Shared Decision Making - for pharmacists
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  • 1. ’ ’http://www.flickr.com/photos/36521966253@N01/5596934455
  • 2. ’ ’http://www.flickr.com/photos/36521966253@N01/5596934455
  • 3. http://www.flickr.com/photos/36521966253@N01/5596934455 http://www.flickr.com/photos/36521966253@N01/5596934455
  • 4. http://www.flickr.com/photos/samgellman/4014696576/sizes/l/in/photostream/
  • 5. Calculated?
  • 6. http://www.hugoleung.com
  • 7. ’http://www.flickr.com/photos/legofenris/4039682937/sizes/o/in/photostream/
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  • 9. http://farm4.static.flickr.com/3292/2713950973_5cbe805815.jpg
  • 10. http://www.flickr.com/photos/luigimirto/5223273551/sizes/l/in/photostream/
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  • 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.
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  • 18. http://www.flickr.com/photos/clodreno/5061338495/sizes/l/in/photostream/
  • 19. http://www.flickr.com/photos/cool-photos/1532310585/sizes/m/in/photostream/
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  • 21. http://www.flickr.com/photos/joeyldotcom/4989229246/sizes/l/in/photostream/
  • 22. Dr. Guirguis Personal Theory of Pharmacy Practice
  • 23. ’ 47
  • 24. ’ 48
  • 25. Respectful, longitudinal assessment &shared decisions 49
  • 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. 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. http://www.flickr.com/photos/andrewseajames/1566708408/sizes/l/in/photostream/
  • 29. http://www.flickr.com/photos/seraphimc/1227677178/sizes/o/
  • 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
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  • 32. Now when you drive it theremight be some issues
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  • 34. the wipers get stuckhttp://www.flickr.com/photos/monsieurloupe/5936615226/sizes/l/in/photostream/
  • 35. and one in every 1000will spontaneously flip
  • 36. But that doesn’t happen often.http://www.flickr.com/photos/idreaminir/2103662898/sizes/m/in/photostream/
  • 37. Good! I’ll follow-up with you ina week. Can I call you byphone?
  • 38. Any questions?http://www.flickr.com/photos/therealfauxtographer/3736354228/sizes/l/
  • 39. ’’
  • 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.
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