Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
17 Cards in this Set
- Front
- Back
how can MTM improve adherence
|
1. pt encouraged to play active role in decisions that impact their health care
2. formation of relationship 3. individualized |
|
approaches to adherence improvement
|
1. education
2. simplified dosage regimen 3. higher levels of support 4. positive patient-HCP relationship |
|
precontemplation
|
unwilling to change
|
|
contemplation
|
thinking about change
|
|
preparation
|
commitment to change
|
|
action
|
change is initiated
|
|
maintenance
|
change established
|
|
length of motivational interviewing
|
brief encounter
|
|
3 areas in which motivational interviewing has deomnstrated efficacy
|
medication adherence
substance use smoking cessation |
|
general words used to describe motivational interviewing
|
directive
patient centred positive empathetic non-confrontational |
|
type of listening used in motivational interviewing
|
reflective
|
|
who is eligible for smoking cessation
|
ODB
can enrol once per year (from date of first meeting) self-referred or HCP referred |
|
pharmacist eligibility
|
community pharmacists
extra training |
|
5As
|
ask (do you smoke)
advise (quit) assess (readiness) assist arrange |
|
what to do if client is not ready to quit
|
provide info
|
|
Reimbursement for smoking cessation
|
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) |
|
record keeping for pharmaceutical opinion
|
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 |