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Introduction

The purpose of this activity is to allow students to practice their verbal communication with patients in the form of a patient interview, and then use the information collected to create an evidence-based assessment and plan. Students will then communicate this information with a provider in the form of a patient presentation.

Learning Objectives
  1. Demonstrate the ability to obtain a complete history from a patient including medical, medication, family, social, surgical, and allergy.

  2. Interview patients using open-ended questions and ask appropriate follow-up questions.

  3. Integrate all previously learned disease states and pharmacotherapy to identify and assess medical-related, patient-related, and medication-related problems.

  4. Evaluate the appropriateness of medications with consideration to indication, effectiveness, safety, and adherence.

  5. Construct a prioritized problem list based on the health and medication information collected.

  6. Create an individualized, patient-centered, evidence-based care plan with measurable goals for each medical or medication-related problem, taking into consideration health-related and patient-related needs.

  7. Create an education plan for the patient, which includes education about disease management, maintenance, and/or preventive medicine.

  8. Verbally communicate care plan with health care provider.

Foundational Knowledge Required

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

Suggested Resources
  • Assa-Eley MT, Ward CT. Communication: an overview. In: Pharmacy Student Survival Guide. 3rd ed.

  • Sherman, JJ. Counseling and motivational interviewing. In: Community and Clinical Pharmacy Services.

  • Cipolle RJ, Strand LM, Morley PC. Acquiring and applying the knowledge and clinical skills required to manage drug therapy. In: Pharmaceutical Care Practice: The Patient-Centered Approach to Medication Management. 3rd ed.

  • Dipiro JT, Yee GC, Posey LM, Haines ST, Nolin TD, Ellingrod V, eds. Pharmacotherapy: A Pathophysiologic Approach. 11th ed. McGraw-Hill; Accessed July 20, 2020. https://accesspharmacy-mhmedical-com.roseman.idm.oclc.org/content.aspx?bookid=2577&sectionid=248126979

Assignment Instructions:

This activity requires two students—one to play the role of the patient and one to play the role of the intern pharmacist.

Intern Pharmacist

Utilize the Patient Medical Chart to interview the patient using the Patient Interview Format.

Patient

Utilize the Patient Dialogue Script provided to answer questions the intern pharmacist may have during the interview portion.

Intern Pharmacist

Use the information obtained from the patient as well as the information from the Patient Medical Chart to complete an IESA Worksheet and to formulate an assessment and plan.1 Present the patient case in a subjective, objective, assessment, and plan (SOAP) Patient Presentation Format. The interview and presentation will be graded using the Patient Interview and Presentation Rubrics.

Reference

1. +
Pharmacy Quality Alliance. PQA Medication Therapy Problem Categories Framework. Accessed July 17, 2020. https://pqa.memberclicks.net/assets/Measures/PQA_MTP_Categories_Framework.pdf

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