TY - CHAP M1 - Book, Section TI - Celiac Disease A1 - Patel, Priti N. A1 - Mangione, Robert A. A2 - DiPiro, Joseph T. A2 - Talbert, Robert L. A2 - Yee, Gary C. A2 - Matzke, Gary R. A2 - Wells, Barbara G. A2 - Posey, L. Michael PY - 2017 T2 - Pharmacotherapy: A Pathophysiologic Approach, 10e AB - Patient Care Process for Celiac DiseaseCollectPatient characteristics (e.g., age, sex, height, weight)Patient medical history (personal and family)Social history (e.g., tobacco/ethanol use) and dietary habits including intake of gluten-containing grains (see Table 41-1)Current medications including nonprescription, herbal products, dietary supplementsObjective dataResults of diagnostic testing (HLA typing, serology, and/or biopsy)Results of testing for nutritional deficiencies (e.g., iron, folic acid, vitamin D, vitamin B12)Results of other testing (e.g., DEXA)AssessPresence of signs and symptoms of malnutrition or nutrient deficiencyAbility/willingness to follow gluten-free dietAbility/willingness to pay for treatment options [gluten-free food, dietary supplements]Emotional status (e.g., presence of anxiety, depression)Family/caregiver supportPlanPatient education (purpose of treatment, dietary and lifestyle modification)Self-monitoring for symptoms of celiac disease (intestinal and extra-intestinal)Referral to dieticianDietary supplement regimen including specific anticoagulant(s), dose, route, frequency, and durationMedication regimen including identification of gluten-free oral medicationsImplementProvide patient education regarding all elements of treatment planUse motivational interviewing and coaching strategies to maximize adherenceSchedule follow-up (e.g., adherence assessment)Follow-up: Monitor and EvaluateResolution of celiac disease symptoms (e.g., intestinal and extra-intestinal)Patient adherence to treatment planResolution of nutritional deficienciesRepeat testing as needed (serology, biopsy, laboratory tests for nutritional deficiencies, DEXA) SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/28 UR - accesspharmacy.mhmedical.com/content.aspx?aid=1154961085 ER -