UNIVERSITY OF RWANDADEPARTMENT OF PHARMACY

PHARMACY 4 APPLIED THERAPEUTICS

By JEAN CLAUDE NIYIBIZI

What is the purpose of patient case presentation

Importance of presenting patient’s demographics, medication history and past

medical history in pharmaceutical care practice

Topic

What is Patient case presentation: is a formal communication between health care professionals regarding a patient’s clinical information.Includes: Demographic information, past medical history, current medical history, cause of success and failure treatment…..,

INTRODUCTION

Patient cases are presented to colleagues on a daily basis, for three primary reasons. Practitioner needs another to assume responsibility for

a patient when leaving a shift, taking a vacation, or sharing responsibilities.

A practitioner needs advice from a colleague concerning the care of a patient.

Most frequently in the case of student practitioners, to present patient cases to a mentor/practitioner when learning to care for patients.

The case presentation in pharmaceutical care practice is structured to present patient information for the purpose of identifying, resolving, and preventing drug therapy problems.

PURPOSE OF PATIENT CASE PRESENTATION IN PHARMACEUTICAL CARE

Allows to access patient information, Disease information, Drug information

To determine patient drug related needs( which is appropriate, effective, safe and convenient for the patient

Establish goals therapy and treatment alternatives make decisions and recommendations they are able to

defend.

Height and body weight : help to calculate total body surface area(BSA) which help to obtain appropriate dose for the patient.

Race: Help in dose adjustment Age: Help to chose appropriate dosage form, also dose

adjustment, help to differentiate diseases. Gender: Avoidance of irrational medicine use like

pregnancy, breast feeding patient, under contraceptive pill.

Importance Of Presenting’s Demographics Information(age, Gender, Race ,Height And Weight).

Prevent drug-drug interaction and adverse drug events(ADEs) to previously taken drug therapy.

Asses the effect of past medication and help to change new medicine if didn’t work out.

prevent drug therapy problems e;g unnecessary drug therapy

Help to make convenient dosage regimen considering also the current medication.

Importance of presenting medication history (past, current medication , immunization status)

patient's past medical history help to suggest a risk factor , contraindication to drug therapy in these situation: serious illnesses, surgical procedures, accidents and injuries, pregnancies, deliveries, and complications to any medical treatments.

Current medical history to avoid drug-disease interaction , dose adjustment, resolve complexity of regimen.

Importance of presenting medical history

Book:Pharmaceutical Care Practice The Clinician's Guidewww.pharmaceutical-journal.comwww.ihpharmacy.com/case-presentationwww.mun.ca/pharmacyLecturer’s notes

References