[CLINPHARM-PRE-02] ASSESSMENT METHODS/TOOLS

THIS FLASH CARDS IS ABOUT [CLINPHARM] ASSESSMENT METHOD/TOOLS.

• SOAP

• FARM

• PRIME

• CORE

What are the four (4) Assessment Methods/Tools?

• Subjective

• Objective

• Assessment

• Plans

SOAP stands for?

SOAP

What is the most standardized assessment tool?

Chief Complaint

SOAP is focused on?

Subjective

SOAP:

Patient info from the patients themselves.

• Age

• Gender

• Occupation

• Race/Ethnicity

In Subjective (SOAP), what are the four (4) demographics?

Objective

SOAP:

Subjective but focuses more on the values/numerical data.

Height, Weight, Laboratory Results

Assessment

SOAP:

Defines the diagnosis (from subjective and objective).

“Why put it as the diagnosis?”
Justification of the diagnosis.

Plans

SOAP:

Provides pharmaceutical and non-pharmaceutical intervention.

Pharmaceutical: Therapeutic medication

Non-pharmaceutical: Lifestyle modification

• Also includes recommendations/refer and follow-up visits.

• Pharmaceutical

• Non-pharmaceutical

In Plans (SOAP), what interventions does it provide (2)?

FARM

This assessment method/tools is also known as the alternate pharmacist progress notes.

• Findings

• Assessment

• Recommendation

• Monitoring

FARM stands for?

Pharmacist-based

FARM should always be?

Medication

FARM focuses on the?

Findings

FARM:

Identify the conditions (chief complaint).

Assessment

FARM:

Based on the findings/write the diagnosis.

“Why did it happen to the patient?”

Recommendation

FARM:

Focuses on the patients’ other symptoms not just the chief complaint.

Gives pharmaceutical intervention.

Monitoring

FARM:

Checks the efficacy of the therapeutic medication.

Ex. Captopril (manages HTN) → Losartan (x coughing, x chief complaint)

“Is it efficient”

Pharmacist

FARM is anything observed by the?

PRIME

This assessment methods/tools is disease-focused.

• Pharmaceutical

• Risks

• Interactions

• Mismatch

• Efficacy

PRIME stands for?

Completely remove the patient’s condition

What is the main goal of PRIME?

• Myxedema (moon-faced)

• Bulging of the eyes

• Fast metabolism (sympathetic activity; fight-or-flight)

What are the symptoms of hyperthyroidism (3)?

• Free T₄ (thyroxine)

• Free T₃ (triiodothyronine)

In hyperthyroidism, bulging of the eyes is caused by the excessive excretion of the?

Methimazole

This DOC for hyperthyroidism helps lower the T₄T₃.

Levothyroxine

This DOC is for hypothyroidism but can also be used for hyperthyroidism in specific situations.

Thyroperoxidase

Also known as thyroid peroxidase, is an enzyme found in the follicular cells of the thyroid gland. It is essential for the production of thyroid hormones (T3 and T4).

Pharmaceutical

PRIME:

Findings by the physician.

Focuses on patient and current medications.

Findings based on pharmaceutical evidences.

Risks

PRIME:

Asks question like “will it affect the patient?”

Interactions

PRIME:

Focuses more on drug-body or drug-drug interactions.

More on disease.

“How will the disease react to the medication?”

Iodine

Amiodarone has high ____ content.

Info

Iodine is the essential substrate (raw material) that thyroid peroxidase (TPO) uses to produce thyroid hormones. TPO itself is an enzyme—it does not make iodine, but it uses iodine to synthesize T3 and T4

Mismatch

PRIME:

Check if the medication is appropriate for the condition.

Examples:

• Paracetamol → colds (mismatch)

• Levothyroxine → hyperthyroidism (increases T₄T₃ levels)

• Salmeterol → asthma attack

Salmeterol

This drug is a long-acting beta-agonist (LABA); for COPD emphysema.

• Prolonged symptom control.

Info

Salmeterol should not be given during asthma attacks because it is a long-acting beta agonist (LABA); prolonged symptom control.

Albuterol

This drug is a short-acting beta-agonist (SABA); for asthma attacks.

Efficacy

PRIME:

Measures the efficiency of the drugs through monitoring.

CORE

This assessment method/tools is patient-centered.

Holistic Treatment

CORE:

Focuses on ______ treatment of the patient’s specific needs.

• Condition

• Outcome

• Regiment

• Evaluation

CORE stands for?

Condition

CORE:

Find the condition (ex. HTN).

Outcome

CORE:

“What would be the goal?”

Goals → Patient (ex. fatigue);

The goal is to provide comfort to the patient and eliminate the chief-complaint (fatigue).

Regimen

CORE:

Patient-centered care (ex. HTN → complain: fatigue)

Suggest: Losartan 100mg → Patient doesn’t want it, they want Lola Remedios. Pharmacists can’t do anything about it because patient’s preference comes first.

Evaluation

CORE:

“Did the regimen achieved the goal?”

“Is the patient satisfied"?”