SubjectsSubjects(version: 964)
Course, academic year 2024/2025
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Pharmaceutical Care II - GAF348
Title: Pharmaceutical Care II
Guaranteed by: Department of Social and Clinical Pharmacy (16-16220)
Faculty: Faculty of Pharmacy in Hradec Králové
Actual: from 2024
Semester: summer
Points: 0
E-Credits: 8
Examination process: summer s.:oral
Hours per week, examination: summer s.:48/52, C+Ex [HS]
Capacity: unknown / unknown (unknown)
Min. number of students: unlimited
4EU+: no
Virtual mobility / capacity: no
Key competences:  
State of the course: taught
Language: English
Teaching methods: full-time
Level:  
Note: deregister from the exam date if a requisite was not fulfilled
Guarantor: doc. PharmDr. Josef Malý, Ph.D.
Comes under: 4.ročník 2023/24 Pharmacy (ENG)
4.ročník 2024/25 Pharmacy (EN19)
Co-requisite : GAF345, GAF347
Incompatibility : GAF312
Interchangeability : GAF312
Is pre-requisite for: GAF363
Is interchangeable with: GAF312
Annotation -
The pharmaceutical care is based on an individual approach to the patient, it is focused on patient´s pharmacotherapy and the management of drug-related problems. The fundamental idea of the subject is to acquire knowledge and skills which stimulate the promotion of the effective, safe, and cost-effective pharmacotherapy. The aim is to learn how to use principles and tools of pharmaceutical care in specific nosology units, symptoms, and various groups of patients and thus contribute to the individualization of the therapy in order to optimize health outcomes related to pharmacotherapy. Students are learned how to coordinate patient´s self-medication and its risks arising from, how to maximize the effect of the therapy and minimize its risks and search for the possibilities of rational management of medication non-adherence and other drug-related problems. Additionally, practical exercises are focused on correct use of application and self-monitoring aids, simple or complex drug forms, and simple diagnostic tests. Interactive seminars are focused on examples from clinical practice and training of individual pharmaceutical care algorithms. Training of dispensing activity takes place in a pharmacy simulator and the audio-video technology is used.
Last update: Malý Josef, doc. PharmDr., Ph.D. (16.02.2023)
Course completion requirements -

Conditions of credit:

  • 100% attendance at seminars, practical exercises, practical trainings with patient.
  • Exam of use of application and self-monitoring aids and drug forms of medical products.
  • Credit test.
Last update: Malý Josef, doc. PharmDr., Ph.D. (16.02.2023)
Literature -

Recommended:

  • Pharmaceutical Care Network Europe
  • Rutter, Paul. Community pharmacy : symptoms, diagnosis, and treatment. Edinburgh ; New York: Churchill Livingstone, 2009, 337 s. ISBN 978-0-7020-2995-0.
  • Rovers, John P. Currie, Jay D.. A practical guide to pharmaceutical care : a clinical skills primer. Washington, DC: American Pharmacists Association, 2007, 259 s. ISBN 978-1-58212-104-8.
  • Walker, Roger Whittlesea, Cate (eds.). Clinical pharmacy and therapeutics. Edinburgh ; New York: Churchill Livingstone, 2012, s. ISBN 978-0-443-10286-8.

Last update: prepocet_literatura.php (19.09.2024)
Teaching methods -

Lectures, interactive seminars, practical exercises, practical trainings with patient.

Last update: Malý Josef, doc. PharmDr., Ph.D. (16.02.2023)
Requirements to the exam -

Examination areas

  1. Pharmaceutical Care – definition, barriers, medical patient records, pharmaceutical care abroad.
  2. Drug-related problems and review of pharmacotherapy. Algorithms for pharmaceutical care.
  3. The importance of patient data to maximize the effect and minimise the risks during pharmaceutical care.
  4. The importance of self-medication in pharmaceutical care – risks, benefits and effectiveness. General self-medication algorithm (including risks of the 1st and 3rd orders).
  5. Information resources in pharmacy practice, including examples, and providing individual consultations in the pharmacy.
  6. Pharmaceutical care options in patients with acute myocardial infarction (pre-hospital care and secondary prevention).
  7. Pharmaceutical care options in the primary and secondary prevention of diseases associated with atherosclerosis (outside of acute myocardial infarction).
  8. Pharmaceutical care options in patients with arterial hypertension.
  9. Pharmaceutical care options in patients with anticoagulant therapy.
  10. Pharmaceutical care options in patients with type 2 diabetes mellitus.
  11. Pharmaceutical care options in patients with type type 1 diabetes mellitus and patients with complications of diabetes mellitus.
  12. Pharmaceutical care options in patients with COPD.
  13. Pharmaceutical care options in patients with asthma bronchiale.
  14. Pharmaceutical care options in patients with allergic diseases (allergic rhinitis and eye and skin problems associated with allergic reactions), including self-medication.
  15. Pharmaceutical care options for headaches and migraine, including self-medication.
  16. Pharmaceutical care options in joint, muscle and other pains of musculoskeletal origin such as osteoarthritis, including self-medication.
  17. Pharmaceutical care options in patients with rheumatoid arthritis.
  18. Pharmaceutical care options in patients with gout arthritis, including self-medication.
  19. Pharmaceutical care options for patients with opioid analgesics.
  20. Pharmaceutical care options in the anti-infectious treatment of respiratory infections (including viral).
  21. Pharmaceutical care options in patients with infections of the urogenital tract, including self-medication.
  22. Pharmaceutical care options in fungal infections (vaginal, cutaneous) and hemorrhoids, including self-medication.
  23. Pharmaceutical care options in the prevention of infectious diseases and vaccinations.
  24. Pharmaceutical care options in travel medicine, including vaccination and antimalarical prophylaxis.
  25. Possibilities of self-medication in cold, rhinitis, sore throat, flu, and cough.
  26. Pharmaceutical care options in dyspepsia, including self-medication.
  27. Pharmaceutical care options in constipation and diarrhea, including self-medication.
  28. Pharmaceutical care options in insomnia, including self-medication.
  29. Pharmaceutical care options in anxiety and depression, including self-medication.
  30. Pharmaceutical care options in neurological diseases (dementia, Parkinson's disease, epilepsy).
  31. Differences in pharmaceutical care in pregnant and breast-feeding women, including self-medication. Prevention of conception.
  32. Pharmaceutical care options in patients with osteoporosis and in menopausal women, including self-medication.
  33. Pharmaceutical care options in pediatric patients (acute infectious diseases, diarrhea, dermatosis), including self-medication.
  34. Pharmaceutical care options in the elderly, including self-medication.
  35. Pharmaceutical care options in patients with obesity and overweight, including self-medication.
  36. Pharmaceutical care options in patients with symptoms of lower urinary tract, erectile dysfunction or incontinence, including self-medication.
  37. The importance of monitoring prior to diagnosis (e.g. detection of asymptomatic diseases) and after diagnosis as a part of maximizing the effect of therapy. Three different types of monitoring including interpretation of values, sensitivity and accuracy should be stated.
  38. Pharmaceutical care options in patients not yet diagnosed for cardiovascular disease or diabetes mellitus (primary prevention and screening).
  39. Pharmaceutical care options in patients not yet diagnosed for bronchial asthma, benign prostatic hyperplasia, peptic ulcer. The symptoms that may occur and their possible solution by self-medication.
  40. Pharmaceutical care options in patients not yet diagnosed for COPD, osteoporosis and endogenous depression. The symptoms that may occur and their possible solution by self-medication.
  41. Pharmaceutical care options in patients with symptoms such as dyspepsia and edema (one or both legs). Possible causes (incl. drug) of these symptoms and the groups of patients for whom these symptoms are risky.
  42. Pharmaceutical care options in patients with symptoms such as cough, weight change and eye problems. Possible causes (incl. drug) of these symptoms and the groups of patients for whom these symptoms are risky.
  43. Pharmaceutical care options at risk of drug interaction related to anticoagulants and antidepressants.
  44. Pharmaceutical care options at risk of drug interactions related to antibiotics and antimycotics.
  45. Pharmaceutical care options at risk of drug interactions related to cardiovascular drugs and hypolipidemics.
  46. Pharmaceutical care options at risk of drug interactions related to antiplatelets and analgesics.
  47. Possibilities of maximizing the effect and minimizing the risks of pharmacotherapy with appropriate fluid intake and dietary strategies.
  48. Possibilities of maximizing the effect and minimizing the risks by managing medication non-adherence.
  49. Pharmaceutical care options in smoking cessation, alcohol and drug abuse.
Last update: Malý Josef, doc. PharmDr., Ph.D. (19.02.2023)
Syllabus -

Lectures

  • Pharmaceutical care in patients with gastrointestinal diseases.
  • Pharmaceutical care in infectious diseases I.

  • Pharmaceutical care in infectious diseases II.

  • Pharmaceutical care in patient with pain I.

  • Pharmaceutical care in patient with pain II.

  • Pharmaceutical care in patients with drug-drug interactions I.

  • Pharmaceutical care in patients with drug-drug interactions II.

  • Pharmaceutical care in bronchial asthma, COPD, allergic rhinitis.

  • Pharmaceutical care in diabetes mellitus.

  • Pharmaceutical care in the elderly.

  • Pharmaceutical care in cardiovascular diseases.

  • Influence of food, drinks and nutrition supplements on pharmacotherapy (drug-food interaction)

  • Prevention of infectious diseases, vaccinations, travels medicine in pharmaceutical practise.

  • Medication adherence.

  • Pharmaceutical care in osteoporosis and menopause.

  • Pharmaceutical care in urology.

  • Pharmaceutical care in pregnancy and breast-feeding.

  • Pharmaceutical care in pediatrics.

  • Pharmaceutical care in dermatology.

  • Pharmaceutical care in homeopathy.
  • Pharmaceutical care in insomnia, anxiety and depression.

  • Pharmaceutical care in patients with neurologic diseases.

  • Management of drug and alcohol abuses, addictological care in pharmacy.

Practical exercises

  • Correct administration of inhalation drugs and insulin and its importance in pharmaceutical care.
  • Correct monitoring of glycaemia, peak flow rate and its importance in pharmaceutical care.

  • Correct administration of the other drug forms and simple diagnostic tests.

Seminars

  • Possibilities of self-medication in patients with gastrointestinal diseases.
  • Self-medication in fever, colds, rhinitis, sore throat and cough.

  • Possibilities of self-medication in selected diseases (dermal and mycotic diseases, gynaecological infections, allergy, fire injuries, insomnia, eye disease).

  • Pharmaceutical care in patients with pain including self-medication.

  • Pharmaceutical care in patients with cardiovascular diseases (Correct monitoring of blood pressure. Estimation of cardiovascular risk. Simple drug-related problems in cardiovascular drugs).

  • Management of drug interactions in pharmaceutical practice.

  • Pharmaceutical care in the elderly (case reports).

  • Pharmaceutical care in patients with psychiatric diseases including self-medication.

  • Pharmaceutical care in primary and secondary prevention of cardiovascular and metabolic diseases (case reports).

  • Case report management of patients with polymorbidity.

  • Credit test.

Practical trainings with patient

  • Practical trainings with patient I.
  • Practical trainings with patient II.
  • Practical trainings with patient III.
  • Practical trainings with patient IV.
Last update: Malý Josef, doc. PharmDr., Ph.D. (20.02.2023)
 
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