Pharmaceutical care practice The Patient-Centered Approach to Medication Management Services
Pharmaceutical Care Practice, 3e provides the basic information necessary to establish, support, deliver, and maintain medication management services. This trusted text explains how a practitioner delivers pharmaceutical care services and provides a vision of how these services fit into the evolving...
Other Authors: | , , |
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Format: | eBook |
Language: | Inglés |
Published: |
[Place of publication not identified]
McGraw Hill
2012
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Edition: | 3rd ed |
Subjects: | |
See on Biblioteca Universitat Ramon Llull: | https://discovery.url.edu/permalink/34CSUC_URL/1im36ta/alma991009439025006719 |
Table of Contents:
- Intro
- Contents
- Contributors
- Preface
- Acknowledgments
- About the Authors
- Chapter One: Medication Management Services
- Medication Management Services Emerge: A Definition
- Approaches to Medication Management Services
- The Prescription-focused Approach
- The Patient-centered Approach
- Taking Responsibility for Medication Management Services
- The Need for Medication Management Services
- Changes in Medications and How They Are Used
- Increased Levels of Drug-related Morbidity and Mortality
- Attempts to Reduce Drug-related Morbidity and Mortality
- Solutions Offered at the Policy or System Levels
- Solutions Applied at the Institutional, Practice, or Professional Levels
- Solutions Delivered at the Patient-specific Level
- Patients Who Benefit Most From Medication Management Services
- What the Data Reveal
- The Business Demands
- Initiating This Service in Practice
- The Value of Medication Management Services
- The Clinical Value to the Patient
- The Economic Value to the Health Care System
- Structures for Delivering Medication Management Services
- The Ambulatory Care Setting
- Medication Management Services in the Medical Home and the Accountable Care Organization
- Medication Management Services in Community Pharmacy Settings
- Medication Management Services in the Inpatient Setting
- Medication Management Services in Long-term Care, Assisted Living, Mental Health and Rehabilitation Facilities
- Summary
- Chapter Two: Pharmaceutical Care as the Professional Practice for Patient-Centered Medication Management Services
- The Need for a Professional Practice
- Characteristics of All Professional Practices
- Components of a Professional Practice
- Pharmaceutical Care as a Professional Practice
- The Philosophy of Practice
- The Patient Care Process
- The Practice Management System.
- The Language and Vocabulary of Practice
- Pharmaceutical Care as a Generalist Practice
- Generalist Practitioner Defined
- Pharmaceutical Care as Primary Health Care
- Primary Care Defined
- Medication Management Services in the Medical Home
- Origins of Pharmaceutical Care Practice
- Pharmaceutical Care as the New Paradigm
- The Practice of Pharmaceutical Care Emerges
- Summary
- Chapter Three: Toward a Philosophy of Pharmaceutical Care Practice
- A Philosophy of Practice Defined
- The Philosophy of Pharmaceutical Care Practice
- Meeting a Social Need
- Fulfilling Specific Responsibilities
- The Patient-centered Approach
- Caring as a Practice Paradigm
- Caring as Covenant
- Ethics in Practice
- Professional Responsibility Expressed as the Standards for Professional Behavior
- Standard I: Quality of Care
- Standard II: Ethics
- Standard III: Collegiality
- Standard IV: Collaboration
- Standard V: Education
- Standard VI: Research
- Standard VII: Resource Allocation
- Summary
- Chapter Four: Patient-Centeredness in Pharmaceutical Care
- Defining Patient-Centeredness
- Understanding the Patient's Concept of Illness
- The Patient's Medication Experience
- Understanding the Patient's Medication Experience in Practice
- Utilizing the Patient's Medication Experience to Optimize Therapeutic Outcomes
- The Practitioner and the Patient form a Relationship
- The Therapeutic Relationship Defined
- The Importance of the Therapeutic Relationship
- The Patient as the Primary Source of Information
- The Patient as Decision Maker
- The Patient as Teacher
- The Patient's Rights
- The Patient's Responsibilities
- Adherence as a Test of Patient-Centeredness
- Defining Adherence
- Medication Management as a Solution to Nonadherence
- Adherence Is Assessed Last, Not First
- Patient-centered Adherence.
- Patient Participation in Achieving Adherence
- Achieving Patient-centered Adherence
- Summary
- Chapter Five: Drug Therapy Problems
- Drug Therapy Problems: Terminology
- Components of a Drug Therapy Problem
- Categories and Common Causes of Drug Therapy Problems
- Patient Data
- Drug Therapy Problem 1: Unnecessary Drug Therapy
- Drug Therapy Problem 2: Needs Additional Drug Therapy
- Drug Therapy Problem 3: Ineffective Drug
- Drug Therapy Problem 4: Dosage Too Low
- Drug Therapy Problem 5: Adverse Drug Reaction
- Drug Therapy Problem 6: Dosage Too High
- Drug Therapy Problem 7: Adherence (Noncompliance)
- Drug Interactions
- Stating Drug Therapy Problems
- Prioritizing Drug Therapy Problems
- Patients With No Drug Therapy Problems
- Documenting Drug Therapy Problems
- Summary
- Chapter Six: The Assessment
- Purpose, Activities, and Responsibilities
- Standard of Care 1: Collection of Patient-specific Information
- Meeting the Patient
- Introducing Yourself
- The Physical Environment
- Taking Notes
- Eliciting Information from the Patient
- Getting Started
- Reason for the Encounter
- Patient Demographics
- Understanding the Patient's Medication Experience
- Other Clinical Information
- The Pharmacotherapy Workup
- Standard of Care 2: Assessment of Drug-related Needs
- Managing Medications: Assessing the Appropriateness of the Indication for the Patient's Drug Therapy
- Managing Medications: Determining the Effectiveness of the Drug Regimen
- Managing Medications: Establishing the Safety of the Drug Regimen
- Understanding Patient Adherence (Compliance)
- Drug Therapy Problem Identification
- Standards of Care 3: Identification of Drug Therapy Problems
- Documenting the Assessment
- Summary
- Chapter Seven: The Care Plan
- Purpose, Activities, and Responsibilities.
- Standard of Care 4: Development of Goals of Therapy
- Establishing Goals of Therapy
- Interventions
- Patient Data
- Health Care Savings and Return-on-Investment
- Standard of Care 5: Statement of Interventions
- Interventions to Resolve Drug Therapy Problems
- Interventions to Achieve Goals of Therapy
- Interventions to Prevent Problems
- Therapeutic Alternatives
- Cost Considerations
- Schedule and Plan for Follow-up Evaluations
- Standard of Care 6: Establishing a Schedule for Follow-Up Evaluations
- Timing of Follow-up Evaluations
- Documenting the Care Plan
- Summary
- Chapter Eight: Follow-Up Evaluation
- Introduction
- Purpose, Activities, and Responsibilities
- Standard of Care 7: Follow-up Evaluation
- Evaluating Effectiveness of Drug Therapies
- Clinical Parameters: Improvement in Patient Signs and Symptoms
- Laboratory Parameters: Improvement in Laboratory Test Results
- Evaluating the Safety of Drug Therapies
- Clinical Parameters: Patient Signs and Symptoms as Evidence of Drug Safety Problems
- Laboratory Parameters: Abnormalities in Laboratory Test Results as Evidence of Drug Safety Problems
- Patient Data: Outcomes
- Determining the Clinical Outcome Status
- Outcome Status Terminology
- Patient Data: Outcomes
- Patient Outcome Versus Practitioner Output
- Assessment for New Drug Therapy Problems
- Schedule for Continuous Follow-up Evaluations
- Documenting the Follow-up Evaluation
- Summary
- Chapter Nine: Documentation in Practice
- Introduction
- The Electronic Therapeutic Record
- Justification for the Electronic Therapeutic Record
- The Content of the Patient's Electronic Therapeutic Record
- Integrating the Patient's Electronic Therapeutic Record with Other Patient Care Providers
- The Patient's Personalized Care Plan
- The Content of the Patient's Personalized Care Plan.
- Medication-Related Needs
- Summary of All of Your Medications
- Information for Each of the Medications and Instructions
- New Concerns/Questions/Expectations
- Physician Reports
- Practice Management Reports
- The Content Required to Generate Management Reports
- Software Programs for the Documentation of Medication Management Services
- Evaluating Software for Use in Practice
- Meaningful Use for Health Information Technology
- Guidelines for Documenting Pharmaceutical Care
- Summary
- Chapter Ten: Acquiring and Applying the Knowledge and Clinical Skills Required to Manage Drug Therapy
- Acquiring the Knowledge Needed to Practice
- Becoming Familiar with What You Need to Know
- Understanding the Important Relationships: Patient-Disease-Drug Therapy
- Knowledge You Need About the Patient
- Knowledge You Need About the Patient's Medical Conditions
- Knowledge You Need About the Patient's Drug Therapies
- Use of the Pharmacotherapy Workup as a Conceptual Framework to Organize Knowledge in Practice
- Common Drugs are Common
- Acquiring the Clinical Skills You Need to Practice
- Obtaining Clinical Information From Your Patient
- Communication Skills
- Patient-focused Communication
- Practitioner-focused Communication
- Learning to be Reflective in Practice
- Presenting Patient Cases: The Pharmacotherapy Patient Case Presentation Format
- Need for a Specific Format
- Your First Case Presentation
- Assessment of the Patient's Drug-related Needs
- Drug Therapy Problem Identification
- The Care Plan
- Follow-up Evaluation
- Summary of the Case
- Common Challenges in the Case Presentation
- Written Case Summaries
- Example of a Pharmacotherapy Case Presentation
- Summary
- Chapter Eleven: Managing Medication Management Services
- Understanding the Practice Management System
- Introduction.
- Establishing a Successful Practice.