’                                                              ’http://www.flickr.com/photos/36521966253@N01/5596934455
’                                                              ’http://www.flickr.com/photos/36521966253@N01/5596934455
http://www.flickr.com/photos/36521966253@N01/5596934455 http://www.flickr.com/photos/36521966253@N01/5596934455
http://www.flickr.com/photos/samgellman/4014696576/sizes/l/in/photostream/
Calculated?
http://www.hugoleung.com
’http://www.flickr.com/photos/legofenris/4039682937/sizes/o/in/photostream/
’
http://farm4.static.flickr.com/3292/2713950973_5cbe805815.jpg
http://www.flickr.com/photos/luigimirto/5223273551/sizes/l/in/photostream/
’
Adapted from: Makoul G, Clayman ML. An integrative model of shared decision makingin medical encounters. Patient Educ Coun...
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’
’
’
http://www.flickr.com/photos/clodreno/5061338495/sizes/l/in/photostream/
http://www.flickr.com/photos/cool-photos/1532310585/sizes/m/in/photostream/
’
http://www.flickr.com/photos/joeyldotcom/4989229246/sizes/l/in/photostream/
Dr. Guirguis Personal Theory of      Pharmacy Practice
’    47
’    48
Respectful,  longitudinal assessment &shared decisions                   49
Medication Partnerships          • Drug knowledge             – Pharmacology             – Pharmaceutics             – Med...
Medication Partnerships•   Priorities in life•   Goals for improvement•   What has worked in past•   Personal resources/li...
http://www.flickr.com/photos/andrewseajames/1566708408/sizes/l/in/photostream/
http://www.flickr.com/photos/seraphimc/1227677178/sizes/o/
You’re ready for a    new car!                                                                                    This is ...
It is very good for driving fastbetween places.                          http://www.flickr.com/photos/richardgiles/3322739...
Now when you drive it theremight be some issues
It has bad brakeshttp://www.flickr.com/photos/33831378@N03/3221892151/sizes/l/in/photostream/
the wipers get stuckhttp://www.flickr.com/photos/monsieurloupe/5936615226/sizes/l/in/photostream/
and one in every 1000will spontaneously flip
But that         doesn’t         happen         often.http://www.flickr.com/photos/idreaminir/2103662898/sizes/m/in/photos...
Good! I’ll follow-up with you ina week. Can I call you byphone?
Any questions?http://www.flickr.com/photos/therealfauxtographer/3736354228/sizes/l/
’’
Why should a little old womanlike me take aspirin?                          My doctors keep on telling                    ...
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Shared Decision Making - for pharmacists
Shared Decision Making - for pharmacists
Shared Decision Making - for pharmacists
Shared Decision Making - for pharmacists
Shared Decision Making - for pharmacists
Shared Decision Making - for pharmacists
Shared Decision Making - for pharmacists
Shared Decision Making - for pharmacists
Shared Decision Making - for pharmacists
Shared Decision Making - for pharmacists
Shared Decision Making - for pharmacists
Shared Decision Making - for pharmacists
Shared Decision Making - for pharmacists
Shared Decision Making - for pharmacists
Shared Decision Making - for pharmacists
Shared Decision Making - for pharmacists
Shared Decision Making - for pharmacists
Shared Decision Making - for pharmacists
Shared Decision Making - for pharmacists
Shared Decision Making - for pharmacists
Shared Decision Making - for pharmacists
Shared Decision Making - for pharmacists
Shared Decision Making - for pharmacists
Shared Decision Making - for pharmacists
Shared Decision Making - for pharmacists
Shared Decision Making - for pharmacists
Shared Decision Making - for pharmacists
Shared Decision Making - for pharmacists
Shared Decision Making - for pharmacists
Shared Decision Making - for pharmacists
Shared Decision Making - for pharmacists
Shared Decision Making - for pharmacists
Shared Decision Making - for pharmacists
Shared Decision Making - for pharmacists
Shared Decision Making - for pharmacists
Shared Decision Making - for pharmacists
Shared Decision Making - for pharmacists
Shared Decision Making - for pharmacists
Shared Decision Making - for pharmacists
Shared Decision Making - for pharmacists
Shared Decision Making - for pharmacists
Shared Decision Making - for pharmacists
Shared Decision Making - for pharmacists
Shared Decision Making - for pharmacists
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Shared Decision Making - for pharmacists

  1. 1. ’ ’http://www.flickr.com/photos/36521966253@N01/5596934455
  2. 2. ’ ’http://www.flickr.com/photos/36521966253@N01/5596934455
  3. 3. http://www.flickr.com/photos/36521966253@N01/5596934455 http://www.flickr.com/photos/36521966253@N01/5596934455
  4. 4. http://www.flickr.com/photos/samgellman/4014696576/sizes/l/in/photostream/
  5. 5. Calculated?
  6. 6. http://www.hugoleung.com
  7. 7. ’http://www.flickr.com/photos/legofenris/4039682937/sizes/o/in/photostream/
  8. 8.
  9. 9. http://farm4.static.flickr.com/3292/2713950973_5cbe805815.jpg
  10. 10. http://www.flickr.com/photos/luigimirto/5223273551/sizes/l/in/photostream/
  11. 11.
  12. 12. Adapted from: Makoul G, Clayman ML. An integrative model of shared decision makingin medical encounters. Patient Educ Couns Publication 2006 March;60(3):301-312.
  13. 13.
  14. 14.
  15. 15.
  16. 16.
  17. 17.
  18. 18. http://www.flickr.com/photos/clodreno/5061338495/sizes/l/in/photostream/
  19. 19. http://www.flickr.com/photos/cool-photos/1532310585/sizes/m/in/photostream/
  20. 20.
  21. 21. http://www.flickr.com/photos/joeyldotcom/4989229246/sizes/l/in/photostream/
  22. 22. Dr. Guirguis Personal Theory of Pharmacy Practice
  23. 23. ’ 47
  24. 24. ’ 48
  25. 25. Respectful, longitudinal assessment &shared decisions 49
  26. 26. Medication Partnerships • Drug knowledge – Pharmacology – Pharmaceutics – Medicinal chemistry • Physiology & Pathology • Interviewing • Models of Patient Perspectives & Behavior Change • Web, literature, referral patient resources • Insurance/ cost issues 50
  27. 27. Medication Partnerships• Priorities in life• Goals for improvement• What has worked in past• Personal resources/lifestyle• Economic situation• Feasibility of regimen Questions• Diagnosis• Self management strategies• Side effects/adverse effects• Improvement on endpoints• Perceived benefits 51
  28. 28. http://www.flickr.com/photos/andrewseajames/1566708408/sizes/l/in/photostream/
  29. 29. http://www.flickr.com/photos/seraphimc/1227677178/sizes/o/
  30. 30. You’re ready for a new car! This is a great one!http://1.bp.blogspot.com/-7anXMFW96NY/TqjDBs08odI/AAAAAAAADpg/c5RSf3S55Jw/s1600/image+01+buying+car.jpg
  31. 31. It is very good for driving fastbetween places. http://www.flickr.com/photos/richardgiles/3322739050/sizes/l/in/photostream/
  32. 32. Now when you drive it theremight be some issues
  33. 33. It has bad brakeshttp://www.flickr.com/photos/33831378@N03/3221892151/sizes/l/in/photostream/
  34. 34. the wipers get stuckhttp://www.flickr.com/photos/monsieurloupe/5936615226/sizes/l/in/photostream/
  35. 35. and one in every 1000will spontaneously flip
  36. 36. But that doesn’t happen often.http://www.flickr.com/photos/idreaminir/2103662898/sizes/m/in/photostream/
  37. 37. Good! I’ll follow-up with you ina week. Can I call you byphone?
  38. 38. Any questions?http://www.flickr.com/photos/therealfauxtographer/3736354228/sizes/l/
  39. 39. ’’
  40. 40. Why should a little old womanlike me take aspirin? My doctors keep on telling me to take it and that it is good for me.
  41. 41.
  42. 42.
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