Patient Case Presentation Pharmacy Ppt

within pharmacy and infection prevention and control (IPC):-Expanding pharmacy medication reviews to include antibiotics for monthly review; reviews also occur for all new admissions/re-admissions, (§483. The slide design has a red cross over a gray background and curves. SURGICAL STAGING (to determine if there are regional metastases) is done by axillary lymph node dissection (ALND). Overview of Picker’s Eight Principles of Patient Centered Care. Case Study Identify the drugs being used: Captopril (ACE inhibitor), furosemide (loop diuretic). Add to Collection. Patient Outcome:Permanent lessening of bodily functioning (sensory, motor, physiologic, or intellectual), disfigurement, surgical intervention required, increased length of stay for 3 or more patients, increased level of care for 3 or more patients Visitor Outcome: Hospitalization of 1 or 2 visitors Staff Outcome: Hospitalization of 1 or 2. Step 4 – Clearly mention and describe all the different services carried out in testing the patient on separate rows on the table. The idea of making the case for quality improvement is not new, but there is an urgent need for more systematic approaches to improving quality to be adopted across the NHS in England if the ambitious goals described in the Forward View and sustainability and transformation plans are to be delivered. Pharmacists usually focus on the medicines aspect, for example, where there is potential harm to a patient or proven benefit to the patient from medication, or where a medication error has occurred. Furthermore, when a three-drug regimen is changed to a single-drug. Handling the Angry Patient No matter what field you work in, these tips will help you keep your cool when patients take their frustrations out on you. A preceptor asked why the patient was also on MacroBid. If you cannot, ensure you are getting enough nutrients by taking a daily multivitamin. OSCE EXAMPLE SCENARIOS This document provides example scenarios for skills described in the APPLIED Examination - Objective Structured Clinical Examination (OSCE) Content Outline. A medical malpractice lawsuit can be based on a number of different actions (or failures to act) on the part of a health care professional, but these kinds of cases will always boil down to whether or not the provider's conduct amounted to medical. No history of trauma. Metformin is contraindicated in 1) patients with serum creatinine >1. 5 In this patient, mass effect on the right mesial temporal lobe is clearly evident on the magnetic resonance image (MRI) and is the likely explanation for her seizures ( Figure 2 ). This template was created as an illustrator for online medical services. They provide a point of contact for patients, their families and their carers. 2015;15:1020-1029. Obvious fact of the day: If you have a boring headline, your audience will think your entire presentation is boring. When done well, this enables the listener to quickly understand the patient’s issues and generate an appropriate plan of action. Clinical Assignment 1: Written Case Presentation Choose a patient from your clinical experience and develop a written clinical case presentation. Metric-Based Patient Weights. The DoD Patient Safety Program (PSP) is a comprehensive program with the goal of establishing a culture of patient safety and quality within the Military Health System (MHS). If the medication is intended for systemic use and oral administration is desired, tablets and/or capsules are usually prepared because they are eas-ily handled by the patient and are most convenient in the self-administration of medication. Social History: The patient is married and lives with his three sons and wife in the suburbs. Patients who will allow for expedited throughput Excludes Patients dependent-for-cares, non-ambulatory, confused/intoxicated/altered mental status, extensive care coordination Put in place to help identify patients who can be safely and effectively managed in observation Inclusion/Exclusion Criteria SCPC 2015 Granovsky 2015. Pass on diseases and expose family and friends to some ill. Blinding is an important aspect of any trial done in order to avoid and prevent conscious or unconscious bias in the design and execution of a clinical trial. Costs: The cost of treating HCAP is highly variable, depending on the agent chosen. Question: Before you reveal a statistic or a fact to your audience, ask them to see if they know it and have them guess the correct answer. presents to the emergency department with altered mental status, "yellow skin," and increased abdominal distension; also, she is vomiting blood. Effective discharge planning is crucial to care continuity. Patient Case Presentation 1. Clinical pharmacist design a written format to ensure proper drug use, achieve a definite outcome and improve patient care through assuring the safety, effectiveness and cost-effectiveness. The patient is a 41 year-old male who has a longstanding history of hypertension and diabetes and presents with a complaint of pruritis, lethargy, lower extremity edema, nausea and emesis. Paul Griner, Professor Emeritus of Medicine at the University of Rochester, presents the third in a series of case studies for the IHI Open School. Also, fill the patient contact detail on the right-hand side. PACT assists VHA in transforming Veterans' care by providing patient-driven, proactive, personalized, team-based care focused on wellness and disease prevention resulting in improvements in. Title: Field Case Manager Location: Canada-Ontario-Ottawa Job Number: 000020Z6. Avoid dairy products, as they can thicken phlegm. European Malignant Hyperthermia Group guidelines for investigation of malignant hyperthermia susceptibility. What is Integrated Care? People with mental and substance abuse disorders may die decades earlier than the average person — mostly from untreated and preventable chronic illnesses like hypertension, diabetes, obesity, and cardiovascular disease that are aggravated by poor health habits such as inadequate physical activity, poor nutrition, smoking, and substance abuse. Initial treatment for her diabetes consisted of an oral. Try to breathe moist air. Patient Case Presentation. Ethical issues involved in patient refusal of life-saving treatment Susan Stringer examines the ethical dilemmas that occur when a patient’s right to autonomy conflicts with the health. Pharmacy management system is robust, integrated technology. For some patients, it may. Question: Before you reveal a statistic or a fact to your audience, ask them to see if they know it and have them guess the correct answer. Heart Failure Patients in the US (Millions) • 3. Melynk and Fineout-Overholt described five types of clinical questions that can be asked and suggested templates that can be used to frame the question. Clinical case scenarios: Generalised anxiety disorder (2011) 8 Case scenario 2: Blossom Presentation Blossom is a 20-year-old telesales operator who feels that she is 'going mad' with anxiety. Four Advanced Pharmacy Practice Experience students from Nova Southeastern University's College of Pharmacy present on how to approach & perform a patient case presentation for Dr. Correct any misinformation. Patient Case •74 year old female reports to her Coumadin clinic appointment. Welcome to MedicPresents. Currently, he does not take any medications and does not have any drug allergies. EMS found that her vital signs were stable and no treatment was given. She says she has had the sore throat for about two days. Case Studies in Infectious Diseases Richard A. , exercise, allergen exposure) are the hallmark of asthma, the most likely diagnosis in this case. Standards at a Glance. A case presentation is a detailed narrative describing a specific problem experienced by one or more patients. In PCA, a computerized pump called the patient-controlled analgesia pump, which. The pharmacy was notified after-the-fact and required information was not obtained so the pharmacy could not submit complete reports. Case Studies and Root Cause Analysis. It started with some information about the program with the Director of Pharmacy. Generally, oral case presentations are brief and should be limited to 5-10 minutes. 5000 Medical & Homeopathic PowerPoint presentations & Lectures. Uncontrolled asthma has negative effects on clinical, humanistic, and economic outcomes. Medical History PowerPoint template is a free healthcare PowerPoint background template that you can download with a red cross and physician. D ownload Free >> ALLPPT. Add to Collection. ESCeL: e-Learning Platform. Named by noun. Patient Safety Officer and Medical Director, Office of Patient Safety. ABN 61 082 034 393 l Level 7/418A Elizabeth Street Surry Hills NSW 2010 l PO Box 1147 Strawberry Hills 2012. Pharmacy case studies aren't always easy! If they were, every student would turn professional overnight That's why we've developed 50+ pharmacy case studies for pharmacy students - helping you become a practice-ready pharmacist and pass your next clinical exam - whether it be NAPELX, NCLEX or other clinical test. Chemotherapy incident reports have also identified other problems; admitting a patient to a ward in which there is no specialist haematology/oncology expertise [Department of Health (DoH), 2000], communication between shared care hospitals about the treatment plan for a patient, transportation of drugs from pharmacy to the ward or operating. Commissioners and providers are reminded that it is their. This template was created as an illustrator for online medical services. He did not gain weight normally and had frequent, loose, foul-smelling bowel movements. Identify categories to which different types of information would belong. pdf), Text File (. Family | May 15, 2017 | 296 | Free Organization PowerPoint Template. Pharmacy must release quarterly action plan for the audit results 120 200 150 100 120 690 14. One Small Cut that Killed Dr. Clinical case studies for general practitioners, provding a practical approach to managing the common, and not so common, conditions presenting in general practice. Students should follow the format used in school for working up a patient's drug therapy, derived from Presenting Patient Cases: The Pharmacotherapy Patient. Using radiographic criteria, the distal and proximal. clinical presentation: The constellation of physical signs or symptoms associated with a particular morbid process, the interpretation of which leads to a specific diagnosis. A vital part of a patient’s history includes an accurate and thorough assessment of medications. Patient-Physician Relationships Code of Medical Ethics Opinion 1. If you are the presenter, please refer to the notes within the presentations for talking points and background information. In one instance, a patient well known to the pharmacy preceptor declined a pharmacy student inter-view. Ineffective pain management in the immediate postoperative period can prolong the patient’s length of stay in the PACU which may lead to increased cost of care. 3 SAMPLE CRASH CART USED IN THE HOSPITAL SAMPLE POLICY: Emergency Medication and Crash Cart System POLICY: Emergency medications are consistently available, controll ed, and secure in the pharmacy and patient care areas. Lastly, I ended the day meeting with the RPD. Make it readable. Step 3 – Mention the patient’s details such as their height, weight, blood pressure, and the date of the examination. Presentation on recent incidents in workplace violence. Patients become ‘challenging’ for a number of reasons. Clinical Presentation. txt) or view presentation slides online. Risks to patient safety occur when there is a mismatch between a given patient. Chief Complaints On and off FEVER since 11 days ago PAIN and SWELLING of the left thigh for one week. The Art of Presenting in Healthcare The Power Point Presentation (Sydney Medical School January 30th 2015) PDF - CLICK HERE PPT - CLICK HERE Key Points Your style of presentation depends on: The Acuity of the case The Urgency of the possible diagnosis and management The Environment (e. A case study is a special type of thought leadership content that tells a story. Conversely what doesn’t work is defined by absence of evidence, irrelevant outcomes, risk, and lack of acceptability to potential patients, unavailable due to high cost. Azar Confirmed as New Secretary of HHS. American Recovery and Reinvestment Act (ARRA) Americans with Disabilities Act (ADA) Complaint Form (DOH-4487) (PDF, 53KB, 1pg. If your institution subscribes to this resource, and you don't have a MyAccess Profile, please contact your library's reference desk for information on how to gain access to this resource from off-campus. Patient Falls: Healthcare Case Study ® Summary Why worry about patient falls? Plan of action to reduce patient falls Case Studies What are patient falls? Medication/ Reassessment Transport/ Safety Equipment. 3 Checklists to Improve Patient Safety Benefits of a Checklist Benefits of Checklists in Health Care Checklists used in the medical setting can promote process improvement and increase patient safety. RELEVANT PMH 3. The patient is a known case of ALS. Clinical case reports are the first-line evidence in medical literature as they present original observations. Osteomyelitis Case Presentation 1. , FASHP, FSMSO, CJCP. Purdue University School of Pharmacy is •Discuss case review of patient with complications of cirrhosis •Profile -55 yr old female being evaluated in clinic for new onset ascites and lower extremity edema PowerPoint Presentation Author:. Patient is a 31 year old pregnant woman. The first step hospitals can take to prevent injury is establishing a safe patient handling program, rooted in education and equipped with tools available to assist nurses so they aren't using. ” History: Patient is a 10 year-old girl who comes to her pediatrician’s office with her mother complaining of a sore throat. Developing Clinical Case Studies: A Guide for Teaching is designed to assist health care practitioners with development of case studies for teaching in continuing medical education (CME) and similar educational situations. Inform the patient or, if appropriate, the patient’s family about any potential adverse reaction or other concerns when administering a new medication; encourage the patient/family to report these to you accordingly. Objectives To review the empirical literature to identify the activities, time spent and engagement of hospital managers in quality of care. Patient records needed to be accessible at any facility in the system, regardless of where the patient first entered the system, in order to avoid the creation of duplicate records. Question: Before you reveal a statistic or a fact to your audience, ask them to see if they know it and have them guess the correct answer. Discussing the clinical course and management of individual patients enhances our understanding of disease and provides a framework for learning about medical advances. 3% omeprazole • 33 patients met primary endpoint (1. 5 In an observational study regarding the impact of the physical exam on diagnosis. The Task Force on Community Preventative Services, a volunteer group of preventative and public health-care experts appointed by the director of the CDC, has recommended an educational and interventional approach to asthma care that has demonstrated an increase in symptom-free days and in cost avoidance. Chronic infection with H pylori causes atrophic and even metaplastic changes in the stomach, and it has a known association with peptic ulcer disease. Once the decision is made, authors must read the journal’s guidelines to ensure that the case report format meets the. You will make claims about some aspect of scientific knowledge and support those claims with evidence found in the literature on your topic, often in the form of data and findings from experiments, and other forms of. Based on patient’s presentation and results from investigations performed on day 1, patient was started on dextrose and her blood glucose levels were regularly monitored. Students should follow the format used in school for working up a patient's drug therapy, derived from Presenting Patient Cases: The Pharmacotherapy Patient. Pictures of items patient needs to reach: TV remote, eyeglasses, toilet, box of tissues. She vomited several times today. By Debra Wood, RN, contributor. The pharmacy was notified after-the-fact and required information was not obtained so the pharmacy could not submit complete reports. You will now be able to tab or arrow up or down through the submenu. Narrate your case in a way that is easy and enjoyable to follow. A medical case study report is a published document in which doctors document and share their experiences treating patients so that other doctors can learn from them. Commissioners and providers are reminded that it is their. Not shown is the adjustment for geographic differences in wages. Main reason that patient came to ED in their own words. Patient Outcome:Permanent lessening of bodily functioning (sensory, motor, physiologic, or intellectual), disfigurement, surgical intervention required, increased length of stay for 3 or more patients, increased level of care for 3 or more patients Visitor Outcome: Hospitalization of 1 or 2 visitors Staff Outcome: Hospitalization of 1 or 2. You will now be able to tab or arrow up or down through the submenu options to access. Resident Resources care plans and workup. Design A systematic review of the literature. Create the activity, and on the following screen locate the ‘Show results’ button. Although a hospital may designate an investigation team and have policies and processes, a pharmacist should take the lead in preparing for the interview and preparing. PharmD Case Studies / Pharmacotherapy case studies. He also has nocturnal dyspnea. Patients with pulmonary hypertension resulting in marked limitation of physical activity. See all Case Manager Case Studies. Better presenters get their message across in less time because they respect time, focus on the message and use the most effective techniques to communicate. No history of trauma. Please give the authors the credit they deserve and do not change the author's name. Elder Abuse Training Institute. Title: Diabetes Case Study Presentation 1 Diabetes Case Study Presentation. How can PALS help? PALS provides help in many ways. following a viral upper resp iratory inf ection, such. Oakbrook Terrace, IL. The Role of the Patient Advocate Illness is a stressful time for patients as well as for their families. Last modified: 27 September 2019. Patients frequently complain about having to fill out and update the registration. Polypharmacy and medicines optimisation In publishing this paper, the Fund hopes both to raise awareness of these issues and to offer practical guidance to clinicians and others in avoiding what the authors describe as ‘problematic polypharmacy’. Proper eye contact, listening with care and personally handling patient’s queries are good examples of decent manners. pharmacy’s current operations and identify areas that need to be addressed in order to comply with HIPAA. 0%, in contrast to his previous value of 6. If you have powerpoint presentations please mail to [email protected] Being a pharmacy technician requires a variety of skills and abilities and perhaps most important is the ability to carry out important mathematic calculations. Go to this page to join now. expiry date, date purchased, number of drug type left, location of a drug in the pharmacy. Interview 4. Learn to draw a simple Process Flow diagram in PowerPoint. blending Class III prescription balance comminution compounding slab counterbalance extemporaneous compounding forceps Terms to. Free Group of Office People. Nurses’ Compassionate Care Affects Patient Outcomes. The proband is a 52-year-old man with a 2-year history of progressive symptoms including gait disturbance, hyperreflexia, muscle weakness, skeletal muscle atrophy, spasticity, and upper motor neuron dysfunction consistent with amyotrophic lateral sclerosis (ALS). Title: Diabetes Case Study Presentation 1 Diabetes Case Study Presentation. Diamond - Dentistry Clean HTML Bootstrap4 Parallax Landing Page Template. CASE #3: 28 year old woman presents to the emergency department with malaise and fever. Free PowerPoint Templates. European Malignant Hyperthermia Group guidelines for investigation of malignant hyperthermia susceptibility. Sepsis is a deadly condition that anyone can get from almost any infection. This program is a designated event for pharmacists to receive 0. A case study is a special type of thought leadership content that tells a story. Patient basics (demographics, CC) 2. Her history dates back 3 years when she detected a lump in her right upper inner breast. A Patient’s Bill of Rights, on the other hand, is a less specific document. PPTX format) #N#Genigraphics poster templates are designed to give you fast, easy, professional results. About MyAccess. Dear Doctor You can use these slides as such without any modification. A semi-comatose diabetic taking diuretics. Speaker notes accompanying each presentation explain the information on the slides and will help you answer questions that may come up. A presentation on asthma management and prevention. Physical examination: Vital signs include a temperature 96. Debbie Kwan, BScPhm. Ethical issues involved in patient refusal of life-saving treatment Susan Stringer examines the ethical dilemmas that occur when a patient’s right to autonomy conflicts with the health. Medical History PowerPoint template is a free healthcare PowerPoint background template that you can download with a red cross and physician. July 17, 2012. January 25, 2018. There are no radiologic methods to. Ultimately, the Library will contain a comprehensive online collection of real-life cases from resource-limited countries that illustrate cases encountered by clinicians in the. Implement and embed. While the patient's history may provide clues to an underlying diagnosis, a thorough physical exam can offer key evidence for pruning the cause list, which narrows the diagnostic workup and can ultimately lead to an accurate diagnosis within a shorter time span. Seek ways to protect yourself, colleagues and other patients. Polypharmacy and Deprescribing Review - Appendix B - Presentation by Katie Smith. Inconsistent or Ineffective rounds to address personal needs. Patient Case Presentation - PC. Rosemarie Savino. RELEVANT PMH 3. Senthil Kumar M. Tired of being overweight and being told she had no willpower, was weak, or that she needed to change her lifestyle – eat less and exercise more, she sought out medical treatment to help her lose weight and thus prevent health risks that could cause serious. • Discuss key updates to national and international guidelines on the prevention and management of CINV. Lastly, I ended the day meeting with the RPD. With 30 clean, modern healthcare presentation template slides, a bevy of medial infographics, and easy to edit pro features, you can use this health PPT template to create your medical presentation quickly. and patient was placed on ventilator at 15 breath/min with FiO2 at 100% ABGs were used each morning to guide setting on ventilator Enteral feeding started on day 2 High gastric residuals TF was discontinued, PPN started Day 4, TF started again and PPN discontinued day 5. Medical diagnosis if applicable: Migraine with Aura. Commissioners and providers are reminded that it is their. 38 milliseconds) Review programs offered at St Matthews Community Pharmacy to patients in. Background Emergency department crowding is a major global healthcare issue. Chest and Abdominal Trauma Case Studies Case #1 Scenario: EMS is dispatched to a 2-car MVC with head on collision. Building on our 2011‐2015 plan, this plan reflects the rapidly changing healthcare environment and the health system’s strategies to achieve our vision of “Improving the Health of Our Community. Information Systems Presentation_wk4_Fitzwater What students are saying As a current student on this bumpy collegiate pathway, I stumbled upon Course Hero, where I can find study resources for nearly all my courses, get online help from tutors 24/7, and even share my old projects, papers, and lecture notes with other students. Using radiographic criteria, the distal and proximal. 7 million in 2000, estimated 10 million in 2037 • Incidence: 550,000 new cases/year • Prevalence: 1% ages 50--59, >10% over age 80 • More deaths from HF than from all forms of cancer combined • Most common cause for hospitalization in age >65 Cardiac Muscle Function. Patients usually present with rapid onset of severe pain, swelling, redness, and warmth in one or tow joints. Questionnaire includes (i) checklists of chronic conditions, medication, health care. The Journal of Emergency Medicine is an international, peer-reviewed publication featuring original contributions of interest to both the academic and practicing emergency physician. View workplace violence update slide deck. 38 milliseconds) Review programs offered at St Matthews Community Pharmacy to patients in. Identifying Information/Chief Complaint (II/CC) - you want flesh out the bare bones enough to make your presentation engage the listener and give them a feel for the patient as a person. Hi All, I have just been called to interview and have to prepare a 10 minute presentation by Friday 6th July. AIDET® Overview: Why, What & How. They'll give your presentations a professional, memorable appearance - the kind of sophisticated look that today's audiences expect. Surgeon v Medic) Presenters…. Obese Patients in Apixaban Trials Guler E, et al. Picture of patient lying in bed hooked up to an IV line. Compose a presentation to summarize a patient case and. Chief Complaints On and off FEVER since 11 days ago PAIN and SWELLING of the left thigh for one week. Stylish and sleek, this medication organizer will alert you to take your next dose of medications with an audible sound and a unique visual LED-lighting system. Not shown is the adjustment for geographic differences in wages. A: 11 June 2014 D. Advanced practice pharmacists in the field of diabetes work collaboratively with patients' medical providers, often in primary care settings or in close proximity to the providers' practices. The Journal of Emergency Medicine is an international, peer-reviewed publication featuring original contributions of interest to both the academic and practicing emergency physician. Studies have shown that after RAI therapy patients pretreated with antithyroid medications have lower serum T4 and T3 levels than non pretreated patients (7, 8). Methods/Findings We examined a large-scale hospital administrative database consisting of one million patients in 16 secondary medical care hospitals, from. Patients should be treated in a safe environment and protected from avoidable harm. Clinical Cases - Resources for Faculty. Preparing a Budget for the Small Hospital Executive Summary. Goal of Conflict Resolution. This pain and inflammation are caused by inflammatory response. In one instance, a patient well known to the pharmacy preceptor declined a pharmacy student inter-view. Find out what the patient already knows. Quit Your Way Scotland is an advice and support service for anyone trying to stop smoking in Scotland. The increasing use of imaging in the population will inevitably result in an increase in requests for imaging in women who are pregnant or lactating. Free Group of Office People. The Patient Case Presentation allows the student to gain experience in performing a comprehensive evaluation of a patient’s medication profile. Relevant outcomes. The best-laid plans can go awry, judgment is impaired, and put simply, you are not at your best when you are sick. each volunteered to make a second presentation with a pharmacy student. Case Presentation for Clinical Pharmacist. Pleasant manners win the faith of the customers or patients instantly. Please switch auto forms mode to off. She has not been eating. Metformin is contraindicated in 1) patients with serum creatinine >1. PACT assists VHA in transforming Veterans' care by providing patient-driven, proactive, personalized, team-based care focused on wellness and disease prevention resulting in improvements in. My final interview was also not too long it went from 12 noon till around 3:30 PM. Senthil Kumar M. She was prescribed a fentanyl patch (125 mcg/h every 3 d) and hydrocodone 5 mg (1-2 prn/d). Background Increased risks of acute pancreatitis in patients with type 2 diabetes mellitus have been reported recently in several countries. When you ask about her symptoms she explains she's had diarrhoea for two days, with some abdominal pain and she's been feeling quite tired lately. Using radiographic criteria, the distal and proximal. Chest X-ray showed infiltrate in the middle. 0 International License. Oakbrook Terrace, IL. Contact KUMC University of Kansas Medical Center 3901 Rainbow Boulevard Kansas City, KS 66160 913-588-5000. We have several case based formats for our different classes and case presentations but the general format goes as follows , almost always. Please give the authors the credit they deserve and do not change the author's name. •The patient contacted his primary care physician who recommended that the patient be evaluated in the emergency department PRESENTATION •The patient's vital signs upon arrival to the emergency department were: T: 97. Another helpful source of information is a hospital pharmacy, especially a pediatrics hospital, where pharmacists have experience in compounding formulations (especially for neonates, infants, and pediatric patients). Comprehensive Independent Review Organization - Standards at a Glance. Melynk and Fineout-Overholt described five types of clinical questions that can be asked and suggested templates that can be used to frame the question. She was given a diagnosis of cirrhosis 1 year ago. Poster Presentation Resources Poster presentations are widely used to communicate research findings. How to Deal with Prior Authorization in Medical Billing As a medical billing professional, dealing with prior authorization is a necessary part of the job. Case 1: Compliant Patient A 53-year-old woman with fibromyalgia wished to taper her opioids due to intolerable opioid-induced constipation. One week later she reports that she is moderately improved and able to sleep at night. Additionally, an abnormality of the cerebral white matter was seen on MRI. The 23rd State Hospital Association Forum. pdf Polypharmacy and deprescribing - The landscape The 5 domains of the NHS outcomes framework all pertain to improving the quality, safety and experience of care for the most vulnerable, at-risk patients. : To effectively present a thorough patient case with emphasis on proper pharmacotherapeutic management of a specific disease state. A good poster presentation can be an effective way to share the results of your research with your peers in a collegial and nonthreatening atmosphere. Search Keywords: online, telemedicine, consultation, flat, doctor, man, medical, hospital. Home infusion pharmacy: • Will be focus of discussion throughout the slide deck. (374 page downloadable PDF file; Released March 2020) Corporate License + PowerPoint file with Exhibits: $9,900 BUY (Allows for use of the report by an unlimited number of employees within the same organization or enterprise worldwide. Immediate patients require life-saving surgery, and the patient should have a high chance for survival, such as those patients with acute traumatic airway ob - struction. Scott will also review CMS focus areas, as well as best practices for a successful survey. The primary care medical home, also referred to as the patient centered medical home (PCMH), advanced primary care, and the healthcare home. Lastly, I ended the day meeting with the RPD. In this article, we will show you the steps. If difficult patients aren't managed properly, it can be increasingly difficult to communicate with a patient's friend and family about the patient's actual care needs. The questions at the end of each case are a good review for M3 Ophthalmology rotation final examination. Business Case Study PowerPoint Template is a professional presentation created to describe Business Case Studies. Explore perspectives and see the bigger picture using real-world data and artificial intelligence. Clinical Case 01-2019. ACPE has incorporated the patient care process in PharmD standards 2016. presentation. Pediatrics – PowerPoint Presentations & Lectures. The financial saving associated with this reduction is investigated in this report. Type 2 Diabetes Mellitus Type 2 Diabetes Mellitus Posted 3-7-05 Key Points Both environmental and genetic factors contribute to the etiology of Type 2 diabetes mellitus (T2DM). Reporting to the Field Manager or Senior Manager or Program Manager, Specialty Services, the Field Case Manager (FCM) is responsible for managing all aspects of the reimbursement environment and program support for assigned physicians in a given geographical area. She has not been eating. The questions at the end of each case are a good review for M3 Ophthalmology rotation final examination. AHRQ Projects funded by the Patient-Centered Outcomes Research Trust Fund. • Actor triggers use case. The following points should be discussed/addressed in the presentation: 1. measure and express patient wights in metric units. He did not gain weight normally and had frequent, loose, foul-smelling bowel movements. One week later she reports that she is moderately improved and able to sleep at night. Past history Blossom has no significant past medical or mental health history. Methods/Findings We examined a large-scale hospital administrative database consisting of one million patients in 16 secondary medical care hospitals, from. 1) Use a clinical decision-making process to present your patient, for example:. CHA is also pleased to have Lisa DiBlasi Moorehead, the Joint Commission’s Associate Nurse Executive, join the program. Case Study 1. For a pharmacy residency, I was interviewed by anywhere from 4 to 10 different pharmacists, the pharmacy residency director and/or residency/clinical coordinator, and the current residents. of Adverse Events. Prior authorization (also known as preauthorization ) is the process of getting an agreement from the payer to cover specific services before the service is performed. Background Increased risks of acute pancreatitis in patients with type 2 diabetes mellitus have been reported recently in several countries. Drug-Induced Acute Renal Dysfunction Karen Shalansky, Pharm. Fall prevention is an important and timely issue. Follow our step by step instructions to create this useful diagram in PowerPoint. Search Keywords: online, telemedicine, consultation, flat, doctor, man, medical, hospital. While the patient's history may provide clues to an underlying diagnosis, a thorough physical exam can offer key evidence for pruning the cause list, which narrows the diagnostic workup and can ultimately lead to an accurate diagnosis within a shorter time span. Four Advanced Pharmacy Practice Experience students from Nova Southeastern University's College of Pharmacy present on how to approach & perform a patient case presentation for Dr. 114 144 22. Acute kidney injury (AKI) - previously known as acute renal failure (ARF) - has been defined as the abrupt loss of kidney function resulting in the retention of urea and other nitrogenous waste products and in the dysregulation of extracellular volume and electrolytes. In PCA, a computerized pump called the patient-controlled analgesia pump, which. About MyAccess. Company interactions with healthcare professionals are professional in nature and are intended to facilitate the exchange of medical or scientific information that will benefit patient care. • Recommend treatment options for a patient at risk for developing acute and delayed CINV. At the end of this presentation, you will learn the approach and management of patients with hypothermia and anion gap metabolic acidosis. Organization and Content of Case Presentation 1. aberrant medication-taking behavior and how to manage discussions with patients who exhibit. Team work should be utilized in developing an annual financial budget. Introduction to the Pharmacy Student Forum [PPT]. To enter and activate the submenu links, hit the down arrow. Case Studies in Pharmacy Ethics, while specifically addressing these issues in the context of pharmacy practice, is an excellent read for any health care practitioner. D, a 48-year-old African-American man who was diagnosed with type 2 diabetes (T2DM) 4 years ago, presented to his clinician for a routine follow-up visit. measure and express patient wights in metric units. We are grateful to the authors for shining a light on an area of care that deserves more attention. Tell them if you have any allergies or bad reactions to anesthesia. At UMHS, Encourage the patient to sign up for and use the patient portal (MyChart) which is a secure way to communicate with providers. Pharmacovigilance (PV or PhV), also known as drug safety, is the pharmacological science relating to the collection, detection, assessment, monitoring, and prevention of adverse effects with pharmaceutical products. We are delighted to present the third edition of Polypharmacy Guidance, Realistic Prescribing 2018, which aims to provide guidance on preventing inappropriate polypharmacy at every stage of the patient journey. Discussing the clinical course and management of individual patients enhances our understanding of disease and provides a framework for learning about medical advances. Speaker notes accompanying each presentation explain the information on the slides and will help you answer questions that may come up. The receptionist violated HIPAA and could be fired. His current home medications include amlodipine 10 mg once daily, atorvastatin 80 mg once daily, and aspirin 81 mg once daily. To address these questions, a practice needs structured clinical and administrative data. August 15, 2016. and the patient was admitted and placed on 2 National Association of Chain Drug Stores. Nursing Care Study This assignment is a case study of a patient who was admitted to a respiratory ward with acute exacerbation of asthma. The Patient Case Presentation allows the student to gain experience in performing a comprehensive evaluation of a patient's medication profile. Supplemental to Handbook of Nonprescription Drugs, 17th Edition. Describe the purpose of using a systems based approach when monitoring and presenting a patient to a preceptor/provider. • Patient Factors –Complex patient presentation, number of co-morbidities –Lack of complete history • System Factors –Workflow design –Insufficient time to gather, integrate, interpret information –Inadequate processes to acquire information –Poorly designed/integrated or inaccessible health IT –Poorly designed environment. The information needs to be correct, well organized and concise. Incorrect identification can result in wrong person, wrong site procedures, medication errors, transfusion errors and diagnostic testing errors. I had to do case presentations toward the end of a few audition rotations and if they liked how I had performed in the rest of the 2-3 weeks, I got an interview either while I was still there or in the near future. The backgrounds are fully editable and the user can add features or color as per requirement. Patient records needed to be accessible at any facility in the system, regardless of where the patient first entered the system, in order to avoid the creation of duplicate records. Among the disciplines involved in diabetes education, nursing has played a pivotal role in the diabetes team management concept. The patient is a 60-year-old white female presenting to the emergency department with acute onset shortness of breath. D ownload Free >> ALLPPT. Businessman Consulting. Although a hospital may designate an investigation team and have policies and processes, a pharmacist should take the lead in preparing for the interview and preparing. Past Medical History: Congestive Heart Failure and Hypertension. RDC was involved during the initial presentation of our patient’s case. a patient is cared for by a covering resident who may be unfamiliar with the patient s hospital course, a known risk factor for preventable adverse events. Patients frequently complain about having to fill out and update the registration. SA was involved during the initial presentation of our patient’s case. The education with the patients wife went really well and she was very interested in learning. A man with a postop cardiac arrest. A Sick Diabetic Patient. Strategic Plan Overview This is the Harris Health System 2012‐2016 Strategic Plan. Clinical cases are very important and serve as a good source of reliable information, since they present a detailed report of things such as symptoms, diagnosis and treatment of a patient. Objective: To describe a rare case of severe iron deficiency anemia of unknown cause. Each student pair identified potential case study pa-. Utilization Review- A mechanism used by some insurers and employers to evaluate healthcare on the basis of appropriateness, necessity, and quality. Johns Hopkins Researchers Detail Costs, Predictors of Opioid Abuse. Based on patient's previous history, a sputum smear test was ordered and two consecutive positive results resulted in the patient being referred to the chest physician. RABIES CASE PRESENTATION Michelle Aguirre, PharmD Medical Center Hospital September 8th, 2017. Pharmacy Management 39 July 2012 Education for the ancillary departments (pharmacy, nursing, lab) and physicians September 2012 “Heparin per Pharmacy” protocol – Pharmacist monitors heparin therapy, orders lab tests and places orders for dosage and rate adjustments New Epic tools for staff including heparin order set, patient. The pharmaceutical. Louis College of Pharmacy, Adjunct Clinical Faculty, MU School of Medicine. Gauthier's. Last week’s case featured a critically ill patient with COVID-19. Being a pharmacy technician requires a variety of skills and abilities and perhaps most important is the ability to carry out important mathematic calculations. Case Presentation. This free medical PPT template can also be used for nurse and hospital presentations. Business Card Contract. Each year we gather information about emerging patient safety issues from widely recognized experts and stakeholders. A customer service team has to exude its excellent manners on and off. Make the title a riddle that has a single-word answer (not a sentence or a list). Ambulatory Patient Groups (APGs) Amebic Dysentery. The following points should be discussed/addressed in the presentation: 1. Pictures of items patient needs to reach: TV remote, eyeglasses, toilet, box of tissues. Case Presentations and Journal Clubs. #N#Four presentations of skin conditions. presents to the emergency department with altered mental status, "yellow skin," and increased abdominal distension; also, she is vomiting blood. Matthew’s University School of Medicine. A very good example that happened to me, was a diabetes patient case presentation related to use of Farxiga®. The patient is young, otherwise healthy, and has a personal and family history of atopic dermatitis and allergy, which are often associated with asthma. If difficult patients aren't managed properly, it can be increasingly difficult to communicate with a patient's friend and family about the patient's actual care needs. The included link is a powerpoint presentation reviewing issues surrounding ED Pharmacy and Rapid Sequence Intubation: RSI Presentation Powerpoint 2012 Posted in Clinical Presentations , Intubation | 1 Reply. 7/5: PreHDvanco level high, dose held, patient asked to stay an extra day due to unresolving fevers. Case Scenario #1: Chronic Pressure Ulcer – Stage 4 Your patient is a 47-year-old woman who has had a history of diabetes for the past 25 years, is a stroke survivor, and has congestive heart failure. The guide uses brief descriptions and examples to lead the reader/educator through the steps of. Case Studies/ SOAP Notes Attached below are a few examples of SOAP Notes and Case Studies completed during Cinical I. Clinical case reports are the first-line evidence in medical literature as they present original observations. (Presented at ESC Congress 2019) Myocardial Disease – Clinical. Make sure that patients understand that e-mail is not secure and there is a risk that a 3rd party could obtain the information in the transmission. A Patient’s Bill of Rights, on the other hand, is a less specific document. The Patient Case Presentation allows the student to gain experience in performing a comprehensive evaluation of a patient’s medication profile. Clinical Case 03-2019 Presentation Free Google Slides theme and PowerPoint template. WHO VACCINE RECOMMENDATIONS. The Task Force on Community Preventative Services, a volunteer group of preventative and public health-care experts appointed by the director of the CDC, has recommended an educational and interventional approach to asthma care that has demonstrated an increase in symptom-free days and in cost avoidance. Outline for Journal Club Presentation. Medical Templates. Pass on diseases and expose family and friends to some ill. A case study usually describes the problem or illness of a patient or client, and it details a system or therapy for helping that patient How is a case study set up ? Even though its specific use is in such fields, it has a more general application of dealing logically and rationally in a step-by-step manner. PowerPoint Presentation Last modified by:. We have several case based formats for our different classes and case presentations but the general format goes as follows , almost always. MUNAR, PharmD, BCPS, and HARLEEN SINGH, PharmD Oregon State University College of Pharmacy, Portland, Oregon. PPTX format) #N#Genigraphics poster templates are designed to give you fast, easy, professional results. Try to have high contrast between the background and text. Lastly, I ended the day meeting with the RPD. 18 Such operations, which often. , exercise, allergen exposure) are the hallmark of asthma, the most likely diagnosis in this case. A well written case study will follow a customer as they define a problem, determine a solution, implement it, and reap the benefits. Director of Pharmacy Froedtert & the Medical College of Wisconsin Milwaukee, Wisconsin > ‐ ò ï. is a retired 69-year-old man with a 5-year history of type 2 diabetes. The Patient Case Presentation allows the student to gain experience in performing a comprehensive evaluation of a patient's medication profile. JEM , published monthly, contains research papers and clinical studies as well as articles focusing on the training of emergency physicians and on the practice of. , PhD Case Presentation ! 55 y/o woman with a past hx of kidney stones presents to Urgent Care c/o upper mid-back pain and pain in the left shoulder for 2 days. 38 milliseconds) Review programs offered at St Matthews Community Pharmacy to patients in. PowerPoint animation is a way to bring your presentations to life by adding 3D animations or animated elements to your PowerPoint presentations. Implementing the NICE guideline is the responsibility of local commissioners and/or providers. Free Group of Office People. Tremmel, MD, MS Stanford University Medical Center SCAI Fall Fellow’s Course 2015. In the case of 24 Hour Community Pharmacy in Miami, Florida, the pharmacy paid bribes to patients and a physician in order to bill Medicare for prescriptions that were never dispensed. A case presentation is a narrative of a patient's care, so it is vital the presenter has familiarity with the patient, the case and its progression. Discussing the clinical course and management of individual patients enhances our understanding of disease and provides a framework for learning about medical advances. Scenario 1: Newly Started Patient on Phenytoin After a patient has received a loading dose of intravenous phenytoin, levels can be checked one hour after the dose. Need a Speaker? Request a Speaker from the Authority. Make sure that patients understand that e-mail is not secure and there is a risk that a 3rd party could obtain the information in the transmission. Discharged home on the following meds: –Rifaximin 550mg po bid –Lactulose 30cc once or twice daily as needed to have 2-3 formed stools per day –Ciprofloxacin 750mg as a single oral dose/week Case Study. Measures at a Glance. How to Deal with Prior Authorization in Medical Billing As a medical billing professional, dealing with prior authorization is a necessary part of the job. and patient was placed on ventilator at 15 breath/min with FiO2 at 100% ABGs were used each morning to guide setting on ventilator Enteral feeding started on day 2 High gastric residuals TF was discontinued, PPN started Day 4, TF started again and PPN discontinued day 5. Alzheimer's Disease and Other Dementias. Include in the plan the immediate management of the patient and the monitoring you would carry out to ensure that the patient is benefiting from your plan. Compose a presentation to summarize a patient case and. Manvitha & B. She is accompanied by. ensure all oral medications not in unit dose are taken with oral syringe. Reading this model case history, one will have an excellent understanding of the patient's history, development, current situation and presentation. Listening keenly to the patient is the main goal. Curated annually by the WPSC, the Northwest Patient Safety Conference is the only event of its kind in the Western US, uniting healthcare professionals, providers, patients, families, and caregivers from all care settings for a day of networking and engaging in sessions with industry thought leaders and others invested in improving the patient experience. Heart Failure Patients in the US (Millions) • 3. The Task Force on Community Preventative Services, a volunteer group of preventative and public health-care experts appointed by the director of the CDC, has recommended an educational and interventional approach to asthma care that has demonstrated an increase in symptom-free days and in cost avoidance. Welcome to MedicPresents. A 'read' is counted each time someone views a publication summary (such as the title, abstract, and list of authors), clicks on a figure, or views or downloads the full-text. On the physical examination, he weighed 210 lbs, with a BMI of 31. Business Case for Additional Pharmacist FTE Currently at the Summerville Family Health Team there is a 1. Specialty infusion pharmacy: • A home infusion pharmacy that focuses on high cost, high touch medication therapy for patients with complex disease-states. The PowerPoint files in this posts have been shared by R. Manvitha & B. Number of pages do not necessarily translate to a better mark. Keep a copy of your own medical history. PowerPoint animation is a way to bring your presentations to life by adding 3D animations or animated elements to your PowerPoint presentations. MedFolio is a medication management device that signifies a time when the old-fashioned “pill box” meets the 21st century. 3 SAMPLE CRASH CART USED IN THE HOSPITAL SAMPLE POLICY: Emergency Medication and Crash Cart System POLICY: Emergency medications are consistently available, controll ed, and secure in the pharmacy and patient care areas. Implementing a formalized process reduces errors caused by lack of information and inconsistent procedures. Here’s how it works: create a new word cloud activity. Recommend appropriate pharmacotherapy. PowerPoint MVP Heather Ackmann avoids convenient—but unproven—blanket rules for presentations, reaching instead for an understanding and holistic view of design. Objectives: 1. Heart Failure Case Study Mr. The HIV Clinical Cas es Library contains original patient case studies describing clinical observations related to HIV care and treatment in resource-limited settings. Although a hospital may designate an investigation team and have policies and processes, a pharmacist should take the lead in preparing for the interview and preparing. Eat a well-balanced diet. Additionally, an abnormality of the cerebral white matter was seen on MRI. He denies any other medical illnesses. American Indian Health Program in New York State. If breathing does not return to normal or if breathing difficulty resumes, after 2-3 minutes, give an additional dose of NARCAN ® Nasal Spray using a new device in the alternate nostril. caused by patient’s medications? Date RENAL Se. PATIENT SAFETY journal. 3% omeprazole • 33 patients met primary endpoint (1. FDA approved biosimilars are safe, effective treatment options that can increase treatment options and potentially lower health care costs through competition. Lastly, I ended the day meeting with the RPD. Several pharmacy technician-managed programs in which a pharmacy technician interviews newly admitted patients and obtains medication lists and histories from multiple sources (e. The patient has a history of intravenous drug abuse and hepatitis B. ↳ Patient Education ↳ Clinical. Summarise your case report in a sentence. Renal dosing is an everyday element of pharmacy practice, although the limited demographics of the study population may limit widespread applicability of this trial to multiple patient observations, however the findings of this trial still bring many important questions to light about the equations we use to estimate renal function, their correlation to dosage recommendations to patients, and. Thankfully, we have some talented designers on Envato Elements and GraphicRiver who understand that there is a demand for professional Powerpoint templates. Spot checking by pharmacy for the proper medication usage process. Chapter 7 Cystic Fibrosis 69 CASE STUDY A male child was born in 1980. This PowerPoint slide presentation was shown on October 12, 2010. • Recommend treatment options for a patient at risk for developing acute and delayed CINV. Pass on diseases and expose family and friends to some ill. We have identified many challenges to be faced in the coming years and outlined the steps in this plan to turn those challenges into opportunities - to improve care for patients, to improve access to healthcare and to improve efficiency. Mail Service Pharmacy Accreditation. Messages get passed down the line, the doctors are great and the care. •The patient contacted his primary care physician who recommended that the patient be evaluated in the emergency department PRESENTATION •The patient's vital signs upon arrival to the emergency department were: T: 97. Incorrect identification can result in wrong person, wrong site procedures, medication errors, transfusion errors and diagnostic testing errors. Dear Doctor You can use these slides as such without any modification. Although he was diagnosed in 1997, he had symptoms indicating hyperglycemia for 2 years before diagnosis. To access the menus on this page please perform the following steps. This level can aid in determining maintenance dose or need to reload. The case presentation was supposed to be based upon a client with whom one had some sort of challenge to overcome and/or a question to ask of the social work group as a whole. OSCE EXAMPLE SCENARIOS This document provides example scenarios for skills described in the APPLIED Examination - Objective Structured Clinical Examination (OSCE) Content Outline. Overview of Picker’s Eight Principles of Patient Centered Care. Go to this page to join now. Topic 1 - What is patient safety? ppt, 73kb; Topic 2 - What is human factors? ppt, 2. Date of Last Patient-Last Follow-Up (if applicable) Whether SOP for various activities are established and documented. The patient has alcoholic liver cirrhosis and first presents with alcohol withdrawal (Case study level 1), then the patient’s risk of bleeding and treatment for the maintenance of alcohol abstinence are considered (Case study level 2). Obese Patients in Apixaban Trials Guler E, et al. Pharmacy HIT Collaborative is using the process as a framework to develop structured patient care documents to be used electronically via the electronic health record (EHR). A medical case study report is a published document in which doctors document and share their experiences treating patients so that other doctors can learn from them. Guidance on the management of adult in-patient falls. Previous care or treatment: Patient has received physical therapy in the past for an injury sustained while running however, she has never received treatment for her present symptoms. Case Presentation A 53-year-old woman who works as an office manager presents for evaluation of and treatment recommendations for a recurrence of metastatic breast cancer. pneumonia is caused by an infection of the lungs and may present as a. Determine a patient's risk for coro-nary heart disease and treatment goals. This strategy is common both in the office and hospital setting. recommended in select cases - in patients with inflammatory breast cancer and in patients with locally advanced disease (as manifested by tumor size >5 cm and/ or with 4 or more positive nodes). She is accompanied by her 4 year old son and her 30 year old sister. CASES IN PRIMARY CARE The presentation of interesting cases has a long tradition as an educational tool and contributes to lifelong learning. This template will be most appropriate if you need to prepare a presentation related to online health services. Confrontation is an Assertive Means of Conflict Resolution. Oakbrook Terrace, IL. Our guide covers everything you need to know about medication reconciliation: why it's important, how it affects patient safety, and best practices. August 15, 2016. These situations may concern the right of a patient to choose a nurse and vice versa, and especially they become aggravated in the situation of an incurable disease, the inevitability of death or the need. The slide design has a red cross over a gray background and curves. Also, drug interactions can occur if no single healthcare provider. Case Mix Index (CMI) is based on reimbursement and not clinical indicators. We are grateful to the authors for shining a light on an area of care that deserves more attention. Based on patient's previous history, a sputum smear test was ordered and two consecutive positive results resulted in the patient being referred to the chest physician. will not be applied to SBMPs [similar biological medicinal products, biosimilars] at this time unless TGA issued statement supportive of ‘a’ flagging is available’. The man was being treated with the ABVD chemotherapy. His barriers to adherence likely include the ease of administration in public and potential social anxiety from administering insulin in public. Building on our 2011‐2015 plan, this plan reflects the rapidly changing healthcare environment and the health system’s strategies to achieve our vision of “Improving the Health of Our Community. Company interactions with healthcare professionals are professional in nature and are intended to facilitate the exchange of medical or scientific information that will benefit patient care. Chest X-ray showed infiltrate in the middle. patient’s involvement in decision making about their healthcare. Case 4>> A 63 year-old woman was intubated four days ago for respiratory failure secondary to sepsis from a presumed pneumonia. An 80 year old woman is brought to the ED by EMS from home because of worsening confusion over the past 3 days. Clinical Cases - Resources for Faculty Internal Medicine Cases Enter Search Words Search. Named by noun. A single information system for the entire health system met this. The PowerPoint files in this posts have been shared by R. A well written case study will follow a customer as they define a problem, determine a solution, implement it, and reap the benefits. Case presentation Mr AA is a 48-year-old shop attendant who presented at the eye unit of a teaching hospital with a history of gradual, painless vision loss. At UMHS, Encourage the patient to sign up for and use the patient portal (MyChart) which is a secure way to communicate with providers. Medical Templates. Falls in the elderly are incredibly challenging and medications often contribute to that challenge. WX 185] R859. Good Clinical Practice (GCP) is the international ethical, scientific and practical standard to which all clinical research is conducted. She was given a diagnosis of cirrhosis 1 year ago. The Task Force on Community Preventative Services, a volunteer group of preventative and public health-care experts appointed by the director of the CDC, has recommended an educational and interventional approach to asthma care that has demonstrated an increase in symptom-free days and in cost avoidance. A resource on the Medscape website. Patient records needed to be accessible at any facility in the system, regardless of where the patient first entered the system, in order to avoid the creation of duplicate records. 45)-Antibiotic use protocols and monitoring included in IPC (§483. Although a hospital may designate an investigation team and have policies and processes, a pharmacist should take the lead in preparing for the interview and preparing. Patient came with features of quadriparesis of 1 year duration. At the end of the discussion, the following question should have been answered. Upon EMS arrival to the scene an unrestrained adult driver is found inside the vehicle with noted + steering wheel deformity. The module will begin with a presentation of a case that was published in 1990. Case Study: Chief Complaint M. August 15, 2016. -Complex patient presentation, number pharmacy practice experiences. Recommend appropriate pharmacotherapy. A fact sheet series that focuses on each specialty section. Health system pharmacists interact with nurses and physicians in their positions. An 80 year old woman is brought to the ED by EMS from home because of worsening confusion over the past 3 days. A patient education sheet and patient care checklist. This handbook elaborates the role of pharmacists and pharmacy services in the care of the critically ill patients.