Key Terms
Authors
Miranda Law, PharmD, MPH, BCPS; Malaika R. Turner, PharmD, MPH
DS
42-year-old Indian female | 65 in | 82 kg
Chief complaint
Beginning medication services Language: Does not speak
English (translator provided) Insurance
None; pays out of pocket
Financial control
Husband controls all spending and requires his permission
Allergies
NKDA (no known drug allergies)
POC glucose at visit
342 mg/dL (severely elevated) HgbA1c (15 months prior): 10.2% (poorly controlled; normal target under 7%) No other labs
Problem
All three of DS's children have learning deficits. Physician suspects prenatal exposure to Polychlorinated biphenyls (PC
Target
Achieve environmentally sound management of chemicals and wastes throughout their life cycle; substantially reduce their
Best approach
Provide culturally respectful care that does not condone harm. Report obligations depend on local law.
SDGs
Sustainable Development Goals UN: United Nations SDH: Social
Determinants of Health MTM
Medication Therapy Management APPE: Advanced Pharmacy Practice Experience T2DM: Type 2 Diabetes Mellitus HgbA1c: Glycate
Point of Care PTSD
Post-Traumatic Stress Disorder PCBs: Polychlorinated biphenyls (industrial chemical toxins; environmental pollutants) NK
No Known Drug Allergies BID
Twice daily HFA: Hydrofluoroalkane (inhaler propellant type) Cultural competency: Having knowledge and awareness of a cu
Saviorism
The attitude or behavior of a provider who imposes solutions on a community without engaging them, often rooted in uncon