PCARE 107 Assignment Chapter 11

WARM-UP ACTIVITY
You leave home and go to your right. You reach a corner and turn left. You
reach another corner and turn left again. You reach another corner and turn left again
and go home. When you get there, there is a person with a mask there waiting for
you. Whats happening?
Ans: You are playing baseball.

WRAP-UP ACTIVITY
1. Show the National Smoking Cessation Framework detailing Smoking Cessation
services at different levels of care.
LEVEL OF Intervention
STAFFING DRUGS/MEDS EQUIPMENTS
CARE Package
 Risk
assessmen
t/ Risk
screening
(Note: Use
Risk
Assessmen
t Form)
 Assess for
 Risk
Tobacco
Assessment
Use
PRIMARY Tool
 If smoker,
LEVEL  Quit
do Brief
I. BHW Contract
Intervensi None
Barangay RM
on Advice
Health
(5 A's) See
Station
Attached
 Referral
Protocol
Form
 If non-
smoker,
Congratula
te and
advice
continue
Healthy
Lifestyle
activity
Above Plus  Use of
PRIMARY Above Plus Patient Assessment
Nicotine
LEVEL Tool:
Nurses Doct Replace
 Quit Clinic
ors and ment
II. RHU other health therapy  Stages of
personnel (Use DOH Protocol particula change
or other suggested rly  WHO
protocols e.g. Nicotine Mental
SECONDA Motivational patch Health
RY LEVEL Interview, SDA and Checklist
Protocol, etc. as Nicotine  Motivation
available) Gum is and
advocate Confidence
 DOH d to quit
Protocol  Smoking
TERTIARY provides: History and
LEVEL  Assessmen Current
t of client's Smoking
Smoking Status
History,  Self-test for
Current reason for
Smoking smoking
Status and (Horn's
Readiness Smoker's
to stop Selt-test)
smoking  Fagerstrom
 Planning Nicotine
for clients Dependenc
Readiness etest
to stop  Self-test on
smoking Readiness
 Quit day: to stop
Pharmacol smoking
ogic,  Previous
Psychologi attempts to
cal and stop
Behavioral smoking
Interventio
ns Form:

- Identifying and  Quit

address triggers for Contract
going back into
smoking

- Dealing with
cravings to smoke
 - Managing
withdrawal
syndromes

 Monitorin
g and
Prevention
of Relapse

Quit Lines

2. As a pharmacist, how will you help in the implementation of the following

program of the DOH a) Diabetes Control, b) TB-DOTS Program and c) Smoking
Cessation Program
a) As a pharmacist, I can help patients with diabetes by having individualized
coaching. Helping them to control their blood glucose levels reduces
complications including eye, kidney and nerve disease and controlling glucose
can also reduce the long-term risk of stroke and coronary artery disease. Also,
through Medication Therapy Management (MTM), medication
synchronization and other efforts I can help diabetes patients to better
understand their disease and reach their goals.
b) As a pharmacist, I can help patients with TB to access anti-TB medicines that
must be accompanied by measures to ensure their rational use. This also
involves actions to limit misuse of first hand second-line drugs outside the NTP.
Anti-TB medicines can often be bought over the counter in private pharmacies,
and/or are prescribed and dispensed by a wide range of providers who do not
follow national guidelines and who do not apply appropriate measures to
ensure treatment adherence.
c) As a pharmacist, I can help through counseling and assisting with product
selection, pharmacists can help patients quit smoking successfully. There is
clear benefit to this strategy in reducing healthcare costs, as well as improving
overall health status. By implementing smoking cessation strategies into daily
patient interactions, pharmacists can greatly impact the lives of the patients.