PCARE Report

7/29/2019 PCARE Report

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Pharmacists and

Pharmaceutical CareGroup 2

Leader: Borlagdan, Jolina Mae S.Members:

Alipio, Mary Glenn J.

Dulfo, Jessica A.

Isidoro, SamuelJimenez, Mykee Christle P.

Novejas, Gladys F.

Reyes, Geselle B.

Tirante, Eptesam


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The Pharmacist:The pharmacist not only dispenses the appropriate drug

product but also has the knowledge to assure and rationalizethe use of drugs.

Functions of a Pharmacist:

Assisting in the selection of appropriate drug therapy.

Preparing, compounding, and manufacturing drugs for

individualized patients.

Dispensing and packaging the prescribed drug products

including proper labeling.

Advising and educating patients on proper use of drugs.Monitoring the outcome and responses of patients to the

effects of drugs, both beneficial and adverse.

Serving as a community resource person on drug and health

information.


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The Helping Approach: Relationship between

PHARMACIST and PATIENT

Medical Model Helping Model

Patient is passive. Patient is actively involved.

Basis for trust is expertise and

authority of pharmacist.

Trust is based on personal

relationship developed overtime.

Pharmacist identifies problem

and determine solutions.

Pharmacist assists patient in

exposing problem and possible

solution.

Patient is dependent on

pharmacist.

Patient develops self-

confidence to manage

problems.

Parent-child relationship Equal relationship


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The pharmacist must learn to view

medications use from the patientsperspective.

A pharmacists primary concern is the

PATIENT QUALITY OF LIFE or the

welfare of humanity and the RELIEF OF

HUMAN SUFFERING.


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Healthstate of complete mental, physical, andsocial well being.

- is a goal to strive for but is not attainable,

because no one ever achieved.

Care providing the welfare of another.

- entails a profound respect for theotherness of the other.

Therapeutic Relationship is an alliance between a

practitioner and a patient, formed to meet apatients health care needs.

-it is build on dialogueand commitment.


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5 Elements of Therapeutic

RelationshipTrust

Empathy

Authenticity

Respect

Responsiveness


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List of characteristics of caring behavior and

the vital components of the therapeutic

relationship:Mutual respect Trust

Honesty / Authenticity Competence

Open communication Putting the patient first

Cooperation Offering reassurance

Collaboration between patient and

practitioner

Paying attention to the patients

physical and emotional comfort

Empathy Confidence

Sensitivity Supporting the patient

Promotion of patient independence Offering advocacy

Seeing the patient as a person Assuming responsibility for intervention

Exercising patience and understanding

Being willing to be held accountable for

all decisions made and

recommendations given


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Concepts of Patient Care

Medical Care

Hospital doctors


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Medical health care

Psychologists, psychiatrists, psychoanalysts


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Dental care

Dentists


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Nursing care

Nurses


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Chiropractic care

chiropractors


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Pediatric care

Pediatrician


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Eye care

Ophthalmologist, optometrist


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Geriatric care

Geriatrician/geriatrist


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Pharmaceutical care

Pharmacists


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Surgical care

Surgeon


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Nutritional Care

Nutritionist, dietitian


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Maternal care

Gynecologist, Obstetrician


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The philosophy of practice (POP)

Is a set of values that guide behaviors

associated with certain acts, in the case those

of pharmaceutical care.

It helps a practitioner make decision,

determine what is important, and set priority.

Its 4Rs

R-ules R-elationship

R-oles R-esponsibilities


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Primary Care

Is distinguished by being front-line of firstcontact care, person-centered, and

comprehensive in scope.

Interactions with patients and health care

providers:

Counsel

Consult

Education


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Pharmaceutical Care

Is the responsible provision of therapy for thepurpose of achieving definite outcomes that

improve the patients quality of life.

Expected outcomes:a. Cure of disease

b. Elimination/Reduction of patients

symptomatologyc. Arresting or slowing of disease

d. Preventing a disease or symptomatology


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The Philosophy of pharmaceutical care

includes:

1. The recognition of a social need

2. The patient-centered approach

3. Caring as a modus operandi4. Specific responsibilities to identify, resolve,

and prevent drug therapy problems


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Focus of Pharmaceutical care

1. Patient centeredness2. Addressing both ACUTE and CHRONIC conditions

3. Emphasizing prevention

4. Implementation efficient documentation system5. Accessibility as a front-liner officer

6. Ensuring integration of care

7. Accountability

8. Emphasis in ambulatory patient

9. Educational and health promotion intervention


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3 important attitude changes needed

in pharmaceutical care:

1. Focus first in the patient rather than on drugs

or disease

2. Be responsible for your patients drug therapy3. Work with the patient to achieve a desired

outcome


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5 factors pharmacist must consider in

pharmaceutical care

Denialnot me

Angerwhy me?

Depressionyes, me!Bargainingyes me, but

AcceptanceIm ready!


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Uniqueness of Pharmaceutical care

Traditional

Pharmacy

Clinical

Pharmacy

Pharmaceutical

Care

Primary FocusRx order or OTC

request

Physicians or

other health

professionals

Patient

Continuity Upon demand Discontinuous Continuous

Strategy ObeyFind fault or

prevention

Anticipate or

Improve

Orientation Drug Product Process Outcomes


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Drug misadventures

Adverse effects, side effects, drug interactions,errors in the use of medication and non-compliance.

Healthcare Is concerned with the prevention as well as the

treatment of disease.


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Benefits of Pharmaceutical care or

Patient counseling

Reduce the drug-related morbidity

Improve patients quality of life

Reassures that a medication is safe andeffective

Patients get additional explanations

Assists patients on self-careAssists patients in non-medication related

problems


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Transformation of Health care

OLD PARADIGM NEW PARADIGM

Emphasis on acute patient care Emphasis on continuum of care

Emphasis on treating illness Emphasis on maintaining and

promoting wellness

Responsible for individual patients

Accountable for the health of defined

populations

All providers are essentially similar Differentiation based on ability to add

value

Success achieved by increasing market

share of in-patient admissions

Success achieved by increasing the

number of covered lives and keeping

people well

Goal is to fill beds Goal is to provide care at the most

appropriate level

Hospitals, physicians, and health plans

are separate Integrated health delivery system


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Thats all!!!

Thank you for listening.

Hope you learned something

-Group2

Documents

PCARE Report