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Biomedical subjects

B Chewning

Publications and source records attributed to B Chewning.

6 recordsLinked to original sources
PubMed1996

Medication decision-making and management: a client-centered model.

Although the traditional medical model dominates how 'provider-patient' roles are viewed, research has documented that client medication behavior strongly influences health outcomes, health care utilization, and ultimately health care costs. This paper explores the position that medication management outcomes can be improved by adopting more client-centered approaches. To examine the implications of a client-centered relationship this paper reviews research regarding client involvement in: (1) identifying treatment goals; (2) choosing from regimen options; (3) monitoring symptoms and evaluating regiments; and (4) self care with nonprescription pharmaceutical products. Based on this literature review, a collaborative client-centered model of medication consultation is examined, and implications for health care provider roles and public policy in pharmaceutical care are discussed.

Drug Therapy↗
PubMed1996

Increasing clients' knowledge of community pharmacists' roles.

PURPOSE: The pharmaceutical care framework requires an active client-pharmacist partnership, particularly with respect to consultation about medications. With low client expectations for pharmacist consultation documented by several studies, this research sought to identify: 1) what information clients want from pharmacists, 2) what barriers prevent clients from asking pharmacists their questions, and 3) whether an inexpensive intervention could increase client short-term knowledge of pharmacist roles related to patient consultation and monitoring prescription appropriateness. Role theory provides a framework for this study. METHODS: Nineteen community pharmacies and 355 pharmacy clients participated in the study. Each client completed a survey on their needs for information and knowledge of pharmacist roles, with clients in the experimental arm receiving a short brochure on pharmacist roles while a control group did not. RESULTS: Sixty percent wanted information about side effects; 51% wanted directions for how to take the medication correctly. Most frequently listed barriers to asking pharmacists questions were client embarrassment and ignorance that it was appropriate to seek information from pharmacists. Significantly more experimental group clients than control group clients correctly answered survey questions about pharmacist roles and training. Only 52% of the control group believed the pharmacist always checks for possible drug interactions. Only 55% believed pharmacists were required to provide appropriate patient consultation for prescriptions under state law. CONCLUSIONS: Brief exposure to a short pamphlet about pharmacists' activities increased knowledge of pharmacist roles and training, suggesting that inexpensive interventions can impact on client short term knowledge of pharmacist roles.

Community Pharmacy Services↗
PubMed1980

Staff manuals for teaching patients.

In addition to outlining what to teach patients, the Staff Manual for Teaching Patients with Diabetes and the Staff Manual for Teaching Patients with Hypertension outline how patient and family learning can be promoted. A chapter specifically on the teaching-learning process is included in each manual with concrete examples relevant to the disease process being discussed. Each manual also includes a brief chapter on how to organize and set up patient education in a hospital setting using a team approach.

Diabetes Mellitus↗