Tammy's story

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A Pharmacy Case Study with a patient view.

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Tammy's story

  1. 1. Principles forPartnering with PatientsDecember 5, 20128:00 – 9:45 am A Patient Perspective at ASHP
  2. 2. 1. Read the patient case study an patient view.2. Attend the session.3. Add to your knowledge to effectively partner with patients.
  3. 3. Life: Case Study:“Hello? It’s Tammy. I am not sure how Ms. TG, a 66-y.o. female withlong I’ll be here. osteoporosis, type-2 diabetes, and hyperlipidemia, is admitted to yourBeen having palpitations again, I think rural, critical access hospital forthey put me Coumadin again. I guess no cardioversion with recently-diagnosed atrialGrape fruit this week. fibrillation.Will you check on Bob? I left a casserole Ms. TG is expected to be in your facilityIn the freezer. But I am sure he forgot.” for 3 days and is now receiving long-term anti-coagulation therapy with warfarin.
  4. 4. Case Study Continued Ms. TG’s medications prior to discharge include: alendronate 70 mg weekly, calcium citrate with vitamin D 500 mg/400 I.U. daily, metformin 500 mg twice daily, and simvastatin 20 mg daily at bedtime.Life Continued“Well, they might have me leaveToday, not sure. The nurse says itmay be tomorrow.Well, they are giving me some newMedicines not sure what they are.The nurse brings them in the little cup.Please tell little Billy I love him and hopeto make it home for the birthday party.”
  5. 5. What’s next?“I don’t know. They told me to be ready What if….to go a while a go. I have my bag of oldMeds but I don’t know about the new On the morning of Day 3, you receive a careones. coordination order from the inter-professional health teamI am waiting on the pharmacist, I don’t You are scheduled to see Ms. T.G. in herknow why. I usually go talk with Don at that hospital room for a 30-minute comprehensivePharmacy at the old Rexall’s building.” assessment. Your institution is an Accountable Care Organization with two-way risk sharing incentives to improve quality at decreased costs, and an emphasis on reducing readmission rates.
  6. 6. Are you prepared to do a comprehensive“I am I prepared to talk to you? assessment with Ms. TG? What does a comprehensive assessmentI have never seen my MAR. include for Ms. TG?I do not know how to spell the namesof my meds and I am not sure what theydo.And by the way… my name is Tammy”

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