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Pharmaceutical care practice : the patient-centered approach to medication management services / Robert J. Cipolle, Linda M. Strand, Peter C. Morley.
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Title:Pharmaceutical care practice : the patient-centered approach to medication management services / Robert J. Cipolle, Linda M. Strand, Peter C. Morley.
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Author/Creator:Cipolle, Robert J.
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Other Contributors/Collections:Strand, Linda M.
Morley, Peter C.
Cipolle, Robert J. Pharmaceutical care practice.
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Published/Created:New York : McGraw-Hill Medical, ©2012.
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Holdings
Holdings Record Display
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Location:
c.1
Temporarily shelved at WOODWARD LIBRARY reserve collectionWhere is this?
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Call Number: QV21 .C566 2012
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Number of Items:1
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Status:Available
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Location:
c.1
Temporarily shelved at WOODWARD LIBRARY reserve collectionWhere is this?
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Library of Congress Subjects:Pharmacy--Practice.
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Medical Subjects: Pharmaceutical Services.
Professional Practice.
Drug Therapy.
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Edition:3rd ed.
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Description:xxvii, 697 pages : illustrations ; 25 cm
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Summary:This book provides the basic information necessary to establish, support, deliver, and maintain medication management services.
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Notes:Rev. ed. of : Pharmaceutical care practice / Robert J. Cipolle, Linda M. Strand, Peter C. Morley. 2nd ed. c2004.
Includes bibliographical references and index.
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ISBN:9780071756389 (alk. paper)
0071756388 (alk. paper)
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Contents:Machine generated contents note: ch. One Medication Management Services
Medication Management Services Emerge: A Definition
Approaches to Medication Management Services
Prescription-focused Approach
Patient-centered Approach
Taking Responsibility for Medication Management Services
Need for Medication Management Services
Changes in Medications and How They Are Used
Increased Levels of Drug-related Morbidity and Mortality
Attempts to Reduce Drug-related Morbidity and Mortality
Solutions Offered at the Policy or System Levels
Solutions Applied at the Institutional, Practice, or Professional Levels
Solutions Delivered at the Patient-specific Level
Patients Who Benefit Most From Medication Management Services
What the Data Reveal
Business Demands
Initiating This Service in Practice
Value of Medication Management Services
Clinical Value to the Patient
Economic Value to the Health Care System
Structures for Delivering Medication Management Services
Ambulatory Care Setting
Medication Management Services in the Medical Home and the Accountable Care Organization
Medication Management Services in Community Pharmacy Settings
Medication Management Services in the Inpatient Setting
Medication Management Services in Long-term Care, Assisted Living, Mental Health and Rehabilitation Facilities
Summary
ch. Two Pharmaceutical Care As The Professional Practice For Patient-Centered Medication Management Services
Need for a Professional Practice
Characteristics of All Professional Practices
Components of a Professional Practice
Pharmaceutical Care as a Professional Practice
Philosophy of Practice
Statement of Social Need
Description of the Practitioner Responsibilities
Expectations to be Patient-centered
Need to Function in a Caring Paradigm
Patient Care Process
Foundation of the Patient Care Process: The Pharmacotherapy Workup
Steps of the Patient Care Process
Practice Management System
Language and Vocabulary of Practice
Pharmaceutical Care as a Generalist Practice
Generalist Practitioner Defined
Pharmaceutical Care as Primary Health Care
Primary Care Defined
Medication Management Services in the Medical Home
Origins of Pharmaceutical Care Practice
Pharmaceutical Care as the New Paradigm
Practice of Pharmaceutical Care Emerges
Summary
ch. Three Toward A Philosophy Of Pharmaceutical Care Practice
Philosophy of Practice Defined
Philosophy of Pharmaceutical Care Practice
Meeting a Social Need
Fulfilling Specific Responsibilities
Patient-centered Approach
Caring as a Practice Paradigm
Caring as Covenant
Values Involved in Caring
From Values to Ethics
Ethics in Practice
Professional Responsibility Expressed as the Standards for Professional Behavior
Standard I Quality of Care
Standard II Ethics
Standard III Collegiality
Standard IV Collaboration
Standard V Education
Standard VI Research
Standard VII Resource Allocation
Summary
ch. Four Patient-Centeredness In Pharmaceutical Care
Defining Patient-Centeredness
Understanding the Patient's Concept of Illness
Patient's Medication Experience
Understanding the Patient's Medication Experience in Practice
Utilizing the Patient's Medication Experience to Optimize Therapeutic Outcomes
Practitioner and the Patient form a Relationship
Therapeutic Relationship Defined
Importance of the Therapeutic Relationship
Patient as the Primary Source of Information
Patient as Decision Maker
Patient as Teacher
Patient's Rights
What the Patient Can Expect
Patient's Responsibilities
Adherence as a Test of Patient-Centeredness
Defining Adherence
Medication Management as a Solution to Nonadherence
Adherence Is Assessed Last, Not First
Patient-centered Adherence
Patient Participation in Achieving Adherence
Achieving Patient-centered Adherence
Summary
ch. Five Drug Therapy Problems
Drug Therapy Problems: Terminology
Components of a Drug Therapy Problem
Categories and Common Causes of Drug Therapy Problems
Patient Data
Drug Therapy Problem 1 Unnecessary Drug Therapy
Drug Therapy Problem 2 Needs Additional Drug Therapy
Drug Therapy Problem 3 Ineffective Drug
Drug Therapy Problem 4 Dosage Too Low
Drug Therapy Problem 5 Adverse Drug Reaction
Drug Therapy Problem 6 Dosage Too High
Drug Therapy Problem 7 Adherence (Noncompliance)
Drug Interactions
Stating Drug Therapy Problems
Prioritizing Drug Therapy Problems
Patients With No Drug Therapy Problems
Documenting Drug Therapy Problems
Summary
ch. Six Assessment
Purpose, Activities, and Responsibilities
Standard of Care 1 Collection of Patient-specific Information
Meeting the Patient
Introducing Yourself
Physical Environment
Taking Notes
Eliciting Information from the Patient
Getting Started
Reason for the Encounter
Patient Demographics
Understanding the Patient's Medication Experience
Patient Data
Other Clinical Information
Pharmacotherapy Workup
Standard of Care 2 Assessment of Drug-related Needs
Managing Medications: Assessing the Appropriateness of the Indication for the Patient's Drug Therapy
Managing Medications: Determining the Effectiveness of the Drug Regimen
Managing Medications: Establishing the Safety of the Drug Regimen
Understanding Patient Adherence (Compliance)
Patient Data
Drug Therapy Problem Identification
Standard of Care 3 Identification of Drug Therapy Problems
Documenting the Assessment
Summary
ch. Seven Care Plan
Purpose, Activities, and Responsibilities
Standard of Care 4 Development of Goals of Therapy
Establishing Goals of Therapy
Interventions
Patient Data
Health Care Savings and Return-on-Investment
Standard of Care 5 Statement of Interventions
Interventions to Resolve Drug Therapy Problems
Interventions to Achieve Goals of Therapy
Interventions to Prevent Problems
Therapeutic Alternatives
Cost Considerations
Schedule and Plan for Follow-up Evaluations
Standard of Care 6 Establishing a Schedule for Follow-Up Evaluations
Timing of Follow-up Evaluations
Documenting the Care Plan
Summary
ch. Eight Follow-Up Evaluation
Introduction
Purpose, Activities, and Responsibilities
Standard of Care 7 Follow-up Evaluation
Evaluating Effectiveness of Drug Therapies
Clinical Parameters: Improvement in Patient Signs and Symptoms
Laboratory Parameters: Improvement in Laboratory Test Results
Evaluating the Safety of Drug Therapies
Clinical Parameters: Patient Signs and Symptoms as Evidence of Drug Safety Problems
Laboratory Parameters: Abnormalities in Laboratory Test Results as Evidence of Drug Safety Problems
Patient Data: Outcomes
Determining the Clinical Outcome Status
Outcome Status Terminology
Patient Data: Outcomes
Patient Outcome Versus Practitioner Output
Assessment for New Drug Therapy Problems
Schedule for Continuous Follow-up Evaluations
Documenting the Follow-up Evaluation
Summary
ch. Nine Documentation In Practice
Introduction
Electronic Therapeutic Record
Justification for the Electronic Therapeutic Record
Content of the Patient's Electronic Therapeutic Record
Integrating the Patient's Electronic Therapeutic Record with Other Patient Care Providers
Patient's Personalized Care Plan
Content of the Patient's Personalized Care Plan
Medication-Related Needs
Summary of All of Your Medications
Information for Each of the Medications and Instructions
New Concerns/Questions/Expectations
Physician Reports
Practice Management Reports
Content Required to Generate Management Reports
Software Programs for the Documentation of Medication Management Services
Evaluating Software for Use in Practice
Meaningful Use for Health Information Technology
Guidelines for Documenting Pharmaceutical Care
Summary
ch. Ten Acquiring And Applying The Knowledge And Clinical Skills Required To Manage Drug Therapy
Acquiring the Knowledge Needed to Practice
Becoming Familiar with What You Need to Know
Understanding the Important Relationships: Patient-Disease-Drug Therapy
Knowledge You Need About the Patient
Knowledge You Need About the Patient's Medical Conditions
Common Conditions are Common
Knowledge You Need About the Patient's Drug Therapies
Organizing Evidence-based Information
National Consensus Guidelines
Use of Textbooks in Pharmaceutical Care Practice
Published Clinical Trials
Use of the Pharmacotherapy Workup as a Conceptual Framework to Organize Knowledge in Practice
Common Drugs are Common
Acquiring the Clinical Skills You Need to Practice
Obtaining Clinical Information From Your Patient
Observational Skills
Assessment Interview Skills
Physical Assessment Skills
Retrieving Information
Communication Skills
Patient-focused Communication
Practitioner-focused Communication
Learning to be Reflective in Practice
Presenting Patient Cases: The Pharmacotherapy Patient Case Presentation Format
Need for a Specific Format
Your First Case Presentation
Assessment of the Patient's Drug-related Needs
Brief Description of the Patient
Reason for the Patient Encounter
Medication Experience Reported by the Patient
Contents note continued: Comprehensive Medication History
Current Medication Record: Indication-Drug Product-Dosage Regimen-Outcome
Past Medical History and Associated Drug Therapies
Review of Systems
Summary of the Assessment
Drug Therapy Problem Identification
Problem-Drug Therapy-Cause and Effect
Care Plan
Follow-up Evaluation
Summary of the Case
Common Challenges in the Case Presentation
Written Case Summaries
Example of a Pharmacotherapy Case Presentation
Summary
ch. Eleven Managing Medication Management Services
Understanding the Practice Management System
Introduction
Establishing a Successful Practice
Prepare Yourself
Become a Competent Practitioner
Understand and Describe Your Service and the Mission of Your Practice
Focus on Your Patient
Select a Supportive Environment
Understand the Resources You Will Need to be Successful
Accommodate the Organization So It Can Help
Understanding the Demands of a Financially Viable Practice
Know the Costs of Doing Business
Building a Stable Revenue Base
Realize the Rewards
Payment Mechanisms
Fee-for-Service
Capitation Method
Resource-based Relative Value Scale System
Professional Satisfaction
Writing the Business Plan
Get Started
Summary
ch. Twelve Global Perspective
Introduction
Australia
New Zealand
China
Korea
India
Arabic-speaking Middle East
Germany
Netherlands
Spain
Iceland and Scandinavia
United Kingdom
Brazil
Canada
United States
Summary: Future Prospects.