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Shared Decision Making - for pharmacists
- 2. ’ ’ http://www.flickr.com/photos/36521966253@N01/5596934455
- 3. ’ ’ http://www.flickr.com/photos/36521966253@N01/5596934455
- 6. Calculated?
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- 22. Adapted from: Makoul G, Clayman ML. An integrative model of shared decision making in medical encounters. Patient Educ Couns Publication 2006 March;60(3):301-312.
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- 46. Dr. Guirguis Personal Theory of Pharmacy Practice
- 47. ’ 47
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- 49. Respectful, longitudinal assessment & shared decisions 49
- 50. Medication Partnerships • Drug knowledge – Pharmacology – Pharmaceutics – Medicinal chemistry • Physiology & Pathology • Interviewing • Models of Patient Perspectives & Behavior Change • Web, literature, referral patient resources • Insurance/ cost issues 50
- 51. Medication Partnerships • Priorities in life • Goals for improvement • What has worked in past • Personal resources/lifestyle • Economic situation • Feasibility of regimen Questions • Diagnosis • Self management strategies • Side effects/adverse effects • Improvement on endpoints • Perceived benefits 51
- 54. You’re ready for a new car! This is a great one! http://1.bp.blogspot.com/-7anXMFW96NY/TqjDBs08odI/AAAAAAAADpg/c5RSf3S55Jw/s1600/image+01+buying+car.jpg
- 55. It is very good for driving fast between places. http://www.flickr.com/photos/richardgiles/3322739050/sizes/l/in/photostream/
- 56. Now when you drive it there might be some issues
- 57. It has bad brakes http://www.flickr.com/photos/33831378@N03/3221892151/sizes/l/in/photostream/
- 58. the wipers get stuck http://www.flickr.com/photos/monsieurloupe/5936615226/sizes/l/in/photostream/
- 59. and one in every 1000 will spontaneously flip
- 60. But that doesn’t happen often. http://www.flickr.com/photos/idreaminir/2103662898/sizes/m/in/photostream/
- 61. Good! I’ll follow-up with you in a week. Can I call you by phone?
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- 79. Why should a little old woman like me take aspirin? My doctors keep on telling me to take it and that it is good for me.
- 82. ’
- 86. ’