it is pharmaceutical care ppt

1. PHARMACEUTICAL CARE
Mubarak
Patel Shreyas r.
4th year b.pharm
Parul institute of pharmacy and research

2. PHARMACEUTICAL CARE
• The pharmaceutical care is defined as “The responsible provision of drug
therapy for the purpose of achieving definite therapeutic outcomes that
improve the patient's quality of life”
 These outcomes are :
• Cure of the disease
• Elimination or reduction of patient`s symptomology
• Arresting or slowing of a disease process
• Preventing a disease or symptoms

3. BASIC ELEMENTS OF
PHARMACEUTICAL CARE
 Patient oriented
 Both acute and chronic problems addressed
 Stress on prevention of drug related problems
 Documented system on patients record need and care.
 Offering continuous care in systematic way.
 Taking help of other health care providers in integrating the care provided.
 Highly accuntable and responsible
 Emphasis on optimizing patients health quality of life.

4. • Emphasis on patient`s health education and health promotion.
• Pharmaceutical care involves the process through which a pharmacist
cooperates with a patient and other professionals in designing,implementing
and monitoring a therapeutic plan that will produce specific therapeutic
outcomes for the patients.
• Three major functions
BASIC ELEMENTS OF
PHARMACEUTICAL CARE

5. 1. Identifying potential and actual drug related problems.
2. Resolving actual drug-related problems and
3. Preventing potential drug-related problems.
• The pharmacist ,who is the central figure of pharmaceutical care,then he has
the following functions to perform

6. FUNCTION OF PHARMACIST
TO PERFORM
1. Collection of patient data.
2. Identification of problems.
3. Establishing outcome goals through a good therapeutic plan
4. Evaluating treatment alternatives,by monitoring and modifying therapeutic
plan.
5. Individualising drug regimens.
6. Monitoring outcomes

7. TYPES OF PHARMACEUTICAL
CARE
• SOAP Analysis
• CORE Pharmacotherapy plan
• FARM Analysis.
• PRIME Pharmacotherapy plan
• P-Pharmaceutical based problems’
1. pt not receving a prescribed drug
2. routine monitoring ( lab data)
• R-risks ,to patients- ADR

8. FORMAT OF A SOAP NOTE
• The SOAP format is the one used most often by medical practitioners;
however, when used within the pharmaceutical care context, the content of
the sections must be revised to match the pharmacist’s legal scope of
practice.
• S=subjective findings
• Exp-chief complaints and duration or severity of symptoms

9. • O=objective findings
• Exp-laboratory data, weight, height, blood pressure, and pulse.
• A=assesment
• Diagnogsis or possible explanations for the patients medical problems.
• P=Plan
• Drug regimen or surgical procedure

10. CORE
• C=Condition or patient need, it may include nonmedical conditions or need
and is thus not a reiteration of the current medical problem.
• O=outcome, desired for the condition or needs.
• Patient outcomes (POEMS: patientoriented evidence that matters)

11. • There are generally five category of
• patient outcome:
1. Mortality
2. Morbidity
A. related to disease process,
B. related to medication/ treatment plan
3. Behavior
4. Economic
5. Quality of life

12. • Therapeutic end point (surrogate markers; DOES: disease oriented
evidence)
• A) a therapeutic end point represents the pharmacological or therapeutic
effects that is expected, ultimately, to achieve the desired outcome.
• B)more than one end point is usually needed to achieve an outcome-for
example, both near normal glycemic control and normalization of blood
pressure are necessary to significant reduce the risk of end-stage renal
disease

13. • R=regimen to achieve desired outcome
1. Therapeutic regimens
• Existing therapy
• Initial therapy
2. Goal setting and behavior regimens
a. Identify the type of goal being set, such as the following Start a new positive
action-exercise program Increase the frequency or intensity of a positive
action- drink 2 more cup

14. CORE-ANALYSIS
• Stop or decrease- stop smoking
• Continue an action that is perfectcontinue to exercise 30 min a day, every
day.
b) State the behavior goal in terms that are clear, specific and reasonable.
• E=Evaluation parameter to assess
• outcome achievement.
1. Efficacy parameters
2. Toxicity parameters- ADRs, allergic reactions, or toxicity is not occuring

15. FARM NOTE
• Formulate a FARM note or SOAP note to describe and document the
interventions intented or provided by the pharmacist. Some healthcare
facility may specific one format over the other;
• F= findings
• The patient-specific information that gives a basis for, or leads to, the
recognition of a pharmacotherapy problem or indication for pharmacist
intervention, finding include subjective and objective information about the
patient.

16. • A=assessment
a.) any additional information that is needed to best access the problem to
make recommendations
B) the severity, priority or urgency of the problem
C) the short-term and long term goals of the problam
• Short term goals: eliminate symptoms, lower BP to 140/90 mm Hg within 6
weeks, manage acute asthma flareup without requiring hospitalization.

17. • R= resolution (including prevention)
• The intervention plan includes actual or proposed action by pharmacist
1. observing, reassessing
2. Counseling
3. Making recommendations to the patients
4. Informing the prescriber
5. Making recommendations to the prescriber
6. Withholding medication or advising against use

18. • M=monitoring and follow up.
1. The parameter to be followed (pain, depressed mood, serum potassium
level)
2. The intent of the monitoring (efficacy, toxicity, adverse event)
3. How the parameter will be monitored (patient interview, serum drug level,
physical examination)
4. Frequency of monitoring (weekly, monthly)
5. Duration of monitoring (weekly, monthly)
6. Duration of monitoring (until resolved, while on antibiotic, until resolved them
monthly for 1 year)

19. • Anticipated or desired finding (no pain, euglycemia, healing of lesion)
• Decision point to alter therapy when or if outcome is not achieved (pain still
present after 3 days, mild hypoglycemia more than two times a week)

20. PRIME PHARMACOTHERAPY
PLAN
• I-Interactions -Drug-drug interaction, food drug interaction
• M-Mismatch between medication and condition or pt needs.
• E-Efficacy, efficacy issues
• Too much of the correct drug
• Too much little of the correct drug
• Wrong drug, device, intervention, or regimen prescribed ; more efficacious
choice possible)

21. THANK YOU