Review of Self-Care Principles

common self-care therapeutics areas

-cough and cold

-allergies

-GI complaints

-Dermatologic conditions

-Dietary supplements

-Smoking cessation

self care defined by the global self-care federation

The practice of individuals looking after their own health using the knowledge and information available to them. It is a decision-making process that empowers individuals to look after their own health efficiently and conveniently, in collaboration with health and social care professionals as needed

self-care defined by WHO

The ability of individuals, families, and communities to promote, maintain health, prevent disease and to cope with illness with or without the support of a health care provider

90%

What % of physicians and consumers believe non rx meds are important to health care?

93%

What % of consumers prefer to self-treat before seeking medical attention?

minor

90% of providers recommend self-care for ________ ailments before seeking medical care

60%

What % of the pharmaceutical volume is non rx (OTC) meds?

self-care continuum

- Healthy Living

- Minor Ailments

- Long-term Conditions

- In-Hospital Treatment

pure self care (individual responsible)

-daily choices

-lifestyle

-self-managed ailments

-minor ailments

pure medical care (professional responsible)

-long term conditions

-acute conditions

-compulsory psychiatric care

-major trauma

macros

policy and culture

meso

-patient centered (resource utilization)

-individual/social network focused (motivation, activation and change)

micro

patient centered (individual capacities and capabilities)

1) knowledge and health literacy

2) mental well-being and self-awareness and agency

3) physical activity

4) healthy eating

5) risk avoidance

6) good hygiene

7) rational use of products and services

What are the 7 pillars of self care?

seven pillars of self care

illustrate the broad scope of self care, as defined by the international self-care foundation

health literacy

-understanding health info

-ability to make appropriate decisions

self awareness

-engaging in health screening

-"know your numbers"

physical activity

staying active

healthy eating

-nutritious, balanced diet

-aware of caloric intake

risk avoidance or mitigation

-tobacco cessation

-avoiding/limiting alcohol

-vaccination

good hygiene

-brushing teeth and bathing

-washing hands

rationale and responsible use of products

-awareness of dangers

-reviewing safety precautions

role of the pharmacist in self care

-assess if candidate

-product selection

-therapeutic lifestyle changes (TLC)

asses if candidate

-appropriate for self care?

-referral needed?

product selection

-Efficacy for reported symptoms

-Safety

• Dosing/administration

• Potential drug-drug or drug-disease interactions

• Counseling on potential side effects

• Special populations

Collect

Assess

Plan

Implement

Follow-Up

What is the PPCP wheel?

Collect

• Subjective patient interview; objective, as needed

• SCHOLAR-MAC

Assess

candidate for self care?

plan

• Lifestyle modification

• Pharmacologic recommendation

implement

• How to use product and what to expect (how long to get better)

• Potential side effect counseling

Follow-Up

• When to seek medical attention (include timelines)

• Who to follow-up with (i.e., pharmacist, provider, ER)

S-symptoms

C-characteristics

H-history

O-onset

L-location

A-aggravating factors

R-remitting factors

SCHOLAR:

M-meds

A-allergies

C-conditions

MAC:

general exclusions for self-care

-persistent or prolonged symptoms

-CI to therapy

-health condition or status

-no qualifying indication

-previous self-tx ineffective

Pediatrics, Geriatrics, and Preg/Breastfeeding

What are the special populations u need to consider for self-care exclusions?

Pediatrics

• Confirm age + weight

• Assess exclusions for self-care

• Consider dosage forms

• Counsel both the child and caregiver

Geritrics

• May require more detailed collection of med list + PMH

• Consider sensory impairments

• Dose adjustments?

Pregnancy and Breastfeeding

• Ask status in ALL females of child-bearing age

• If pregnant, confirm trimester

• Consider safety in lactation (LactMed)