A. Clinical and pharmacy practice Flashcards
What are the essential services comms pharmacies provide?
- Dispensing meds/med appliances
- Dispoal of unwanted/spare meds
- advising patients on self-care
- Advising people healthy living
- Providing meds support following hospital discharge
What advanced services can community pharmacies provide?
These are optional
- Flu vax
- NMS
- CPCS (emergency med supply and minor illness needs)
- Hep C testing
- Hypertension case finding
- Smoking cessation
What are some national and local enhanced services provided by comms pharmacies?
- Covid-19 vax
- Needle and syringe programmes, sexual health
What are the duties of comms pharmacists?
- OTC consultations
- Clinical and accuracy check of prescriptions
- supervise OTC sales and dispensary activities
- Stock maintenance
- provision of services
- remote consultations
- Training and development
What are some minor ailments which comms pharmacists can advise on?
- Coughs
- Colds
- Sore throats
- abdominal pain
- aches and pains
- red eyes
- mouth ulcers
- athletes foot
- Constipation
- Diarrhoea
What are the 4 principles of medicines optimisation?
- Understanding patient’s experience
- Evidence-based medicines
- Safety
- Routine practice of medicines optimisation
Explain each principle of medicines optimisation
- patient experience, open dialogue with patient/carer about their choice and experience using meds to mangage their condition
- evidence-based choice of meds , HCPs choosing the most clinically and cost-effective meds, which best meet needs of patient, using best source of evidence
- Safety, ensuring meds are as safe as possible. everyone’s responsiblility including the patient, Patients should be informed of usage, side effects and interactions. The effective comms between HCPs can prevent misunderstandings which may harm the patient.
- Routine meds optimisation- interactions between patient and HCPs or HCPs with other HCPs about how to get the best possible outcomes from meds throught the patient’s care.
What is medicines optimisation?
A person centered approach to the safe and effective use of medicinces for best possible outcomes to patient
What are the potential benefits of each prinicple of meds optimisation?
1. Understanding patient experience:
* Patients are more engaged and understand their meds
* they can choose
* their believes and preferences are understood and involved in a shared decision
* they take their meds as agreed
* feel more confident to share experiences with meds with HCPs and how the meds impact their life
2. Evidence based choice of meds
* best possibe outcomes due to best chosen meds
* only treatments that work are chosen and ones that aren’t required are terminated
3. Ensuring safety of the meds
* less incidents of avoidable harm
* patients are more confident with their meds
* Pateints are more likely to speak up about concerns with HCPs
* they report their side effects which can then be reported to MHRA
* fewer admissions/readmissions due to hospital related meds usage
* unused meds are taken back to the commspharmacy for safe disposal
4. Routine practice of meds optimisation
* Patients can feel more confident discuss/review their meds with anyone directly involved in the care
* information to patient is consistent with no discrepancy
* interprofession comms is improved
* wastage is reducted
* better value for money invested in the meds by NHS
* outcomes are always reviewed routinely so more improvement can follow.
prescription counselling
- Dose
- Indication
- Special directions and warnings
- Side effects
In order, what are the different secions of a PIL?
- Name and use
- What to know before taking med
- How to take med
- Side effects
- Storage
- Contents of pack + other info
* Ingredients
* appearance
* company who owns the MA + manufacturer address
