Role of Pharmacist in Self-Care

4 dimensions of self-care

1. self-care activities (rational use of products, lifestyle, etc.)

2. self-care behaviors (motivation)

3. self-care context

4. self-care environment

family healthcare influencer

knowledgable about OTC, educates others in family; often female, mother

describe changing demographics impacting pharmacy

more geriatric patients, growth in minority and special populations (infants, pregnant, breastfeeding)

nonprescription meds

• regulated by FDA

• deemed safe and effective w/o prescriber oversight

• low potential for abuse/misuse

held to same formulation/labeling/safety standards as prescription meds

dietary supplements

• vitamins, minerals, herbs, amino acid

• may have herb-drug interaction

• pt often don’t mention to doctor

• regulated but less tightly

• viewed by FDA as food, not drugs

complementary and integrated health therapies

homeopathic remedies— holistic, natural, individualized approach

behind the counter drugs

require pharmacist to dispense

key consideration for dispensing OTC

1. efficacy

2. safety

**take into account pt unique needs to minimize potential for harm

2 mechanisms for licensing & commercial marketing of OTC

1. NDA = New Drug Application- approval to sell specific drug product

2. Drug Monograph = approval to sell particular active ingredient within drug category

adulteration

product contains substance that may be harmful to consumers

misbranded

false/misleading labeling

how many classes of recall categories are there?

3

recall class 1

reasonable probability that use/exposure to violative product will cause serious adverse health consequence or death

recall class 2

use of/exposure may cause temporary/reversible adverse health consequences

recall class 3

use of/exposure to is not likely to cause adverse health consequences

the false belief that nonprescription meds carry little risk leads to…

lack of reporting

SDOH

Social Determinants of Health

• non-health factors that influence health outcomes

structural competence

ability to understand that disease and attitudes related to illness are related to upstream factors

why is cultural sensitivity important?

health disparities

4 diff strategies of acculturation

1. integration- blend

2. assimilation- complete switch

3. separation- reject host culture

4. marginalization- closed off sect

list barriers to self-care

• fear

• mistrust

• language

• literacy/health literacy

when gathering demographic info it is important to use __________ language

inclusive

LEARN acronym for interacting w patients

L = listen w sympathy & understanding

E = explain your perception of problem

A = acknowledge & discuss differences & similarities

R = respond

N = negotiate a mutually agreed upon treatment plan