Prepared by Malik Raoof 4th Professional Clinical Pharmacy Faculty of Pharmacy BZU Multan

1. Pharmaceutical Care Plan
PREPARED BY: MALIK RAOOF 4TH PROFESSIONAL PHARM-D
DEPARTMENT OF PHARMACY PRACTICE FACULTY OF PHARMACY BZU
MULTAN

2. Introduction
 Pharmaceutial care plan describes specifi activities and services through which
individual pharmacist cooperate with patient and other health care professional in
designing, implementing and monitoring a therapeutic plan that will produce
specific therapeutic outcomes for patient.
 Pharmaceutical care is increasingly being augmented by activities that may be
described as focused areas of practice.
 1. Drug monitoring
 2. Disease monitoring
 3. Drug therapy and disease management.

3. Essential Components of Care Plan
 A. Pharmacist-Patient Relationship
 A pharmacist can have a caring relationship with a patient and is based upon a
collaborative effort between pharmacist and a patiet.
 Pharmacist better inform patient about a drug and use of it.
 Pharmacist care patient for proper use of drug.

4. B. Pharmacist Workup of Drug Therapy
(PWDT)
 PWDT contain thought processes necessary for pharmaceutical care.
 Abbreviated forms of note are used;
 FARM (findings, assessment and plan) Note
 SOAP (subjective, objective, assessment and plan) Note
PWDT contains essential componets that are
1. Data Collection
a. Patient data
b. Medical Information
1. Medical History
2. Family History

5. 4. Dietry History
5. Lab Data
2. Core Pharmacotherapy Plan
a. C = Condition
That may be a non-medical condition or need of a patient.
b. O = Outcome
1. Patient Outcome
It include
Morbidity
Mortility
Economic
Quality of life

6. 2. Therpeutic end point
Therapeuti end point represent the pharmacologic effect that is expected to
achieve the desired outcome.
c. R = Regimen
1. Therapeutic regimen
a. Existing therapy
Evaluate the current regimen to the existing therapy to achieve the desired
end point.
b. Initial therapy
List the therapeutic options most likely to achieve the desired effect.

7. 2. Goal Setting and Behavioural regimen
Identify the goal being set such as
i) Start a new position action for example start exercise
ii) Increase frequency of some actions such as drinking more water
iii) Stopping or decreasing the frequency of an action such as smoking cessation or
decreasing continuely.
iv) Set ime limits
v) Specific actions such as I will walk
vi) Divide a big task

8. 3. E = Evaluation Parameters
a. Efficacy Parameters
To check efficy of a drug and what drug is monitored.
b. Toxicity Parameters
Monitor dose or frequency of drug and also interactions to prevent toxicity.

9.  3. PRIME Pharmacotherapy Plan
 P = Pharmaceutical based problems
1) Patient not receiving a drug, device or intervention
2) Routine monitoring (labs, screening, exams) Missing
 R = Risk to Patient
1) Adverse drug reaction
2) Potential or overlap adverse drug effects
 Interactions
1) Drug- Drug interactions

10.  M = Mismatch
1) No indication for a current drug, device or intervention
2) Indication for a drug.
 Efficacy issues
1) Too much of drug
2) Too little drug use

11. Documentation of Pharmaceutical Care
Formulate a FARM note and SOAP note and describe a document of it.
 1. Format of a FARM note
a. F = findings
Pharmacotherapy problems or indication for a pharmacist of a patient
leads to recognition of pharmacotherapy problems.
b. Assessent
Any additional information that is needed .
The severity , priority or urgency of a problem.
The short term and long term goals of the intervention such as lower down
blood pressure to eliminate the symptoms.

12.  R = Resolution
1) Observing, reassessing – no intervention is necessary at this time.
2) Counselling or education the patient or care giver.
3) Making recommendations to the care giver or patient.
4) Withholding medication.
 M = Monitoring
1) The parameters to be followed ( pain, depressed mood, serum K+ level.)
2)The intent of monitoring ( efficacy, toxicity, adverse effects)
3) Patient interview, drug serum level monitoring and physical examination.

13.  2. SOAP note
S = Subjective Findings
Subjective data are open to individual interpretation, whereas objective data are easily duplicated.
These may be statement of complaint of patient.
O = Objective Findings
Subjective and objective data are combined together and then the data is interpretated.
A = Assessment
It states the physician workup and diagnosis, and that is in the pharmacist scope of practice.. It
pharmacist objective and subjective findings to assess the criteria.
P = Plan
Pharmacist has authority to initiate or alter the drug therapy plan and to evaluate according to patient need