Assessment of Therapy and Pharmaceutical Care.ppt

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1、2005/4/20 32005/4/20 62005/4/20 92005/4/20 102005/4/20 112005/4/20 122005/4/20 132005/4/20 142005/4/20 152005/4/20 192005/4/20 202005/4/20 212005/4/20 222005/4/20 252005/4/20 272005/4/20 282005/4/20 292005/4/20 302005/4/20 312005/4/20 32From:A method of documenting pharmaceutical care utilizing phar

2、maceutical diagnosis.Stephen C.Hurley.19982005/4/20 33 以以medical diagnosis為主為主強調強調therapeutic problemmore detail than PWDTmore lengthySOAP Expanded-SOAP FARM PWDT PMDRP PCP From:A method of documenting pharmaceutical care utilizing pharmaceutical diagnosis.Stephen C.Hurley.19982005/4/20 34Stephen C.

3、Hurley.19982005/4/20 35 Suggested Pharmaceutical DiagnosesRelated to the prescriptionSubtherapeutic doseExcessive doseExcessive/Insufficient duration of useSuboptimal dosage scheduleSuboptimal dosage form or routePoor cost-effectivenessFinancial burden/Unidentified medicationUnclear or incomplete pr

4、escription/Not receiving Related to evaluation of drug therapyUntreated health problemNeed for prophylactic/preventative/Continuation/or maintenance therapySuboptimal responseQuestionable or uncertain indication/Alternate drug of choiceTherapeutic duplication/Pharmacokinetic evaluation Related to ad

5、verse effects of drug therapyAdverse drug reactionPotential contra-indicationPontential adverse drug/diet interationPontential adverse drug/drug interationPontential adverse drug/laboratory interation Related to monitoringInadequate characterization of a health problemInadequate monitoring of clinic

6、al dataExcessive monitoring of clinical dataUnfinished trial of drug therapyRelated to patient factorsPoor compliance Excessive utilizationProblematic substance useDetrimental physical dependenceImproper storage Related to patient counselingDeficient counseling 2005/4/20 372005/4/20 382005/4/20 392005/4/20 412005/4/20 422005/4/20 432005/4/20 44