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The process of creating and implementing a pharmacy care plan, with a focus on precepting students. Topics include evaluating and implementing care plans, setting the stage for precepting, medical conditions and DRPs, goals of therapy, alternatives, recommendations, monitoring parameters, and follow-up. The document also includes a pharmacy care plan worksheet and a checklist for assessing care plans.
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AND/OR DRPs
List and prioritize each medical condition first, followed by any DRPs identified for a given condition. Although some medical conditions may not have a DRP, a care plan is still necessary for ongoing patient monitoring. DRP Categories: unnecessary drug● additional drug required● ineffective drug● dose too low● adverse drug reaction/interaction ●dose too high ●nonadherence
For each medical condition and/or DRP state desired goals of therapy/timeframe. Goals: cure, prevent, slow/stop progression, reduce/eliminate symptoms, normalize a lab value. Consider realistic goals determined through patient discussion. Goals of therapy are measurable or observable parameters that are used to evaluate the efficacy and safety of therapy.
Compare relevant drug and non- drug therapies that will produce desired goals. List the pros and cons of each therapy. Consider: Indication Efficacy Adherence Safety Cost/coverage
In collaboration with the patient and other health care providers, select the best alternative and implement the plan. Provide a rationale for the chosen plan. Consider: Drugs: correct drug, formulation, route, dose, frequency, schedule, duration, medication management. Non-drug: non-drug measures, education, patient referral.
Determine the parameters for monitoring efficacy and safety for each therapy. Consider: Clinical & laboratory parameters The degree of change The time frame
Determine who, how and when follow-up will occur.