How effective is pharmacist intervention in the managed care setting?
Nov 14, 2021 · This should include pharmacology but not be limited to pharmacology. • Explain how the treatment regime (including pharmacology) may impact a client’s lifestyle. Consider things such as finances, ease or complexity of administration, instructions (frequency, duration), et cetera. • Describe how a nurse should monitor a client being ...
What is the role of the pharmacist in reviewing new drug technologies?
Sep 19, 2021 · Describe how a treatment regime, including pharmacology, may impact all aspects of a clients lifestyle. Describe how a nurse should monitor a client following a prescribed treatment regime, including pharmacology, in order to obtain a quality patient outcome and identify specific warning signs that may require intervention.
How does duration of treatment period affect patient compliance?
The primary purpose of methadone treatment is to intervene directly in the physiological processes that underlie addiction. Ideally, such treatment is supported by additional psychological and behavioral therapies. To understand why methadone treatment works, it is important to understand the physiological basis of heroin addiction. Addiction to opiates …
Which ethics guidelines are relevant to the practice of Pharmacy?
It has been estimated that 25% of hospital admissions in Australia, and 33%–69% of medication-related hospital admissions in the USA were due to non-compliance with treatment regimens (Sanson-Fisher et al 1992; Osterberg and Blaschke 2005). Additionally, besides direct financial impact, therapeutic non-compliance would have indirect cost implications due to the loss of …
What is practice guidelines?
Practice guidelines refer to statements that suggest or recommend general principles of optimal behavior or conduct for psychologists. Guidelines differ from standards in that standards are mandatory and may be accompanied by an enforcement mechanism. Guidelines are instead aspirational in intent.
What is prescriptive authority?
Psychologists with prescriptive authority update the patient's primary medical caregiver of the pharmaceutical treatment plan as appropriate. The psychologist with prescriptive authority is also encouraged to establish policies to prevent confusion or redundancy in roles played or the medications prescribed.
What can a pharmacist do to help patients?
Pharmacists can also provide outreach to patients who are currently utilizing costly medications to provide appropriate alternatives, such as interchangeable generics or a comparable drug within the same class, or advise on elimination of redundant drug therapy .
What is the role of a pharmacist in public health?
The role of the pharmacist in public health has been transforming and expanding in recent years. For example, in many states, including Massachusetts, pharmacists can become certified to provide injections such vaccinations and long-acting antipsychotics without the appointment and trip to the doctor’s office.
What is managed care pharmacist?
Managed care pharmacists have the ability to assess and compare clinical consensus guidelines and drug-therapy recommendations, review data from clinical trials, and evaluate economic impact to develop appropriate treatment algorithms and frequently used formulary management tools, such as step therapy and prior authorization requirements.
How many people live within 5 miles of a pharmacy?
However, with nearly nine in 10 Americans living within five miles of a community pharmacy, and four in five receiving prescription benefits through a pharmacy benefit manager (PBM), the role of the pharmacist in orchestrating a patient’s care on the front lines is often overlooked. 1,2.
What is the implementation phase of nursing?
In the implementation phase, the nurse intervenes on behalf of the patient to address specific patient problems and needs. This is done through independent nursing actions; collaborative activities such as physical therapy, occupational therapy, and music therapy; and implementation of medical orders.
What is the nursing process?
The nursing process is a well-established, research-supported framework for professional nursing practice. It is a flexible, adaptable, and adjustable five-step process consisting of assessment, nursing diagnoses, planning (including establishment of goals and outcome criteria ), implementation (including patient education), and evaluation. As such, the nursing process ensures the delivery of thorough, individualized, and quality nursing care to patients, regardless of age, gender, medical diagnosis, or setting. Through use of the nursing process combined with knowledge and skills, the professional nurse will be able to develop effective solutions to meet patient’s needs. The nursing process is usually discussed in nursing courses and/or textbooks that deal with the fundamentals of nursing practice, nursing theory, physical assessment, adult or pediatric nursing, and other nursing specialty areas. However, because of the importance of the nursing process in the care of patients, the process in all of its five phases is described in each chapter as it relates to specific drug groups or classifications.
What is the purpose of a nursing evaluation?
Evaluation is the part of the nursing process that includes monitoring whether patient goals and outcome criteria related to the nursing diagnoses are met. Monitoring includes observing for therapeutic effects of drug treatment as well as for adverse effects and toxicity. Many indicators are used to monitor these aspects of drug therapy as well as the results of appropriately related nonpharmacologic interventions. If the goals and outcome criteria are met, the nursing care plan may or may not be revised to include new nursing diagnoses; such changes are made only if appropriate. If goals and outcome criteria are not met, revisions are made to the entire nursing care plan with further evaluation.
What is a nursing diagnosis?
Nursing diagnoses are the result of critical thinking, creativity, and accurate collection of data regarding the patient as well as the drug.
What is NANDA in nursing?
The North American Nursing Diagnosis Association International (NANDA-I) (formerly NANDA) fulfills the following roles: (1) increases the visibility of nursing’s contribution to patient care, (2) develops, refines, and classifies information and phenomena related to professional nursing practice, (3) provides a working organization for the development of evidence-based nursing diagnoses, and (4) supports the improvement of quality nursing care through evidence-based practice and access to a global network of professional nurses. In 1987, NANDA and the American Nurses Association endorsed a framework for establishing nursing diagnoses, and in 1990 Nursing Diagnoses became the official journal of NANDA. In 2001 and 2003, NANDA modified and updated the listing of nursing diagnoses, but nursing diagnoses continued to be submitted for consideration by the Ad Hoc Research Committee of NANDA. This period resulted in changes such as replacement of the phrase potential for with risk for. The terms impaired, deficient, ineffective, decreased, increased, and imbalanced replaced the outdated terms altered and alteration, although the outdated terms may still be in use. In 2002, NANDA changed its name to NANDA-I (“I” for international) to reflect the organization’s global reach. In 2007-2008, there were 188 nursing diagnoses (up from 172) with changes to defining characteristics and related or risk factors. There were also some 15 newly approved nursing diagnoses. More changes occurred in the 2009-2011 version of NANDA-I’s Nursing Diagnoses: Definitions and Classifications, with 21 new, 9 revised, and 6 retired nursing diagnoses. Most current is the 2012-2014 NANDA-I Approved Nursing Diagnoses. There are 23 new, 33 revised, and 2 retired nursing diagnoses. Other changes are discussed in the 2012-2014 NANDA-I Nursing Diagnoses: Definitions and Classifications.
What is objective data?
Objective Data. Objective data include information available through the senses, such as what is seen, felt, heard, and smelled. Among the sources of data are the chart, laboratory test results, reports of diagnostic procedures, physical assessment, and examination findings.
What are some examples of data?
Examples of specific data are age, height, weight, allergies, medication profile, and health history.
How to achieve cultural competency in medicine?
Awareness is the first step to achieving cultural competency in your practice. Doctors need to realize that they also bring their own cultural context to patient relationships, even if they don’t realize it. For example, in modern medicine, sometimes the focus can be more on the disease than the person with the illness.
How does culture affect health?
Arthur Kleinman, professor of medical anthropology and psychiatry at Harvard Medical School, in the New York Times article, “Bridging the Culture Gap.” “It affects health disparities, communication and interactions in the doctor-patient relationship, the illness experience, and health care outcomes.”
How much did the Hispanic population grow in 2010?
According to the most recent census data, the Hispanic population grew by 43 percent between 2000 and 2010, as did the the Asian population, which increased faster than any other major race group during that time. Religious diversity is increasing as well.