define patient assessment
process by which a pharmacist evaluates subjective and objective information gathered and makes decisions
What are the processes of patient assessment?
- S/O -> A/P
- Gather information
- Identify what information is most relevant
- Use your background or appropriate resources to focus possibilities
- Make a final decision
What are the 5 components of the JCPP Patient-Centered Care Process?
- Collect
- Assess
- Plan
- Implement
- Follow up
component of medical history
- chief complaint
- HPI
- PMH
- social history
- family history
HPI
- expansion of CC
- SCHOLARS
SCHOLARS
- Symptoms
- Characteristics
- History
- Onset
- Location
- Associated symptoms
- Remitting or aggravating factors
- Severity
CrCL equation
{((l 40–age) x weight)/(72xSCr)}x 0.85 (if female)
What makes up the JCPP body?
11 national pharmacy organizations, including ACPE
Collect
pharmacists assure the collection of the necessary subjective and objective information about the patient in order to understand the relevant medical/medication history and clinical status of the patient
Assess
pharmacists assess the information collected and analyze the clinical effects of the patient’s therapy in the context of the patient’s overall health goals in order to identify and prioritize problems and achieve optimal care
Plan
pharmacists develop individualized patient-centered care plans in collaboration with other healthcare professionals and the patient or caregiver that is evidence-based and cost-effective
Implement
pharmacists implement the care plan in collaboration with other health care professionals and the patient or caregiver
Follow up
monitor and evaluate: pharmacists monitor and evaluate the effectiveness of the care plan and modify the plan in collaboration with other healthcare professionals and the patient or caregiver as needed
What are things found under social history?
- Lifestyle description; diet and exercise
- Alcohol use
- Tobacco use
- Illicit substances
component of medication history
- past medication and response
- current medications
- ADR’s / allergies
- adherence
