shared decision making

http://www.flickr.com/photos/36521966253@N01/5596934455

http://www.flickr.com/photos/36521966253@N01/5596934455http://www.flickr.com/photos/36521966253@N01/5596934455

http://www.flickr.com/photos/samgellman/4014696576/sizes/l/in/photostream/

Calculated?

http://www.hugoleung.com

http://www.flickr.com/photos/legofenris/4039682937/sizes/o/in/photostream/

http://farm4.static.flickr.com/3292/2713950973_5cbe805815.jpg

http://www.flickr.com/photos/luigimirto/5223273551/sizes/l/in/photostream/

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.

http://www.flickr.com/photos/clodreno/5061338495/sizes/l/in/photostream/

http://www.flickr.com/photos/cool-photos/1532310585/sizes/m/in/photostream/

http://www.flickr.com/photos/joeyldotcom/4989229246/sizes/l/in/photostream/

Dr. Guirguis Personal Theory of Pharmacy Practice

Respectful, longitudinal

assessment & shared decisions

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

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

http://www.flickr.com/photos/andrewseajames/1566708408/sizes/l/in/photostream/

http://www.flickr.com/photos/seraphimc/1227677178/sizes/o/

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

It is very good for driving fast

between places.

http://www.flickr.com/photos/richardgiles/3322739050/sizes/l/in/photostream/

Now when you drive it there

might be some issues

It has bad brakes

http://www.flickr.com/photos/33831378@N03/3221892151/sizes/l/in/photostream/

the wipers get stuck

http://www.flickr.com/photos/monsieurloupe/5936615226/sizes/l/in/photostream/

and one in every 1000

will spontaneously flip

But that

doesn’t

happen

often.

http://www.flickr.com/photos/idreaminir/2103662898/sizes/m/in/photostream/

Good! I’ll follow-up with you in

a week. Can I call you by

phone?

Any questions?

http://www.flickr.com/photos/therealfauxtographer/3736354228/sizes/l/

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.

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