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PharmaceuticalCareProcess

Steps

PharmacistActivities

PharmacistResponsibilities

Assessment

Meetthepatient.

Establishatherapeuticrelationship.

Elicitrelevantinformationfromthepatient.
Engageinmedicationconsultationservices.

Discoverreasonsfortheencounterbasedonpatientmedication
experiencesandclinicalinformation.

Makerationaldrugtherapydecisionsusingthe
PharmacotherapyWorkup.

Determinewhetherpatientsdrugrelatedneedsarebeingmet.

IdentifyDrugRelatedProblems:

Identify
DrugRelated
Problems
(DRPs)

Unnecessarydrugtherapy

Needsadditionaldrugtherapy

Dosagetoolow

Dosagetoohigh

Ineffectivedrug

Noncompliance

AdverseDrugReaction

Establishgoalsoftherapy.

Selectappropriateinterventionsfor:
ResolutionofDrugRelatedProblems
Achievinggoalsoftherapy
PreventionofpotentialDrugRelatedProblems

Develop
ACarePlan

Scheduleafollowupevaluation.

Determineendpointsandtimeframeforgoals.
Considertherapeuticalternatives.
Selectpatientspecificpharmacotherapy;considernondrug
interventions.
Educatepatient.
Establishaschedulethatisclinicallyappropriateandconvenientfor
thepatient.

FollowUp
Evaluation

Elicitanddocumentclinicalevidenceofactualpatient
outcomes,includingeffectoftreatmentandevidence
ofadverseevents,andcomparetogoalsoftherapy.

Assessthepatientforanynewdrugrelatedproblems.

Schedulethenextfollowupevaluation.

Evaluateeffectivenessandsafetyofpharmacotherapy.

Determinepatientcompliance.

Identifyanynewdrugrelatedproblems.

Providecontinuouscare.

Adaptedfrom:CipolleJ,StrandLM,MorleyPC.PharmaceuticalCarePractice:TheCliniciansGuide,SecondEdition.TheMcGrawHillCompanies,Inc.2004.

PharmaceuticalCareProcess
Assessment

Identify
DrugRelatedProblems

PotentialDrugRelatedProblems:

DevelopA
CarePlan

Unnecessarydrugtherapy

Ineffectivedrug

Needsadditionaldrugtherapy

Dosagetoohigh

Dosagetoolow

AdverseDrugReaction

Noncompliance

FollowUp
Evaluation

Adaptedfrom:CipolleJ,StrandLM,MorleyPC.PharmaceuticalCarePractice:TheCliniciansGuide,SecondEdition.TheMcGrawHillCompanies,Inc.2004