1A. Pharmacotherapy plan Intrduction.pptx

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1. Clinical Pharmacy (Pharmacy Practice VB) PHARM 616 8 th semester Madina college of Pharmacy Muhammad Nafees MPhil Pharmacy Practice 10 Feb, 2025

2. PHARMACOTHERAPY PLAN

3. Parameters in pharmacotherapy plan 1. DEVELOPMENT, IMPLEMENTATION AND MONITORING OF DRUG THERAPY PLANS 2. PHARMACOTHERAPY DECISION MAKING

4. 1. DEVELOPMENT, IMPLEMENTATION AND MONITORING OF DRUG THERAPY PLANS PHARMACEUTICAL CARE Pharmaceutical care is a pharmacy practice that deals with the responsible provision of drug therapy for the purpose of achieving definite outcomes that improves a patient quality of life. EXPECTED OUTCOMES Cure of a specific disease Alleviation or minimization of a patient’s symptoms Impede disease progression Disease prevention GOALS Optimize the patient's health-related quality of life. Achieve positive clinical outcomes, within realistic economic expenditures.

5. 1. DEVELOPMENT, IMPLEMENTATION AND MONITORING OF DRUG THERAPY PLANS DIFFERENCE B/W CLINICAL PHARMACY AND PHARMACEUTICAL CARE

6. 1. DEVELOPMENT, IMPLEMENTATION AND MONITORING OF DRUG THERAPY PLANS PHARMACEUTICAL CARE PROCESS

7. 1. DEVELOPMENT, IMPLEMENTATION AND MONITORING OF DRUG THERAPY PLANS ESSENTIAL COMPONENTS OF PHARMACEUTICAL CARE 1. Pharmacist-patient relationship. 2. Pharmacist’s workup of drug therapy (PWDT). 3. Documentation of pharmaceutical care.

8. ESSENTIAL COMPONENTS OF PHARMACEUTICAL CARE 1. Pharmacist-patient relationship

9. 1. DEVELOPMENT, IMPLEMENTATION AND MONITORING OF DRUG THERAPY PLANS 1. PHARMACIST-PATIENT RELATIONSHIP PROFESSIONAL RELATIONSHIP MUST BE ESTABLISHED AND MAINTAINED Interaction between the pharmacist and the patient must occur to assure that a relationship based upon caring, trust, open communication, cooperation, and mutual decision making is established and maintained. In this relationship, the pharmacist maintains an appropriate attitude of caring for the patient's welfare, and uses all his/her professional knowledge and skills on the patient's behalf. In exchange, the patient agrees to supply personal information and preferences, and participate in the therapeutic plan. The pharmacist develops mechanisms to assure the patient has access to pharmaceutical care at all times.

10. 1. DEVELOPMENT, IMPLEMENTATION AND MONITORING OF DRUG THERAPY PLANS PATIENT-SPECIFIC MEDICAL INFORMATION MUST BE COLLECTED, ORGANIZED, RECORDED, AND MAINTAINED Pharmacists must collect and/or generate subjective and objective information regarding the patient's general health and activity status, past medical history, medication history, social history, diet and exercise history, history of present illness, and economic situation (financial and insured status). Since this information will form the basis for decisions regarding the development and subsequent modification of the drug therapy plan, it must be timely, accurate, and complete. Moreover, it must be organized and recorded to assure that it is readily retrievable and updated as necessary and appropriate. Patient information must be maintained in a confidential manner.

11. 1. DEVELOPMENT, IMPLEMENTATION AND MONITORING OF DRUG THERAPY PLANS PATIENT-SPECIFIC MEDICAL INFORMATION MUST BE EVALUATED AND A DRUG THERAPY PLAN DEVELOPED MUTUALLY WITH THE PATIENT Based upon a thorough understanding of the patient and his/her condition or disease and its treatment, the pharmacist must, with the patient and with the patient's other healthcare providers as necessary, develop an outcomes-oriented drug therapy plan. In designing the plan, the pharmacist must carefully consider the psycho-social aspects of the disease as well as the potential relationship between the cost and/or complexity of therapy and patient adherence. Patient must be explained i. Various pros and cons (i.e., cost, side effects, different monitoring aspects, etc.) of the options relative to drug therapy. ii. Instances where one option may be more beneficial based on the pharmacist's professional judgment.

12. 1. DEVELOPMENT, IMPLEMENTATION AND MONITORING OF DRUG THERAPY PLANS THE PHARMACIST ASSURES THAT THE PATIENT HAS ALL SUPPLIES, INFORMATION AND KNOWLEDGE NECESSARY TO CARRY OUT THE DRUG THERAPY PLAN Pharmacist providing Pharmaceutical Care must accept ultimate responsibility for assuring that his/her patient has been able to obtain, and is appropriately using, any drugs and related products or equipment called for in the drug therapy plan. The pharmacist must also assure that the patient has a thorough understanding of the disease and the therapy/medications prescribed in the plan.

13. 1. DEVELOPMENT, IMPLEMENTATION AND MONITORING OF DRUG THERAPY PLANS THE PHARMACIST REVIEWS, MONITORS, AND MODIFIES THE THERAPEUTIC PLAN AS NECESSARY AND APPROPRIATE, IN CONCERT WITH THE PATIENT AND HEALTHCARE TEAM Pharmacist is responsible for monitoring the patient's progress in achieving the specific outcomes according to strategy developed in the drug therapy plan. The pharmacist coordinates changes in the plan with the patient and the patient's other healthcare providers as necessary and appropriate Patient progress is accurately documented in the pharmacy record and communicated to the patient and to the patient's other healthcare providers as appropriate.

14. 1. DEVELOPMENT, IMPLEMENTATION AND MONITORING OF DRUG THERAPY PLANS 2. PHARMACIST WORK-UP OF DRUG THERAPY (PWDT) 3. DOCUMENTATION OF PHARMACEUTICAL CARE