Outline in Pharmaceutical Care

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    Outline in Pharmaceutical

    Care

    PREPARED BY: Eloisa Lorraine V Barandon

    1C-Pharmacy

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    TOPIC 1: HEALTH

    A. Definition of Health

    + DEFINITION (WHO) 

    - state of mental, physical and social

    well-being and does not merely the

    absence of illness or infirmity.

    - DEFINITION (WHO)

    - total absence of diseases or illness in

    one’s body.

    B. Biological Aspects of Health

    SOCIETY

    ENVIRONMENT

    PHYSICAL

     – physical body of a man from head to foot.

    SOCIAL

     – concern and support to other people.

    SPIRITUAL – spiritual maturity and moral integrity

    MENTAL

     – positive outlook in life.

    SEXUAL

     – acceptance of his or her sexuality.

    EMOTIONAL

     – express his own feelings and develop

    personal relationship.

    C. Models of Health1. Medical Model  –  the absence of illness or

    disease.

    2. WHO Model  – state of physical, mental and

    social well-being and does not merely have the

    absence of illness or infirmity.

    3. Environmental Model  –  adaptation of the

    physical and social surroundings.

    4. Wellness Model  –  energy, comfort and

    integration of body, mind and spirit.

    C. Holistic Health

    REMEMBER: INFLUENCE

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    4. Physical Agents  – UV rays, radiation, hot +

    cold substances.

    5. Tissue Response to Irritation  – fever,

    inflammation because I’m hot

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    FOCUS: Patient Education, Counselling and

    Support mechanisms + Help People

    HEALTH PROFESSIONALS

    - positive resources

    - behaviour specific changes

    - look for ways

    INDIVIDUAL PERCEPTION

    MODIFYING FACTORSPARTICIPATION IN HEALTH

    [InMOP]

    I. INDIVIDUAL PERCEPTION

    - perceived, SUSCEPTIBILITY,

    SERIOUSNESS and THREAT of an illness.

    Leavell and Clark’s Agent Host-Environmental

    Model

    II. MODIFYING FACTORS

    1. Demographic values

    2. Structural variable

    3. Socio-psychologic variables

    4. Cues action

    III. PARTICIPATION IN HEALTH

    H. Health Style

    - sum of personal health decisions for

    individual and community 

    - both very personal and interpersonal

    INFLUENCED BY:

    o  Information

    o  Values

    o  Social Support

    o  Health-related skills

    o  Health related resources

    o  Momentum from health-related

    decisions.

    INDICATORS OF HEALTH

    STATUS:

    I. PERSONAL HEALTH STATUS

    - satisfaction with life

    - zest for life

    - functional level of physicalfitness

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    J. Cure

    Latin word, “  cura”   

    - welfare of another

    - conscientious devotion

    K. Care

    - compassionate state of being

    - “otherness” of the other

    TOPIC 2: GENERAL PRINCIPLES OF

    HEALTH CARE

    A. Health Background

    HEALTH CARE PROFESSIONALS = UTILIZE

    CLUES

    B. Medicine

    Latin word, “  medicus”    which meansHEALING ART

    - more active + live longer

    - happier lives

    - LESS SUFFERING (ang OXYMORON

    nito because studying medicine, pre-med to be

    more specific is COMPLETELY THE

    OPPOSITE OF “LESS SUFFERING” so please

    wag po ganon)

    1. Constant Search- new drugs

    - effective treatnebts

    - more advanced technology

    2. Health Care Professionals

    - prevent

    - control

    - cure

    3. Parts of health care industry

    4. Largest industries in the world

    5. Leading employers of most communities

    C. 20th Century Medicine

    BEGINNING!

    - frail by the age of 40

    - LIFE EXPECTANCY = 47.3 YEARS

    END!

    - LIFE EXPECTANCY = 76 YEARS 

    TODAY = 80’s and 90’s  – ACTIVE!

    D. History of Health Care

    1. Trepanning  – cut a hole through one’s head

    (Sadly, you cut a hole through my heart and it ’s

    so masakit BEH

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    3. Dispensing and Packaging

    4. Advising and Educating

    5. Monitoring the outcome

    6. Serving as a community resource person

    H. The 10 Star Pharmacist [PRMCLLDETA]

    1. Pharmaceutical Care Giver

    2. Researcher3. Manager

    4. Communicator

    5. Leader

    6. Life-long Learner

    7. Decision-Maker

    8. Entrepreneur

    9. Teacher

    10. Agent of Positive Change

    I. Concerns among Health Care Patients

    1. Abuse, misuse and inappropriate use of

    drugs

    2. Increase health care cost

    3. Patient suffering

    J. Patient-Oriented Professional

    REMEMBER: IMPROVE DRUG USE

    - apply and provide knowledge to improve

    drug use in health care system.AIM: HELPER AND EDUCATOR (fck

    remember this!!!!!)

    I. Patient Quality of Life (PQL)

    REMEMBER: WELFARE AND RELIEF

    - welfare of humanity and relief of

    human suffering.

    - patient’s perspective

    J. Traditional Pharmacist

    [PDiDiSHe]

    1. Preparing and dispensing

    2. Direction of physician

    3. Strongly allied

    4. Health professional = patient

    K. Medical Model Helping Model

    1. Passive Patient Actively involved

    2. Expertise of pharmacist Trust

    3. Identifies P&S Expose P&S

    4. Dependent patient Self-confidence

    5. Parent-child relationship Equal

    L. Pharmaceutical Care

    REMEMBER: IMPROVE PQL

    - provision of therapy for the purpose ofachieving definite outcomes that improve the

    patient’s quality of life. (Hepler and Strand)

    - well-being, commitment, health

    prevention and care, primary health care.

    M. The Focus

    1. Patient-centeredness

    2. Address both acute and chronic conditions

    3. Prevention

    4. Documentation systems

    5. Accessible front-line first contact

    6. Integration of care

    7. Accountable

    8. Emphasis on AMBULATORY patient

    9. Education/Health promotional intervention

    TraditionalPharmacy

    ClinicalPharmacy

    PharmaceuCare

    Primary

    Focus

    Rx

    order/OTCrequest

    Physicians or

    other healthprofessionals

    Patient

    Continuity UponDemand

    Discontinuous Continuo

    Strategy Obey Find fault orprevention

     Anticipateimprove

    Orientation DrugProduct

    Process Outcome

    N. The Future

    PHARMACY  – Patient Outcome

    EVOLVING TOWARDS INTERPRETATION

    AND PATIENT CONSULTATION!!!!! :3 meow

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    TOPIC 3: GENERAL HEALTH CARE

    (ABRAHAM MASLOW’S HIERARCHY

    OF NEEDS)

    A. Health Promotion Identification 

    1. Wellness  –  integrated method of

    functioning which is oriented towardmaximizing the potential  of which the

    individual is capable, within the environment

    where he is functioning.

    (IN OTHER WORDS, IT IS TESTING

    THE LIMITS OF AN INDIVIDUAL ON HOW HE

    OR SHE IS CAPABLE OF.)

    2. Illness  –  individual’s perception  of

    any condition that causes the individual to be

    concerned and seek help.

    3. Basic Human Needs  – certain needs which are common to all people.

    Human needs  –  conditions that the

    individual must ACHIEVE a state of health

    and well-being.

    B. Abraham Maslow’s Hierarchy of Needs

    1940s

    C. Why Measure Health?

    REASONS

    1. To establish priorities  (parang love, you

    need to establish your priorities to your

    boyfriend/girlfriend)

    2. To assist planning 

    3. To justify resources 

    4. To assist the development of the profession

    D. Objective Factors

    1. Health Measures 

    2. Health Behavior  Indicators

    3. Environmental Indicators

    4. Socio-economic Indicators

    E. Subjective Factors

    1. Measures of physical well-being

    2. Measures of psychological well-being

    3. Measures of social well-being

    4. Measures of quality of life

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    PHYSIOLOGICAL

    AIR, FOOD, SEX, REST AND SLEEP!!!!!!

    SAFETY AND SECURITYSecure physical and emotional environment + No danger

    LOVE AND BELONGINGNESS