications or conditions, if monitoring is needed e. The most effective way of ensuring you have all of the information is to have a quick check in with the patient. Try some of the following conversation prompts: Can we take a minute to update your patient information since your last visit?

What has changed regarding your medical conditions since you were last here? Are there any new allergies or medical conditions that we should be aware of?

Patient Assessment in Pharmacy Practice

Are there any new prescription medications you are taking that I should add to your record? Are you taking any new non-prescription medications including herbals or vitamins that I should have on your profile?

What are you taking this medication for? How is the medication working for you? Are you experiencing any side effects? How do you take your medication?

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