2. ’
’
http://www.flickr.com/photos/36521966253@N01/5596934455

3. ’
’
http://www.flickr.com/photos/36521966253@N01/5596934455

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

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

6. Calculated?

7. http://www.hugoleung.com

8. ’
http://www.flickr.com/photos/legofenris/4039682937/sizes/o/in/photostream/

9. ’

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

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

16. ’

22. 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.

23. ’

30. ’

32. ’

33. ’

35. ’

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

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

40. ’

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

46. Dr. Guirguis Personal Theory of
Pharmacy Practice

47. ’
47

48. ’
48

49. Respectful,
longitudinal
assessment &
shared decisions
49

50. 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
50

51. 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
51

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

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

54. 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

55. It is very good for driving fast
between places.
http://www.flickr.com/photos/richardgiles/3322739050/sizes/l/in/photostream/

56. Now when you drive it there
might be some issues

57. It has bad brakes
http://www.flickr.com/photos/33831378@N03/3221892151/sizes/l/in/photostream/

58. the wipers get stuck
http://www.flickr.com/photos/monsieurloupe/5936615226/sizes/l/in/photostream/

59. and one in every 1000
will spontaneously flip

60. But that
doesn’t
happen
often.
http://www.flickr.com/photos/idreaminir/2103662898/sizes/m/in/photostream/

61. Good! I’ll follow-up with you in
a week. Can I call you by
phone?

62. Any questions?
http://www.flickr.com/photos/therealfauxtographer/3736354228/sizes/l/

78. ’
’

79. 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.

82. ’

86. ’