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Diagnosis and therapeutic goals. What are you actually treating?
1Department of Clinical Pharmacology, Royal Adelaide Hospital, South Australia. sshakib@mail.rah.sa.gov.au
Background:
Bad prescribing frequently involves writing a prescription for a symptom or a diagnosis and not considering the other steps in the prescribing process.
Objective:
To illustrate the process of therapeutic goals.
Discussion:
Therapeutic goals are the answer to the patient's question: 'Why am I taking this medication?' Taking this step in the prescribing process allows for a greater consideration of available treatment options, greater individualisation of therapy, avoids treatment on the basis of surrogate endopoints, and may result in greater patient concordance.
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