Module 2

Question 1

3 major causes of asthma death

Answer 1

1. Delay in seeking/receiving appropriate care
2. Medication misuse: poor adherence-under use of corticosteroids and over use of beta agonists, interaction and toxicity
3. Inappropriate care: insufficient corticosteroids, physician not prescribing a corticosteroid when it’s indicated

Question 2

Philosophy of practice of professional patient care practice

Answer 2

1. moral compass:set of values, guides the profession
2. Code of ethics: endorsed by professional organizations (articulated form of philosophy of practice)
3. Informal beliefs: also affect societal expectations I.e pharmaceutical care

Question 3

Practice management system of professional patient care practice

Answer 3

1. Infrastructure: physical, financial, Human Resources
2. Mission statement: who practice serves, organizational values
3. Quality improvement: measure evaluate and improve the practice/practitioners (uphold mission)

Question 4

Patient care process

Answer 4

Systemic and consistent way to look at a patient encounter to hopefully get the best outcome for the patient

Question 5

Patient care process of professional patient care practice

Answer 5

1. Standardization: lack of creates unacceptable gaps in treatment. Everyone was doing things diff or not communicating
2. Wide variation: become clearly articulated & understood by patients,providers, payers. Difference in process and language
3. Errors: assured no important step is overlooked. If there is no standardization and a wide variation of language/processes, this leads to errors

Question 6

Pharmacist patient care plan

Answer 6

1. Collect
2. Assess
3. Plan
4. Implement
5. Monitor

Question 7

Collect

Answer 7

Collecting subjective & objecting
Gathered by patient & medical record
May rely on other personnel

Question 8

Assess

Answer 8

Review each acute medical conditions/problem occurring now
Review indication, safety, effective, convenience (I.e should patient still be taking drug)
Output is prioritized me problem list (want to address the most important thing first)

Question 9

Plan

Answer 9

Evidence based, affordable, patient centered
Developed with patient and providers
Includes goals and contingencies (I.e A1C numbers)

Question 10

Implement

Answer 10

Prevent & resolve medication therapy problems (think ahead)
Implement in reasonable time frame
Employ MI (motivational interviewing), medication adherence, self monitor

Question 11

Follow up: monitor and evaluate

Answer 11

Ongoing: essential
Does plan need modifying (stress to patient that they’re QB, is it causing nausea? Can be adjusted to 1/2 dose or eat with food
Practitioner responsibility: document attempts to follow up