Pharmaceutical care planning is a formalization of the activities that clinical pharmacists have been performing for many years. It was originally framed by Dr. Linda M. Strand and her colleagues at the University of Minnesota in the early 1990's.
Pharmaceutical care planning is a systematic, comprehensive process with three primary functions:
The pharmaceutical care plan is a written, individualized, comprehensive medication therapy plan based on clearly defined therapeutic goals. The pharmaceutical care plan, which is available to all pharmacists caring for a patient, is updated with each major change in patient status. It is important that the physician be informed about the care plan to ensure common goals. Patients should also be informed about the general content of the care plan as means of gaining their agreement regarding drug therapy.
The first step in the care planning process is the creation of a comprehensive patient database, which includes at minimum, the following information:
Following the creation of a comprehensive patient database, the pharmacist should evaluate the patient's drug therapy:
An understanding of the types of drug-related problems that may occur facilitates the evaluation process. Most drug-related problems are the result of:
Next, therapeutic goals must be established for each drug-related problem so that the pharmaceutical care planning process can be effective. Therapeutic goals should be definite, realistic and, if possible, measurable. Most therapeutic goals relate to:
Finally, monitoring parameters must be specified so that the patient's progress can be followed. Monitoring parameters must also include potential adverse effects. Determine desired end points for each parameter and the frequency of monitoring.
The pharmacist evaluates and documents the patient's progress in achieving the desired therapeutic goals and avoidance of potential adverse effects. The pharmaceutical care plan is updated with each major change in patient status.
In summary, the general steps involved in creating a pharmaceutical care plan are:
The care plan function in Kinetics© is basically just a skeleton that you can expand on because plans will differ depending on the practice setting in which the program is being used. Acute care, home care and long term care all have different monitoring parameters and schedules.
The default care plan for a drug can be changed on the Edit drug model function which is accessed via the drop down menu tree or by the keyboard shortcut Ctl+E. The care plan field is free form text entry, you can enter anything you like in this field.
Click here to return to previous page
This page was last modified on December 29 2012
©Copyright 1984 - 2018, All rights reserved.
RxKinetics, Plattsburg, MO 64477
This is a Norton safe site