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Upon completion of the chapter and exercises, the student pharmacist will be able to

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  1. Identify the members of a multidisciplinary team and define their roles, including the role of the student pharmacist.

  2. Describe three important concepts for documenting patient care.

  3. Document patient information using the subjective, objective, assessment, and plan (SOAP) format, when given a patient case.

  4. Discuss barriers to patient care as they pertain to the practice of pharmacy.

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You read online about a 26-year-old black male Gold Medal Olympic bicyclist training for his second Olympic trial, who has been hospitalized due to an accident. You remember that about a week ago he came into the pharmacy with his wife. He stated that he was experiencing a lot of itching, a burning sensation, and redness in his groin area. Symptoms started 3 days earlier and had gotten worse. He noticed that the skin was starting to flake and peel. He stated that he has had this problem before and used an over-the-counter product, but could not remember the name of the product.

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After asking several questions you had gotten the following information from the patient: he had no known medical conditions or allergies; father had high blood pressure controlled by medication and his mother had breast cancer. He stated that he does not drink alcohol or use tobacco. The only supplements he was taking were a multivitamin daily, calcium twice a day, and vitamin D once a day. He did not remember the strength but was able to point out the specific products on the shelf. You note that he is using calcium carbonate 500 mg and vitamin D 1000 IU. Patient estimated that his height is 5ft 10 in and weight is 142 lb. Blood pressure and heart rate were measured at 118/74 mm Hg and 62 bpm respectively.

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The following is what you have last documented in your pharmacy charts.

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Example SOAP Note:

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Subject: 26 y/o AA male athlete presents to pharmacy with a chief complaint of itching, redness, and burning in the groin area for the last 3 days. He also states that the skin is starting to flake and peel. He said that he has had this problem before and used an over-the-counter product but could not remember the name of the product.

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PMH: Tinea cruris

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FH: Father has hypertension, mother had breast cancer

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Soc Hx: Married, Denies tobacco and ETOH use, Olympic athlete

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Objective:

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Allergies: NKDA

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Medications: Multivitamin daily, Calcium carbonate 500mg orally twice daily; Vitamin D 1000 IU orally once daily

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VS: Ht: 5'10", Wt: 142 lb, BP: 118/74, HR: 62

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Assessment:

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Suspected Tinea cruris as evidenced by patient reports of burning, itching, flaking, peeling and redness in the groin area.

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