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Person who provides directly/indirectly, a vast range of services to the patient - altruistic无私-value motivation -specialized education -licensed to practice -CE req |
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Characteristics of a Profession |
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1. Services offered linked to major human values (eg. health, property, religion) 2. services req a degree of knowledge, skill and understanding beyond ordinary ppl 3.services are inherently personal or individualized in nature |
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-to help, do no harm at least -developed by an individual, a gp, or society (thru laws + court sys) to guide behavior when rules + principles may conflict w/ 1 another |
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- autonomy自主:personal independence
- veracity诚实:telling the truth is right
- fidelity:忠诚keep promise
- avoid killing
- justice |
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core principles of ethics |
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- respect for patient autonomy - nonmaleficence:do no harm - beneficence: do things good - justice |
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1) To develop a hospital floor-based pharmaceutical service to optimize patient safety in drug utilization 2) To charge pharmacist w/ responsibility for all phases of drug distribution, except administration of med to pt’ - 3) To provide an unbiased and easily available source of reliable drug info and to disseminate info according to the needs of professional personnel 4) To provide clinical experience for interns, residents, and students in hospital pharmacy - 5) To design and conduct studies w/ physicians + nurses in a multidisciplinary approach to health care |
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3 trends of 9th floor proj |
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combined 3 trends that served as basis for clinical pharmacy movement - drug info -decentralized drug distribution -teaching&research prog in pharmacology &biopharmaceutics |
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By 1974, gov't recog a clinical role for pharmacists by req drug-regimen生活规则 reviews in nursing homes - Pharmacists reviews patient's drug regimen and provides recommendations to the physician abt: drug selection duplication necessity AEs monitoring |
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Pharmaceutical Care (definition/element/principle for practicing) |
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definition: responsible provision of drug therapy for the purpose of achieving definite outcomes that improve a patient's quality of life
outcomes: 1. cure disease 2.eliminate/reduce symptomatology 3. Arresting/slowing disease process 4.preventing disease/symptomatology
Elements: Forces on outcomes Endorse a team approach ID pharm' care related fxns of a pharmacist Pharmacist has a direct relationship w/ the patient + a direct responsibility to patient to provide competent pharmaceutical care
Principles of practice: 1. Est. a professional relationship 2. Collect, organize, record, maintain patient specific medical info 3. Evaluate patient-specific medication info+develop a drug therapy plan mutually w/ patient 4. Educate patient abt their own therapy plan 5. Review, monitors+modifies therapeutic plan as necessary + appropriate |
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Medication Therapy Management/MTM (definition/core element/Act/example) |
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Def:a service/gp of services that optimize therapeutic outcomes for individual pts; indpt of but along w/ med prod
-Core elements: medication therapy review, personal medication record, medication-related action plan, intervention+/ referral, documtatn + follow-up
ACT:- Reimbursable act: Medicare Prescriptn Drug, Improvemt, + modernization Act of 2003 (MTM = Med D benefit for elderly&disabled)
E.g.medication therapy reviews; pharmacotherapy consults; disease managemt coach/support; anticoagulation managemt; other clinical services; medication safety surveillance; health, wellness, public health; immunization |
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-1997 -pharmacist developed pharmaceutical care practices in community + cut health care costs
-Improved outcomes in diabetes, asthma, cardiovascular disease, and depression |
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Practice-based residencies |
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post grad prog of organized training that meets req of a residency-accreditation body (eg ASHP); salaries = 0.5 of pharmacist’s w/ employer benefits; app’ thru ASHP; several residents |
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general practice-based; managing & impv med use process; providing MTM in multidisciplinary teams; leadership & managemt; providing practice related edu/training |
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a specific area of practice (e.g critical care, drug info, pediatrics, oncology) |
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other opportunities: Non-health-sys-based residencies |
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not much clinical expo’; e.g. Associatn managemt, editing& writing, pharmaceutical ind |
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research-based; one fellow; ACCP Research Institute –major sponsor; salaries = 0.5 of pharmacist’s w/ employer benefits; small research proj |
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