Credits		3 credits
Coordinator/Primary Instructor		Dr. Kelly Orr & Dr. Ginger Lemay
Catalog Description		Expansion of nonprescription and complementary medicine therapeutics. Explore the implementation of pharmaceutical care programs in community pharmacy practice.(Lec. 3) Pre: Third year Doctor of Pharmacy professional student with successful completion of Self Care 1.
Estimated Enrollment		40 (Preference will be given to P3 students. P2s may take with instructor permission.)

Detailed Course Description

Self-care is a continuum of behavior initiated by a patient potentially enhancing their health status and functioning.  As a pharmacist, knowledge of non-prescription medications, complementary therapies, non-pharmacological measures, diagnostic tests, and medical devices are all integral pieces of counseling patients on the most appropriate self-care option.

In addition, the accessibility of the community pharmacist has led to the development innovative services focusing on the patient and their specific disease state. Pharmacists have increasingly been able to take an interactive role in the care of patients.

Activities/Class Format

Didactic Lectures
Several lectures will be provided throughout the semester covering material in great depth than in self care 1. Topics that have been included in past curriculum are use of nonprescription medication in pediatric populations, pregnancy, oral care, drugs of abuse, insomnia, drowsiness, homeopathy, meal replacement, and durable medical equipment.

Virtual Patients
This project will be on going throughout the semester. Each group of three to four students will be assigned a virtual patient they will be in contact with by email. Your patient will routinely on Mondays ask your group self care questions as if your were the pharmacist, you in turn have all week to research and ask appropriate questions to determine what is the best advice to give your patient by the following Friday (1 weeks).

Your virtual patient will react like a real patient, so chose your counseling points carefully! The virtual patients may also talk to each other, so if you give one the wrong information it may spread from patient to patient. At the end of the semester you will be required to present on one question that you most learned from and the class will benefit from.

In-Class Activities
There are several in-class activities in which you will be required to participate in. If you are not present, you cannot receive credit. Past examples include: Behind the Counter Drugs, Ba-Fa Ba-Fa, Direct to Consumer Advertising, Micronutrients, and a Medicaid OTC Proposal. Each activity will be described in the class notes and on WebCT.

Self Care Business Plan
The final in this class is a group project to design a self care business plan based on the APhA OTC Advisor Modules. Two modules will be available on WebCT: pharmacist role in self care (module 1) and the market place- setting up a self care practice (module 2).

A lecture will be provided in class to provide you with general background information, however you are responsible for the content in the modules. This will be due during final exams.

Examinations
Two examinations will be given during the semester, and in addition, the self care business plan will serve as exam 3. Exams will cover lecture material noted in syllabus. Exam questions will be taken from material presented in class and from the assigned readings. Each student is responsible to attend each examination.

Grading

Exam 1	20%
Exam 2	20%
Business Plan(Exam 3)	20%
Class Activities(5)	20%
Virtual Patients	20%

Learning Objectives

1. Further develop clinical assessment skills to evaluate appropriate patients for self-management or triage.
2. Improve both oral and written communication skills through providing non-prescription and non-pharmacological education.
3. Explain to patients, caregivers, and prescribers the efficacy, dosage, adverse effects, and administration of non-prescription medicines and corresponding non-pharmacologic treatments for common ailments.
4. Understand the legal and regulatory issues with over-the-counter drug status.
5. Demonstrate the proper use of durable equipment to ensure the patient or caregiver can effectively utilize the device.
6. Provide counseling, and guidance regarding complementary health systems to patients from diverse populations.
7. Discuss proper use of over-the-counter medications in special populations, such as pediatric and pregnant patients.
8. Understand dietary supplementation and non-traditional modality practice in the community and its’ role in health care.
9. Design a self care business plan to market a potential service provided in the community pharmacy; integrate innovative programs such as smoking cessation and diabetic counseling.
10. Identify the impact of direct to consumer advertising on consumers and the potential role of a pharmacist in the education of consumers.