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2- Assess QUE
“The pharmacist assesses the information collected and
analyzes the clinical effects of the patient’s therapy in the
context of the patient’s overall health goals in order to
identify and prioritize problems and achieve optimal care.”
(1) medication assessment(appropriateness, effectiveness,
safety, and adherence)
(2) patient history and risk assessment (health and
functional status, risk factors, health data, cultural factors,
health literacy, and access to medications ..)
(3) preventive care assessment.(if a patient presents during
influenza season, the pharmacist should assess the
patient’s influenza immunization status.)
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3-Plan &4-Implement S&
T
• “The pharmacist develops an individualized patient-
centered care plan, in collaboration with other health care
professionals and the patient or caregiver that is
evidence-based and cost-effective.”
• Goals of therapy, medication related
problems..contraindications/ guidelines/
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