Pharmaceutical Care

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Pharmaceutical Care:

Pharmaceutical Care www.revolutionpharmd.com

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Definition: Pharmaceutical care is the responsible provision of drug therapy for the purpose of achieving definite therapeutic outcomes that improve the patient’s quality of life. The outcomes are Cure of a disease; Elimination or reduction of patient’s symptomology; Arresting or slowing of a disease process; Preventing a disease or symptom. Pharmaceutical care involves the process through which a pharmacist cooperates with a patient and other professionals in designing, implementing and monitoring a therapeutic plan that will produce specific therapeutic outcomes for the patients. www.revolutionpharmd.com

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Three major functions: Identifying potential and actual drug related problems, Resolving actual drug related problems, and Preventing potential drug related problems. Pharmaceutical care is provided for the direct benefit of the patient, and the pharmacist is responsible directly to the patient for the quality of care. The pharmacist should possess five criteria to accept this responsibility: knowledge and skill in the pharmacology and therapy; drug distribution system; rapport with the patients and other healthcare for the pharmaceutical care; Availability of the pharmacist in the society / community for patients in time and Commitment to quality improvement and assessment procedure . www.revolutionpharmd.com

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In addition to the qualities of the pharmacist, the following institutional setup has to be in place: System of date collection, documentation and transfer of information; References, sources and equipment; and Efficient work flow processes. Functions to be performed in pharmaceutical care: Collection of patient data Identification of problems Establishing outcome goals through a good therapeutic plan Evaluating treatment alternatives, by monitoring and modifying therapeutic plan Individualising drug regimens Monitoring outcomes. www.revolutionpharmd.com

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Collection of Patient Data : Pharmacist must collect and/ or generate subjective and objective information regarding health and activity status, past medical history, medication history, social history, diet, exercise, history of present illness, and economic situation. Sources of information may include: medication charts, and reports, health/physical assessment, patient’s family or care taker, insurers and from healthcare providers. The latter forms the basis of decisions regarding the development and subsequent modifications of drug therapy plan. It must be readily retrieval and updated from time to time. www.revolutionpharmd.com

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2. Identification of problems : Identify the problems from the data collected. Problems might be related to the current drug therapy, drug administration, drug compliance, drug toxicity, adverse drug reactions, failure to achieve desired outcomes by the treatment. Some of the drug related causes are: Inappropriate prescribing: Inappropriate regimen or unnecessary regimen. Inappropriate delivery: Dispensing errors, incorrect patient’s information or inappropriate formulations. Non- compliance. Patient allergies, and e) Inappropriate monitoring. www.revolutionpharmd.com

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3. Establishing outcome goals : Cure of disease, Elimination or reduction of patient’s symptoms, Arresting or slowing of a disease process, Prevention of a disease or its symptoms for future. Patient’s expectations of the treatment, the patient’s suitability for the treatment and above all his resources to meet the cost of the treatment. www.revolutionpharmd.com

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4. Evaluating treatment alternatives by monitoring and modifying therapeutic plan : Efficacy and safety must be considered when evaluating the risk benefit ratio of a particular treatment. Both drug and non- drug treatments must be included in evaluation, and regular follow up must be done with the patient’s to check whether the therapeutic plan works. 5. Individualising drug regimens : When more that one therapeutic alternatives exist, the patient’s therapy is tailored based on multiple factors: diagnosis, treatment goals, past medical history, contraindications, allergies, compliance, patient’s cooperation and convenience, efficacy and cost factors www.revolutionpharmd.com

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6. Monitoring outcomes : Monitoring the signs, symptoms, side effects and sequelae . Ensure the satisfactory progress; either continue or the modification of the therapeutic plan, provides the report on progress to the healthcare providers, follow up with patients and updating the patient medical records. www.revolutionpharmd.com

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