RT Book, Section
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
SR Print(0)
ID 1154961085
T1 Celiac Disease
T2 Pharmacotherapy: A Pathophysiologic Approach, 10e
YR 2017
FD 2017
PB McGraw-Hill Education
PP New York, NY
SN 9781259587481
LK accesspharmacy.mhmedical.com/content.aspx?aid=1154961085
RD 2024/04/20
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)