[医药卫生]英国临床药学实践.ppt

英国药学监护实践模式与方法 ( Pharmaceutical Care Practice in UK)  杨赴云  fyy0326@ “Care” 和 “Service”“Pharmaceutical service” 药学服务  “Clinical Pharmacy ”临床药学 “Clinical Pharmacy service”临床药学服务   “Pharmaceutical care” 药学监护 药学服务Pharmaceutical Service 范围广泛，所有与药学有关的服务。如，卫生行政药事管理部门，企业的制药技术服务，医院的药学服务等。 医院药学部门所提供的系统的服务，包括药品的配制和分发，提供与药物和疾病有关的信息，所有病人用药剂量的监测，审查医生处方并录入数据库等。（The Department of Pharmacy provides systems-based services including drug and disease state information, drug preparation and distribution, and dosage monitoring services for all patients. ） 临床药学Clinical Pharmacy 临床药学是由药学专业人员实施的，帮助临床最大效益的使用药物，并且将药物的毒性降到最小的学科。（Clinical pharmacy is a discipline concerned with the application of pharmaceutical expertise to help maximise drug efficacy and minimise drug toxicity in individual patients.） 临床药学服务Clinical pharmacy service 选择用药 药代动力学评价给药剂量和方法 对病人用药的咨询和教育 其他优化药物治疗的方法。 药学监护Pharmaceutical care 1990年Robert Cipolle，Linda Strand将药学监护定义为“以病人为中心的实践，实践者负责病人与用药有关的需求并为之负责” （Pharmaceutical care is a patient-centred practice in which the practitioner assumes responsibility for a patient’s drug-related needs and is held accountable for this commitment.） 药学监护实践是一次实践针对一个病人。由三部分组成：评估病人的需求，制定监护计划，跟踪评价。 （It is built up one patient at a time.It has three components: assessment of the patient‘s needs; development of a care plan; and follow up evaluation.） 关于“Pharmaceutical Care” 的翻译 ICU “Intensive Care Unit” “重症监护病房” CCU “Cardiac Care Unit” “心脏病监护病房” A Typical Day of a Clinical  Pharmacist in UK 英国临床药师的一天 Morning 8:30 – 12:00 (Coffee break 10:00 – 10:30) See the blackboard Those admission Those discharge For those who discharge today Prescribing their discharge drugs Contact with their local pharmacist Approach to the patient For those who were admitted Medic