Title 29. PHARMACEUTICAL CARE CONCEPTS.pdf ✅

PHARMD GURU Page 1 DEFINITION: It is defined as the responsible provision of drug therapy for the purpose of achieving definite therapeutic outcomes that improve the patient’s quality of life. THESE OUTCOMES ARE:  Cure of the disease.  Elimination or reduction of patient’s symptomology.  Arresting or slowing of a disease process.  Preventing a disease or symptoms. FUNCTIONS: 1) Collection of patient data. 2) Identification of problems. 3) Establishing outcome goals through a good therapeutic plan. 4) Evaluating treatment alternatives, by monitoring and modifying therapeutic plan. 5) Individualizing drug regimens. 6) Monitoring outcomes. 1) COLLECTION OF PATIENT DATA:  Demographics.  Current problems.  Past medical history.  Current medication.  Social habits.  Relevant laboratory data. 2) IDENTIFICATION OF PROBLEMS: The data collected can be used to identify actual or potential drug related problems.  ACTUAL: A condition that requires the initiation of a new or additional drug.  POTENTIAL: The patient may be at risk to develop a new medical problem. PHARMACEUTICAL CARE CONCEPTS
PHARMD GURU Page 2 These problems may be related to the patient’s current drug therapy, drug administration, drug compliance, drug toxicity, ADR’s and a failure to achieve desired outcomes by the treatment. 3) ESTABLISHING OUTCOME GOALS: Drug therapy can produce positive outcome:  Cure of the disease.  Elimination or reduction of patient’s symptomology.  Arresting or slowing of a disease process.  Preventing a disease or symptoms.  It may also produce negative result, i.e. resulting in disease morbidity and sometimes mortality. 4) EVALUATING TREATMENT ALTERNATIVES BY MONITORING AND MODIFYING THERAPEUTIC PLAN:  Efficacy, safety, availability and cost of treatment and suitability of the treatment to the patient should be considered while evaluating.  The risk-benefit ratio factors should also be considered: seriousness of the disease, complications if untreated, efficacy of drug, ADR’s. 5) INDIVIDUALISING DRUG REGIMENS: When more than one therapeutic alternative exist, the following factors to be considered:  Patient factors: Diagnosis, treatment goals, past medical and medication history, contraindication, allergies, compliance.  Drug factors: Efficacy, adverse effects, dosage form, cost, drug-drug interactions. 6) MONITORING OUTCOMES: THE GOALS ARE:  Cure of the disease.  Elimination or reduction of patient’s symptomology.  Arresting or slowing of a disease process.  Preventing a disease or symptoms.

PHARMD GURU Page 4 BARRIERS TO PHARMACEUTICAL CARE:  Pharmacist barrier.  Practice setting constraints.  System impediments.  Intra professional barrier.