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• General

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    An- Najah National University

    College of Graduate Studies

    Master of Clinical Pharmacy

    Second Semester 2012/2013

     

    Course Name :Pharmaceutical Care

    Course Num. :410431

    Instructor:Dr. Samah W. Al-Jabi

     

    Compulsory/Elective: Elective Course

    Course Credit Hours: 2

     

    Course Description :

    This course aims to enhance and develop the learners’ comprehensive skills in both hospitalized and outpatients patient’s care process that includes data collection, identification of drug related problems, care plan development and follow-up. In addition, this course involves discussions and practical sessions that improve and develop learners’ understanding and skill levels in selected areas of pharmaceutical care practice mainly in the most prevalent diseases and in medication use in special populations. 

     

    Course Objectives :

    This course will improve the effectiveness of learners in healthcare environments. The learners can design and evaluate therapeutic regimens to optimize drug use; also they can design and implement strategies that influence prescription and patient behavior to achieve optimal outcomes. In addition, they can understand and participate in problem related problems reporting and management of quality control. Documentation of pharmaceutical care practice should be optimized.

     

    Text Book:

    Cipolle RJ, Strand LM, Morley PC (2004)

    Pharmaceutical Care Practice: The Clinician's Guide, 2^nd ed. New York : Megraw-Hill

       

     

    To see the full course outline ..  Click Here

• Topic 1

  Chapter One: Components of Pharmaceutical Care Practice

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    Introduction :

    Pharmaceutical care is a patient’s centered practice in which the practitioner responsibility is oriented for patient-drug related needs. It describes specific activities and services through which an individual pharmacist cooperates with patient and other professionals in designing and monitoring a therapeutic plan that will produce specific therapeutic outcomes to the patient.

    Objectives:

    At the end of this chapter learners should be able to:

    1- žDefine, the role and function of pharmaceutical care

    2ž- Define the essential components of pharmaceutical care

    3ž- Define the clinical skills and pharmacist's roles in pharmaceutical care

    4ž- Importance of pharmaceutical care in today’s pharmacy practice

    
    

    Plan:

    1 - Study the following powerpoint slides ..

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    File

    Pharmaceutical Care Components File
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    2- Revize what you have learned using this video .. 

• Topic 2

  Chapter Two: History of the Development of The Pharmaceutical Care

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    Introduction :

    Around 1960's clinical pharmacy and pharmaceutical carre practices have been developed to move toward "patient-oriented practice“, and relatively away from chemistry and drug product orientation

    
    

    Learning Objectives:

    At the end of this chapter learners should be able to:

    - Know the development of the pharmaceutical care.

    - Identify the responsibilities for drug use control.

    ž- Define clinical skills pharmacist’s role.

    ž- Know the changing role of the pharmacist.

     

    Plan:

    1- Study the following powerpoint slides ..

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    File

    History of Pharmaceutical Care File

• Topic 3

  Chapter Three: Documentation of Pharmaceutical Care

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    Introduction :

    Documentation of pharmaceutical care is an effective recording for all decision made concerning the patient drug therapy and outcome. No documentation means you did not do it!!

    
    

    Objectives:

    At the end of this chapter learners should be able to:

    1- Know the different forms for practice documentation.

    2- Design the documentation of care provided to patients effectively using different documentation forms. 

    3- Develop an efficient patient record and to assess any wrong in documentation process. 

    
    

    Plan:

    1- Study the following powerpoint slides ..

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    File

    Documentation of Practice File
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    2- Please do the following assignment ...

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    Assignment

    Documentation Using SOAP or FARM Assignment

• Topic 4

  Chapter Four : The Practitioner’s Responsibilities 

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    Introduction :

    Pharmaceutical care practitioner provides a “Direct Patient Care”, that means the first responsibility is toward the patient and the second responsibility is to work with other health care providers. 

    
    

    Objectives:

    At the end of this chapter learners should be able to:

    1- Identify the main responsibilities of the pharmaceutical care practitioners . 

    2- Understand the main actions the practitioners should follow to reach the desired outcome. 

    
    

    Plan:

    1- Study the following powerpoint slides ..

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    File

    The Practitioner’s Responsibilities File

• Topic 5

  Chapter Five: Patient’s Medication Experience

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    Introduction:

    Patient’s medication experience is an important issue that should be performed in the patient's assessment and is one of the important variables that if succeed it will affect in providing good pharmaceutical care.

     

    Objectives:

    At the end of this chapter learners should be able to:

    1- Understand the patient’s description of the experience he has with the medications.

    2- Provide a complete record of the patient’s previous and current medications and associated medical conditions. 

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  • Plan:

    1- Study the following powerpoint slides ...

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    File

    Patient’s Medication Experience File

• Topic 6

  Chapter Six: Prescribing 

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    Introduction :

    To prescribe means to authorize by means of a written prescription the supply of medicine. Occasionally, it involves advising patients on suitable care or medication that can be bought without prescription, the act of writing a prescription after all process decisions have been taken. 

    
    

    Objectives:

    At the end of this chapter learners should be able to:

    - Assess the rational and effective prescribing.

    - Understand the systematic approach to prescribing.

    - Understand how to undertake a medication review before prescribing medicines for long term treatment. 

    
    

    Plan:

    - Study the following powerpoint slides ..

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    File

    Prescribing File

• Topic 7

  Chapter Seven: Case Study - Asthma

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    Introduction :

    Asthma is a common chronic inflammatory disease of the airways characterized by variable and recurring symptoms, reversible airflow obstruction, and bronchospasm. 

    Managing asthma properly can help lead a normal, active life. Safe and effective preventer and reliever medications for asthma can improve health.

    
    

    Objectives:

    At the end of this chapter learners should be able to:

    - Assess the rational and effective asthma prescription 

    - Design an asthma action plan and providing an individualized written instructions and patient's counseling.

    
    

    Plan:

    1- Study the following case..

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    File

    Case Study - Asthma File
  • 2- Revise the counseling to asthma patients regarding the inhalor use by referring to the following Video  

• Topic 8

  Chapter Eight: Case Study - Heart Failure

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    Introduction :

    Heart failure is a chronic disease needing lifelong management. However, with treatment, signs and symptoms of heart failure can improve and the heart sometimes becomes stronger. Treatment can help the patient live longer and reduce the chance of sudden death. Prescribers can sometimes correct heart failure by treating the underlying cause. In addition, heart failure can be improved by a combination of medications that mainly include ACEI, beta-blockers and diuretics. 

    Objectives:

    At the end of this chapter learners should be able to:

    - Assess the rational and effective heart failure managment.  

    - Design heart failure action plan and providing an individualized written instructions and patient's counseling including non-pharmacological intervention 

    
    

    Plan:

    - Study the following case..

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    File

    Case Study - Heart Failure File

• Topic 9

  Chapter Nine: Case Study - Epilepsy

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    Introduction :

    Epilepsy is a common and diverse set of chronic neurological disorders characterized by seizures. The mainstay of treatment of epilepsy is anticonvulsant medications. Often, anticonvulsant medication treatment will be lifelong and can have major effects on quality of life. The choice among anticonvulsants and their effectiveness differs by epilepsy syndrome

    Objectives:

    At the end of this chapter learners should be able to:

    - Assess the rational and effective heart failure managment.  

    - Design a plan and provide and provide an encouraging strategy to enhance patients adherence  

    
    

    Plan:

    1- Study the following case..

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    File

    Case Study -- Epilepsy File
  • 2- Learn more about what happens during seizure

• Topic 10

  Chapter Ten: Case Study - Parkinson Disorder

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    Introduction :

    Treatment for Parkinson's Disease (PD), due to its chronic nature, requires broad-based management including patient and family education, support group services, general wellness maintenance, exercise, and nutrition. At present, there is no cure for PD, but medications or surgery can provide relief from the symptoms.

    While many medications treat parkinson's, none actually reverse the effects of the disease or cure it. Furthermore, the gold standard treatment varies with the disease state. People with parkinson's therefore often must take a variety of medications to manage the disease's symptoms

    

    Objectives:

    At the end of this chapter learners should be able to:

    - Assess the rational and effective parkison managment in a patient with other illnesses. 

    
    

    Plan:

    - Study the following case..

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    File

    Parkinson Case Study File

• Topic 11

  Chapter Eleven: Patients Counseling - Cancer Disease 

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    Introduction :

    Counseling a cancer pateints assist him and his family struggling with the stress of a cancer diagnosis and treatments. Experienced and caring staff provides emotional support while helping patients and family members problem solve issues of concern, whether the issue is a new diagnosis, relapse or end of life care. Skills are taught to help with the fears and high anxiety of this difficult time.

    Objectives:

    At the end of this chapter learners should be able to:

    - Understand the main problems faced by cancer patients who are treated with anicancer agents. 

    - Design a non-pharmacological plan to help minimize these problems.   

    
    

    Plan:

    - Answer the following activity

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    Assignment

    Patients Counseling -- Cancer Assignment

• Topic 12

  Chapter Twelve: Contraindication

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    Introduction :

    This chapter provides some common proposed disease-contraindicated drug pairs. 

    Objectives:

    At the end of this chapter learners should be able to:

    - Assess the the disease condition in which certain medication is contraindicated to be used. 

    - Analyse the mechanism of these contraindication. 

    
    

    Plan:

    1- Please study the following powerpoint file 

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    File

    Contraindication File
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    2- Please participate in the following forum

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    Forum

    Why the following medications are contraindicated in their paired diseases Forum

• Topic 13

  Chapter Thirteen: Patients Counseling - Diabetic Foot 

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    Introduction :

    According to the American Diabetes Association (ADA), foot ulcers and amputations are major causes of  disability for diabetic patients. Patient education, early recognition, counseling and the management of independent risk factors for ulcers can prevent or delay the onset of adverse outcomes.
    
    The major goal of current diabetic foot care is prevention. Preventive strategies include a collaboration of patient education; prophylactic skin, foot, and nail care; and stressing the importance of protective footwear.

    Objectives:

    At the end of this chapter learners should be able to:

    - Understand the pharmacist's impact on increasing awareness and educating patients with diabetes on the importance of routine foot care and screenings.

    - Design a non-pharmacological and counseling plan to help minimize the incidence of diabetic foot, to treat it and to prevent its recurrence    

    
    

    Plan:

    - Answer the following activity

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    Assignment

    Diabetic Foot Counseling Assignment
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    - Learn more about diabetic foot managment

• Topic 14

  Chapter Fourteen: Patients Counseling - Hypertension

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    Introduction :

    All patients with diagnosed hypertension should be counseled and encouraged to make therapeutic lifestyle changes in order to lower their blood pressure. Many patients will also require antihypertensive drug therapy. Once this is initiated, most patients should return for follow-up and adjustment of medications at monthly intervals or less until the blood pressure goal is reached. More frequent visits are necessary for patients with stage 2 hypertension or with complicating comorbid conditions. Comorbidities such as heart failure, diabetes, and the need for laboratory tests influence the frequency of visits. Other cardiovascular risk factors should be monitored and treated to their respective goals. After blood pressure is at goal and stable, follow-up visits can usually be at 3- to 6-month intervals, or more often if necessary. 

    Beginning at the initial visit with a patient who has hypertension, the clinician should counsel and encourage the patient to make therapeutic lifestyle changes-such as dietary changes, increased physical activity, tobacco avoidance, and weight control-and monitor the patient's progress. Therapy begins with lifestyle modification. 

     

    Objectives:

    At the end of this chapter learners should be able to:

    - Assess the impact of counseling hypertensive patients on reducing the disease progression and complications. 

    - Design a non-pharmacological and counseling plan to control hypertension and to improve patient’s quality of life.

     

    Plan:

    - Answer the following activity 

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    Assignment

    Patients Counseling -- Hypertension Assignment

• Topic 15

  Chapter Fourteen: Patients Counseling - Post Myocardial Infarction 

  • Chapter Fourteen: Patients Counseling -- Post Myocardial Infarction 

     

    Introduction:

    In-patient education and counselling after a myocardial infarction, with or without education and counselling after discharge, is more effective than usual care for improving knowledge, mood, and satisfaction for patients and their partners, and for decreasing functional limitations.

     

    Learning Objectives:

    -  To design a non-pharmacological and counseling plan to for patients post-myocardial infarction. 

     

    Plan:

    - Answer the following activity

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    Assignment

    Patients Counseling -- Post Myocardial Infarction Assignment

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