Pharmaceutical Care Plan PWDT And FARM Notes PDF

PHARMACEUTICAL CARE PLAN PWDT AND FARM NOTES Prepared By: Dr. Shadab Kashif  Systematic Approach to Care Planning Pharmacist's Workup of Drug Therapy (PWDT)  The provision of the pharmacotherapy care plan is often centered around the process described as...

PHARMACEUTICAL CARE PLAN PWDT AND FARM NOTES Prepared By: Dr. Shadab Kashif  Systematic Approach to Care Planning Pharmacist's Workup of Drug Therapy (PWDT)  The provision of the pharmacotherapy care plan is often centered around the process described as the PWDT.  Although the forms or methods used for this process may vary, the components are essentially the same.  Pharmacist's Workup of Drug Therapy (PWDT) 1. Data collection: Collect, synthesize, and interpret relevant information such as: (a)Patient demographic data: age, sex, and race. (b)Pertinent medical information (c) Current and past medical history (d) Family history (e) Social history (f) Dietary history (e) Medication history ( prescription, OTC, social drugs and allergies) (f) Physical findings (e.g., weight, height, blood pressure, edema)  Pharmacist's Workup of Drug Therapy (PWDT) 2.Formulate a SOAP note https://youtu.be/9TZqTtbBVXc?si=Pf411Tc_Q-927EFB 3.Develop or identify the CORE Pharmacotherapy Plan C - Condition or patient need O - Outcomes desired for that condition R - Regimen selected (prescribed) to achieve that outcome E - Evaluation parameters to assess outcome achievement 3.Identify the PRIME pharmacotherapy problems or indications for pharmacist interventions. The goal is to identify actual or potential problems that could compromise the desired patient outcomes. P - Pharmaceutical - based problems R -Risks to patient I - Interactions M - Mismatch between medication and condition or patient needs. E - Efficacy issues  Pharmacist's Workup of Drug Therapy (PWDT) PRIME- pharmacotherapy Pharmaceutical problem types Assess for incorrect Dose, Route, Duration, Form, Frequency, timing Risks to Patient Assess for known contraindication patient medication allergy drug-induced problem improper utilization (i.e., risk is misused) common/serious adverse effects medication error considerations Interactions Assess for drug-drug; drug-food; drug-disease/ condition Mismatch between medication and Assess for indications/ conditions/ complaints medication used without indication indication, condition, or complaint untreated Efficacy issues Assess for suboptimal selection of pharmacotherapy for indication minimal or no evidence of therapeutic effectiveness suboptimal utilization of pharmacotherapy (taking or receiving medications incorrectly) patient preference consideration (e.g., undesirable prior experiences with medication , does not believe works) medication availability considerations compliance or administration considerations (e.g., inability to pay, unable to administer correctly or at all)  Pharmacist's Workup of Drug Therapy (PWDT) FARM Note Formulate a FARM progress note to describe and document the interventions intended or provided by the pharmacist. F - Findings: The patient-specific information that gives a basis for, or leads to, the recognition of a pharmacotherapy problem or indication for pharmacist intervention. A - Assessment: The pharmacist's evaluation of the findings, including a statement of:  Any additional information that is needed to best assess the problem in order to make recommendations.  Pharmacist's Workup of Drug Therapy (PWDT) FARM Note Examples of short-term goals include: Eliminate symptoms, Lower blood pressure (BP) to 140/90 within 6 weeks, Manage acute asthma flare-ups without requiring hospitalization. Examples of long-term goals include: Prevent recurrence, Maintain BP at less than 135/80, Prevent the progression of diabetic nerve disease.  Pharmacist's Workup of Drug Therapy (PWDT) FARM Note R- Resolution (including prevention): The intervention plan includes actual or proposed actions by pharmacists or recommendations to other healthcare professionals. The rationale for choosing a specific intervention should be stated. Intervention options may include:  Observation, reassessing, or following If no action was taken or recommended, the FARM note serves as a record of the event  Counseling or educating the patient or caregiver  Making recommendations to the prescriber  Informing the prescriber  Withholding medication or advising against use  Pharmacist's Workup of Drug Therapy (PWDT) FARM Note M - Monitoring and follow-up: The parameters and timing of follow-up monitoring to assess the efficacy, safety, and outcome of the intervention. This portion of the FARM note should include:  The parameter to be followed (e.g., pain, depressed mood, serum potassium level)  The intent of the monitoring (e.g., efficacy, toxicity, adverse event)  How the parameter will be monitored (e.g, interview patient, serum drug level, physical examination)  Pharmacist's Workup of Drug Therapy (PWDT) FARM Note  Frequency of monitoring (e.g., weekly, monthly)  Duration of monitoring (e.g., until resolved, while on an antibiotic, until resolved then monthly for one year)  Anticipated or desired finding (e.g., no pain, euglycemia, healing of lesion)  Decision point to alter therapy if outcome is not achieved (e.g., pain still present after 3 days, mild hypoglycemia more than 2 times a week)  CONCLUSION FARM/SOAP Notes are important tools for Pharm D students and clinical pharmacists to access the patient’s record at a glance for efficient pharmaceutical care. They serve as a useful tool for maintaining a permanent record of medication and drug therapy rationale.