Pacs-Pharm Care & Medical Hx

Front 1

To resolve drug therapy problems, pharmacists must ensure:

Back 1

Appropriate indication for every medication
Medications are effective
Medications are safe
Patients can adhere to drug therapy
Patients do not have any untreated indications

Front 2

What is a drug therapy problem?

Back 2

Any undesirable event experienced by the patient that involved drug therapy and that interferes with desired patient outcomes

Front 3

List the steps of the Patient care process.

Back 3

Initiate a relationship with patient or caregiver
Gather patient-specific information
Develop patient care plan
Complete the intervention
Follow-up

Front 4

Brief explanation of medical conditions pertaining to patient’s first degree relatives.

Back 4

Family history (FH)

Front 5

Which section would you find Nutrition/exercise information such as; number of meals, snacks, type of food?

Back 5

Social history (SH)

Front 6

What section includes a description of symptoms per body system? and how is it ranked?

Back 6

Review of systems (ROS)
Head to toe format

Front 7

What is the purpose of the ROS section?

Back 7

Purpose is to identify other symptoms not introduced in the CC, HPI, or PMH

Front 8

Which section would you find Adverse drug reactions (ADRs)?

Back 8

Medication Hx

Front 9

Which section would you find medication adherence?

Back 9

Medication Hx

Front 10

Includes hospitalizations, surgeries, accidents, obstetrical history

Back 10

PMH

Front 11

medical info for Parents, siblings, children

Back 11

FH

Front 12

Expansion of CC

Back 12

HPI

Front 13

CC?

Back 13

Brief statement of why the patient is seeking care

Front 14

The CC includes a few primary symptoms and duration. T/F

Back 14

True

Front 15

Where would you find info on what pharmacy a person uses?

Back 15

Patient demographics

Front 16

What is pharmaceutical care as defined by Kepler and Strand?

Back 16

Provision of drug therapy for the purpose of achieving definite outcomes that improve a patient’s quality of life

Front 17

List the components of Pharmaceutical care.

Back 17

Curing of disease
Reducing patient’s symptoms
Slowing a disease process
Preventing a disease

Front 18

Philosophy of pharmaceutical care focuses on...

Back 18

Need for pharmacists to address drug-related problems
Patient-centered care
Caring for patients
Responsibility to find and resolve drug-related problems

Front 19

HEENT

Back 19

head, eyes, ears, nose throat

Front 20

H&P

Back 20

history and physical

Front 21

NTND

Back 21

non tender, non distended

Front 22

A/O

Back 22

alert and oriented

Front 23

What are the purposes of the medical chart?

Back 23

Communication between medical staff
Tracking and planning for patient care
Research

Front 24

How would you correct an error in a medical record?

Back 24

NEVER erase, scribble over, or use white-out
Place a SINGLE line through the error and note it was a mistaken entry, sign and date with time

Front 25

What are the advantages of a paper medical record?

Back 25

Information is hand-entered
Does not require technological skills
Never “offline”

Front 26

What are the disadvantages of a paper medical record?

Back 26

Cannot be viewed by two people in different locations at the same time
Cannot track who has viewed information
No security features

Front 27

What are the advantages of Electronic medical record (EMR)?

Back 27

Paperless
Information is transferable between interconnected locations and practices
No handwritten information
Can track who has viewed information

Front 28

What are the disadvantages of Electronic medical record (EMR)?

Back 28

Expensive, requires computer workstations
Requires IT assistance
Requires ability to use a computer/type
May be “offline”
Security issues

Front 29

Types of patient medical records:

Back 29

Inpatient medical records
Outpatient medical records

Front 30

Advanced directives would be included in which part of the medical record?

Back 30

Demographics

Front 31

Where would you find Insurance information?

Back 31

Demographics

Front 32

What would you find under Orders
section?

Back 32

Medication orders
PT/OT orders
Nutrition orders
Speech pathology orders

Front 33

Where would you find Chem 7’s?

Back 33

Laboratory

Front 34

Where would you find psychiatry visit info?

Back 34

Consultations

Front 35

Documentation of surgical procedures & Anesthesia notes are found in...

Back 35

Operative notes

Front 36

Documentation from multiple healthcare professionals, H & P, and periodic patient progress are found in...

Back 36

Progress notes

Front 37

MAR

Back 37

Documentation of when each medication is administered to the patient

Front 38

Can track specific timing or missed doses

Back 38

MAR

Front 39

Imaging/Special studies

Back 39

X-rays
EKG’s
CT scans
PET scans
MRI’s

Front 40

Discharge planning

Back 40

Instructions for the patient to transition into the next setting