phrm 818 ppcp

what are the 5 components of ppcp?

• collect

• assess

• plan

• implement

• follow up: monitor & evaluate

what subjective information is important to collect to begin to develop a process for organizing collected information ?

• chief complaint (cc)

• past medical history (pmh)

• history of present illness (hpi)

• lifestyle & habits

• health & functional goals

• preferences & beliefs 

• socioeconomic factors

what objective information is important to collect to begin to develop a process for organizing collected information ?

• vital signs

• pe findings 

• labs results 

• ( anything that is not coming from the pt)

what are key aspects used to analyze collected information to identify drug therapy problems and prioritize identified problems?

• indication: is each drug necessary ?

• effectiveness: is the drug achieving desirable goal ? 

• safety: is the drug causing adverse effects or risks? 

• adherence: is the pt taking the med & are they taking it correctly? 

• prioritize DTPs by clinical severity and urgency

why is it important to have a complete and accurate assessment?

• Parameter: what is being improved (e.g., BP, A1C).

• Value/Target: specific measurable outcome.

• Timeframe: when to achieve it.

• Patient-centered wording: 

  • example : reduce BP to <130/80 mmHg within 60 days

what are necessary components to create a goal of therapy?

• each indication is addressed

• evaluate both efficacy & safety

• include the pt & other practitioners

• realistic to pt’s present & potential capabilities

• include a time frame for achievement

what is appropiate type of documentation for a pt specific plan? 

• soap notes

• progress notes

• sbar notes

what are factors that determine the appropriate timeframe to schedule for a pt follow up?

• clinical decision based on most likely time for benefit or side effects

• balance of long enough to see effects vs too long & overlooking problems

• related to meds:

  • onset of action

  • time to max. effect

  • likely side effects and timing

• use whichever is likely to occur sooner (benefit or adverse affects)

• but when in doubt.. follow up early