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17 Cards in this Set
- Front
- Back
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how can MTM improve adherence
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1. pt encouraged to play active role in decisions that impact their health care
2. formation of relationship 3. individualized |
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approaches to adherence improvement
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1. education
2. simplified dosage regimen 3. higher levels of support 4. positive patient-HCP relationship |
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precontemplation
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unwilling to change
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contemplation
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thinking about change
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preparation
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commitment to change
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action
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change is initiated
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maintenance
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change established
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length of motivational interviewing
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brief encounter
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3 areas in which motivational interviewing has deomnstrated efficacy
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medication adherence
substance use smoking cessation |
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general words used to describe motivational interviewing
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directive
patient centred positive empathetic non-confrontational |
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type of listening used in motivational interviewing
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reflective
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who is eligible for smoking cessation
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ODB
can enrol once per year (from date of first meeting) self-referred or HCP referred |
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pharmacist eligibility
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community pharmacists
extra training |
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5As
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ask (do you smoke)
advise (quit) assess (readiness) assist arrange |
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what to do if client is not ready to quit
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provide info
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Reimbursement for smoking cessation
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first consult: 20 min, $40 (1 per year)
Follow ups 1-3: 10 min, $15 (3 per year) Follow ups 4-7: 3-5 min $10 (4 per year) |
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record keeping for pharmaceutical opinion
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1. Details of DTP
2. Medications involved 3. Recommendation + rationale 4. Date 5. Name of prescriber contacted 6. Discussion with pt 7. Signature 8. In the case of a medscheck: updated med list is provided to pt and physician 9. original Rx or medscheck documentation |
