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...

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Bibliographic Details
Other Authors: Cipolle, Robert J Author (author), Cipolle, Robert J Contributor (contributor), Morley, Peter C Contributor
Format: eBook
Language:Inglés
Published: [Place of publication not identified] McGraw Hill 2012
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.