Clin pharm 2

• Medication Therapy Management 


  Use to describe wide array of health services provided by pharmacist
• Medication Therapy Management

  It is provided to get the BEST benefit from their medication by managing drug therapy through: • Identification • Prevention • Resolution of medication related problems
• The goal of creation MTM is to achieve best possible health outcomes with the use of medication
• 5 Core Elements of MTM

  1. Medication Therapy Review (MTR) 2. Personal Medication Record (PMR) 3. Medication-related action plan (MAP) 4. Intervention &/or referral 5. Documentation & Follow-up
• Who will benefit from MTM?

  • Polypharmacy
  • Patients with several health conditions
  • Those who have been hospitalized
  • Those obtain medications from more than one pharmacy
• Pharmacotherapy consults


  services rendered by a specially trained pharmacist (or a certified pharmacotherapist) to achieving the patients desired therapeutic goals promoting safety, appropriate and cost-effective medications
• Disease Management coach/support


  where pharmacist would promote drug and non-drug therapy including lifestyle modification associated with the patients disease (esp for chronic diseases) , resulting to reduced healthcare cost and improved quality of life. E.g. Diabetes ten city challenge program
• Pharmacogenomics application


  pharmacists play a role in the interpretation and application of a patient’s genetic information to optimize a patient’s response to medication therapy.
• Pharmacogenomics application


  Patient-specific treatments will be based on genetic markers, predicting patients’ response to therapy, dosing medications based on genetic test results, predicting which patients will experience adverse reaction to selected therapies, and making informed recommendations to prescribers on the best treatments for that individual patient, to maximize effectiveness
• Anticoagulation Management-


  pharmacists work with educating many different types of patients, on therapies like warfarin for atrial fibrillation. Teach high risk stroke patients on the importance of oral anticoagulation adherence and attaining routine blood tests.
• Medication safety surveillance


  pharmacists would report medication error and adverse event. Collection of data and identification of medication safety on an expanded scale, pharmacists are ensuring medication-related safety
• Health, Wellness and Public Health


  services include screening programs for common disease states like asthma, diabetes cardiovascular disease, nutritional planning, weight loss and smoking cessation counseling.
• Immunization


  under the new Philippine Pharmacy Law (R.A. 10918) has empowered community pharmacists by providing immunization services for routine vaccination among adults. The Philippine FDA, in collaboration with the Philippine Pharmacists Association, seeks to provide sufficient training for pharmacists in the safe and effective administration of biological preparations
• Other Clinical services


  medication therapy management for employee health services & screening, travel medicine, nuclear pharmacy, veterinary pharmacy, nutrition and many others.