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*Note
on course proficiencies*
YEAR 2
SEMESTER 1
PHARMACY SKILLS PROGRAM III
PHAR 5254
Course Description:
This one-semester course is the third in a six-semester
longitudinal course sequence intended to develop a broad range
of skills necessary for current and future pharmacy practice.
It is designed to parallel the didactic portion of the curriculum
integrating and applying essential knowledge, skills and attitudes
required for a successful professional career.
This course lends continuity and cohesiveness to the entire curriculum.
Each year as students assemble their pharmacy knowledge base,
the professional skills course gives students the opportunity
to integrate information within a given semester and from semester
to semester. Additionally, students are able to actually practice
and refine a variety of skills through collaborative and individual
activities. Since this course builds over three years of the curriculum
students are able to observe and document their own progression
towards achievement of professional, academic and personal goals.
Cr. 3. (3-0).
Pharmacy Skills Program III will consist of:
- Case studies and discussions in the basic
pharmaceutical sciences including pharmacodynamics (medicinal
chemistry, pharmacology, beginning therapeutics) and pharmacokinetics.
- Case studies and discussions in pharmacy
ethics.
- Case studies and discussions concerning
death and dying.
- Group problem solving incorporated into
the case studies and discussions.
- Continued application of clinical skills
and patient counseling relating to blood pressure, osteoporosis,
and diabetic foot exam/diabetes.
- A presentation of the Career Pathway Program.
- Participation in the Community Wellness
Program to provide more in the field experience with counseling
and patient interaction as well as an opportunity to deliver
blood pressure screening services, medication review, bone density
scanning, and diabetic foot exams to the Houston and surrounding
communities.
Course Proficiencies:
The student will be able to:
Pharmacokinetics Problem Solving Sessions/Tutorials:
- Successfully complete problem solving/case
study exercises in the following areas:
Graphical analysis of plasma and urinary data to determine
pertinent pharmacokinetic parameters of 1-compartment model,
drugs, after a single dose given by various routes of administration.
Multiple dosing pharmacokinetics of drugs given by various
routes of administration.
Dosage regimen design.
Dosage regimen modification.
Determining patients pharmacokinetic parameters based on
observed plasma concentrations in therapeutic drug monitoring
(TDM).
Plasma protein and tissue protein binding effect on volume
distribution of drugs.
Hepatic and renal clearance.
Regimen adjustment for patients with renal failure, liver
malfunction, or on dialysis.
Multiple-compartment and non-compartmental pharmacokinetics.
Clinical pharmacokinetics of selected drugs in TDM.
Ethics
- Identify his/her own set of ethics, values,
and morals, and describe how personal ethics influence and are
affected by ethics of a profession and society.
- Describe and public policy relating to
health care ethics as it affects the practice of pharmacy and
develop a decision making addressing public health care issues.
- Apply the Code of Ethics for Pharmacists
to specific situations.
Community Wellness Program:
- Perform the following clinical skills
and counsel patients appropriately about the results:
Diabetic foot examination
Blood pressure evaluation
Bone density scan for osteoporosis screening (Z-score)
- Counsel patients about the risk factors,
importance of controlling disease state, and nonpharmacological
control with regards to:
Hypertension
Osteoporosis
Diabetic foot [added 10/04]
Tobacco cessation
Career Pathway Evaluation Program
- Describe a process (vigilant decision
making model) that will assist the student in career planning,
and discuss opportunities with peers about career option decision
making.
- Explore possible career options using
resources.
Dynamics
- Complete problem solving/case study exercises,
develop possible solutions to drug utilization problems, monitor
therapeutic regimens, list major adverse effects and major drug
interactions associated with the following drug classes:
Anticancer agents
Cholinergic agents
Adrenergic agents
Antihypertensive agents
- Predict the cardiovascular effects evoked
by sympathomimetic and sympatholytic agents by understanding
the compensatory autonomic mechanisms.
- Plan pharmacological and nonpharmacological
approaches to the management of hypertension given patient history,
major risk factors, and comorbid illness.
- Identify the type and general characteristics
of the arrhythmia a patient is suffering, and suggest appropriate
pharmacological and non-pharmacological therapy choices given
a patients symptoms, a medical history, and an ECG recorded
during an arrhythmia.
- Provide appropriate patient educational
information on dosing, potential adverse effects, and potential
drug interactions of anti-arrhythmics.
- Discuss the following in the treatment
of patients suffering from pain:
How pain is assessed.
The classification of post-operative acute pain.
The classification of non-post operative acute pain.
The classification of chronic malignant pain.
The classification of chronic non-malignant pain.
- Suggest pharmacological therapy choices
for the different types of pain:
Acute non post-operative pain
Chronic malignant pain.
Acute post-operative pain.
Chronic non-malignant pain.
- Understand the uses and/or limitation of
non-steroid anti-inflammatory agent therapy when combined with
opiod analgesics as it relates to:
Type/severity of pain.
Advantages of synergistic analgesic effects.
Advantages of reduced side effects.
Liver function.
- Provide patient educational information
on dosing, potential adverse effects, and potential drug interactions
of narcotic analgesics.
Death and Dying
- Verbalize my personal and professional
philosophy about death and dying.
- Identify the stages of grief and specific
patient issues within each stage.
- Better understand healthcare related issues
and identify community resources for long-term and terminal
patients and their caregivers.
- Verbally respond appropriately to long-term
and terminal patients and their caregivers.
- Understand quality of life issues.
- Define palliative care and how the pharmacist
interacts and assists within the healthcare team.
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