Patient-Centered Pharmaceutical Care
and Assessment (NESA)
Patient-centred pharmaceutical care process - ASSESSMENT - answer- gather,
synthesize and interpret relevant patient information
- determine whether patient's drug-related needs are being met (NESA)
- identify, justify and prioritize DTPs
Patient-centred pharmaceutical care process - CARE PLAN - answer- identify desired
outcomes and goals of therapy
- identify, assess and justify and prioritize feasible therapeutic alternatives
- develop, justify and implement patient-specific recommendations
Patient-centred pharmaceutical care process - EVALUATION - answer- document
actual patient outcomes
- assess whether outcomes are being achieved (-> return to assessment step PRN)
Thought Process - Necessary - answer1. Describe this patient's medical
condition/diagnosis in terms of pathophysiology, signs/symptoms, causes, risk factors,
etc.
2. Describe the patient's signs/symptoms/lab values and whether they are consistent
with the medical condition
3. Explain whether any of the current medical conditions, medications or interactions
contribute to this patient's medical condition
4. Articulate the desired therapeutic outcomes for this condition. Consider: cure disease,
slow/arrest disease, prevent disease, reduce/eliminate symptoms
5. Describe the therapeutic regimens (i.e. both pharm and non-pharm) that are
recommended (i.e. commonly used) to achieve the therapeutic outcomes
6. Identify drug therapy the patient is already receiving (include dose, route of
administration, dosage form, frequency, distribution, duration and max daily dose)
7. Discuss any additional drug therapy that may be required
- consider preventative therapy, untreated therapy,
synergistic therapy
Thought Process - Effectiveness - answer1. Identify whether the drug is indicated for
the condition and describe the mechanism of action of the medication to treat condition
2. Discuss whether the drug is most effective drug to treat condition (describe more
effective alternatives if available)
3. Discuss whether drug therapy(ies) are optimal/appropriate for this patient. Consider
dose, route of administration, frequency, dosage form, duration, max daily dose
4. Discuss whether the clinical onset of action is appropriate and describe clinical
expectations of drug in achieving therapeutic outcome(s)
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