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Introduction

The purpose of this activity is to practice providing self-care to a patient in a community or retail setting. This activity will allow students to practice the entire Pharmacists’ Patient Care Process (PPCP) by collecting information from the patient using SCHOLARMAC, assessing the main problem, creating a pharmacologic and nonpharmacologic treatment plan, and implementing that plan. Upon completion of the case the instructor will lead a large-group discussion covering the key topics from the case.

Learning Objectives
  1. Apply the PPCP to clinical activities pharmacists perform in a community or retail setting.

  2. Implement the SCHOLARMAC tool to effectively interview patients in a community or retail setting.

  3. Practice using open-ended questions designed to solicit information from patients.

  4. Determine if a patient is a candidate for self-care therapy.

  5. Construct appropriate care plans including pharmacologic and nonpharmacologic self-care therapies utilizing information gathered from the patient interview.

  6. Practice providing effective counseling to patients, which includes information on medication selection, dose, administration, monitoring, expected outcomes, common adverse effects, and Clinical Pearls.

Foundational Knowledge Required

Pharmacists’ Patient Care Process, SCHOLARMAC, pharmacotherapy and disease state guidelines related to assigned disease states, use of drug information resources, patient interviewing skills, patient presentation skills.

Suggested Resources

  • Krinsky DL, Ferreri SP, Hemstreet B, et al. Handbook of Nonprescription Drugs: An Interactive Approach to Self-Care. 19th ed. Washington, DC: APhA Publications; 2018.

  • Joint Commission of Pharmacy Practitioners. Pharmacists’ Patient Care Process. May 29, 2014. https://jcpp.net/wp-content/uploads/2016/03/PatientCareProcess-with-supporting-organizations.pdf

  • Buring SM, Kirby J, Conrad WF. A structured approach for teaching students to counsel self-care patients. Am J Pharm Educ. 2007;71(1):8. doi:10.5688/aj710108

Assignment Instructions

This activity requires three students. Each student will play one role in this interaction—pharmacist, patient, or observer as detailed below.

Pharmacist

Use the Pharmacist Role document to conduct a patient interview utilizing the SCHOLARMAC tool and open-ended questions. Use the information obtained from the patient interview to determine if a patient qualifies for self-care. If he/she is not appropriate for self-care, recommend a referral to a medical provider for further evaluation. If he/she qualifies for self-care, create a care plan including both pharmacologic and nonpharmacologic self-care recommendations. Provide this information to the patient by counseling him/her on medication selection, dose, administration, monitoring, expected outcomes, common adverse effects, and Clinical Pearls.

Patient

Use the Patient Role document to provide answers to the student playing the pharmacist. Provide only the information provided in the Patient Script and only answer questions asked. After the student playing the pharmacist has provided his/her plan, follow-up questions may be asked. Example questions include, “What side effects can I expect from this medication?” or “Does this have any drug-drug interactions with my other medications?”

Observer

Use the Observer Role document to observe the patient care interaction. Specifically monitor for the thorough use of SCHOLARMAC to collect patient information, evaluation of self-care appropriateness, creation ...

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