Development of systemic maps as a basic tool for detection and resolution of patient's medication-related needs.

Comprehensive Medication Management has been provided to a 58-year-old woman, a smoker, with osteoporosis, vertebral fractures, hyperlipidaemia, respiratory dysfunction, who was taking 9 medications to treat these clinical conditions. The proposed interventions were derived from developing a systemic map used as a tool to integrate biomedical and psychosocial aspects, after prior evaluation of the patient's clinical and medication conditions. This information was obtained by integrating semi-structured pharmacotherapeutic interviews with in-depth interviews. As part of the care plan, a medical report was prepared with 5 recommendations that were accepted by the primary care physician and another 3 were proposed directly to the patient, also achieving acceptance. After evaluating the results, a favourable evolution of 5 clinical conditions was verified. Using systemic maps to interrelate qualitative aspects of the patient's personal experience with pharmacotherapy evaluation allows us to propose biopsychosocial interventions adapted to a comprehensive resolution of pharmacotherapeutic needs.