AW5 Pharmaceutical care in community

Question 1

why do smaller people have lower blood pressure?

Answer 1

less distance to pump blood around

Question 2

what causes top number of bp to increase?

Answer 2

exercise

Question 3

what is a feature of bp in elderly people?

Answer 3

smaller difference between the top and bottom numbers

Question 4

which number in bp is more reliable?

Answer 4

bottom number, not affected by adrenaline, stress, anxiety etc.

Question 5

what are the requirements for a legally valid prescription?

Answer 5

• signature of prescriber
• address of prescriber
• date
• particulars of the prescriber
• name and address of patient
• age if patient is under 12

Question 6

how long are POMs valid for after the appropriate date?

Answer 6

6 months

Question 7

what is the purpose of the NMS?

Answer 7

to support people with long-term conditions who are prescribed a new medicine to help identify problems early and improve adherence

Question 8

what is adherence?

Answer 8

how closely a patient follows the recommended advice from a healthcare professional

Question 9

what can adherence be affected by?

Answer 9

• side effects
• concerns about taking the medicine
• advice not fitting in with daily life

Question 10

what are the 3 steps of the NMS? when do these steps occur?

Answer 10

• engagement: when dispensing 1st prescription
• intervention: 7-14 days later
• follow up: 14-21 days after intervention

Question 11

what does a pharmacist do in the NMS?

Answer 11

• check use of medicines, presence of side effects and answer questions
• make sure the patient is taking them correctly

Question 12

why is the NMS important for blood pressure medications?

Answer 12

• usually a long-term treatment
• lack of visible symptoms can reduce adherence
• side effects are common