Lifestyle advice from the pharmacy Flashcards

1
Q

What lifestyle advice may you receive from the pharmacist (5)

A
  1. Public health and pharmacy first
  2. the diet
  3. alcohol consumption
  4. Smoking and related cessation
  5. Exercise
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2
Q

What is the practice of pharmacy (5)

A
  1. Pharmacists are the medicine experts
  2. Pharmacists are employed in many sectors, hospitals, primary care, community pharmacies
  3. Pharmacists are amongst the most respected healthcare professionals
  4. Pharmacists in community pharmacies interact with patients in their communities
  5. They are ideally placed to provide healthcare advice
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3
Q

What is the role of the community pharmacist (10)

A
  1. Expert in healthcare
  2. Expert in medicines
  3. Expert in lifestyle advice
  4. Local and convenient
  5. Free and accessible
  6. Long opening hours
  7. Prescription linked interventions
  8. New medicines service
  9. Public health education and campaigns
  10. Smoking cessation & dietary advice
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4
Q

What is the aim of community pharmacy

A

To be the front door to the NHS

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5
Q

What are activities within community pharmacy (6)

A
  1. Dispensing medicines with appropriate advice
  2. Selling medicines over the counter (OTC)
  3. Providing counselling over health-related matters
  4. Clinical services to benefit the patient –BP vaccinations
  5. Pharmacy First
  6. Offering advice on lifestyle and healthy living
    Prescribing
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6
Q

What current NHS advice is there for alcohol consumption (3)

A
  1. Men and women are advised not to regularly drink more than 14 units a week
  2. You should spread drinking over 3 -4 days if you regularly drink 14 units a week or more.
  3. If you want to cut down, try to have several drink-free days each week.
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7
Q

What are short-term complications of alcohol consumption (6)

A
  1. Anxiety/depression
  2. impaired judgement
  3. Accidents
  4. Injuries
  5. Loss of consciousness
  6. Alcohol poisoning
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8
Q

What are long-term complications of alcohol consumption (3)

A
  1. Coronary heart disease
  2. Liver disease
  3. Psychosis
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9
Q

What advice may a pharmacist give for alcohol consumption (8)

A
  1. Make a plan: Set a limit on how much you are going to drink
  2. Set a budget: Only take a fixed amount of money to spend on alcohol
  3. Let them know: Obtain support from family and friends
  4. Take it a day at a time: Cut back a little each day
  5. Have a smaller one: Go for smaller sizes. Try bottled beer instead of pints
  6. Have a lower-strength drink: Have lower strength drinks (ABV in %)
  7. Stay hydrated: Drink a pint of water before you start drinking
  8. Take a break: Have the odd day each week with no alcoholic drinks
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10
Q

What are the two arms of smoking support (2)

A
  1. Psychological support
  2. Smoking cessation products - cost-effective
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11
Q

What effects can smoking have on the body (9)

A
  1. Cancer
  2. Coronary heart disease
  3. Stroke
  4. Respiratory disease
  5. GIT ulceration
  6. Erectile dysfunction
  7. Infertility
  8. Osteoporosis
  9. Cataracts/ARMD
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12
Q

What are the dangers of e-cigarrettes and vaping (5)

A
  1. E-cigarettes and vaping are NOT smoking cessation products.
  2. Ane-cigarette, or vape pen, is an electronic device that heats a pod of liquid, turning it into vapour that contains nicotine, flavourings and other substances.
  3. The dangers of smoking are two fold, namely nicotine inhalation and the presence of fillers and other combustibles.
  4. Nicotine causes vasoconstriction and increased arterial wall pressure.
  5. Among reports of adverse effects of vaping are:-Rapid onset of coughing, breathing difficulties, weight loss nausea and vomiting and diarrhoea.
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13
Q

What is the aim of smoking cessation (3)

A
  1. To modify patient behaviour
  2. Behavioural support and NRT= increased chance of quitting
  3. NICE Guidelines. National Centre for Smoking Cessation and Training
    Very brief advice VBA. 30 seconds. Ask, Advise and Act
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14
Q

What smoking cessation psychology advice is there (6)

A
  1. Educate yourself with the positives and negatives
  2. Identify and eliminate trigger factors
  3. Seek and use social support
  4. Increase chances by using medicinal support
  5. Maintain the position and do not revert back
  6. Change your routine
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15
Q

What is smoking NRT (5)

A
  1. The delivery of nicotine to the body in a ‘clean form’
  2. Helps the patient with withdrawal symptoms: Irritability, Cravings
  3. Various dosage forms: Patches, gum, lozenges, inhalators & nasal spray
  4. You need to know about these products and their use
  5. E cigarettes are beneficial for some
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16
Q

What smoking cessation advice may be given (7)

A
  1. Make a plan: Plan a quit date and stick to it
  2. Focus: Concentrate on short and long term benefits
  3. Let them know: Obtain support from family and friends
  4. Location: Avoid places where you would normally smoke
  5. Quit: Smoking cessation should be the first priority
  6. Viewpoint: See yourself as a non-smoker
  7. Be patient: Take one day at a time
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17
Q

What can regular exercise decrease the incidence of (6)

A
  1. HEART DISEASE
  2. STROKE
  3. DIABETES
  4. CANCER
  5. THE LIKELIHOOD OF WEIGHT GAIN
  6. RISK OF EARLY DEATH
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18
Q

What effect does exercise have on the bones/joints & muscles (3)

A
  1. Increase bone width and density
  2. Increase the stability/flexibility of joints
  3. Increase muscle size
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19
Q

What effect does exercise have on the cardiovascular system (2)

A
  1. Increase the size and strength of heat muscle
  2. Increase cardiac output along with blood volume and RBCs
20
Q

What effect does exercise have on the lungs (2)

A
  1. Increase the strength of the diaphragm and the number of alveoli
  2. Increase oxygen delivery to the body and carbon dioxide removal
21
Q

What issues may cause lack of exercise (5)

A
  1. Work commitments
  2. Time constraints
  3. Caring for children/relatives
  4. Money
  5. Poor health
22
Q

What support details may pharmacists provide to promote exercise (4)

A
  1. Current best practice with ongoing support/advice
  2. Leisure centre and support group locations
  3. Walking or cycling activities
  4. Subsidised access schemes to leisure centres
23
Q

What national guidance is there for adult exercise (3)

A
  1. Be active each day
  2. 2 ½ hours of aerobic activity every week
  3. Muscle strengthening activities on 2 or more days a week
24
Q

What national guidance is there for young people’s exercise (2)

A
  1. 1 hour of physical activity each day
  2. On 3 days a week muscle strengthening activities
25
What is the difference between overweight and obese (3)
1. People who are obese often suffer from very low self-esteem and lethargy. 2. Overweight people often recognise that they need to ‘shed a few pounds’ and may or may not have an incentive to do so. 3. We consider the two matters separately, including balanced diets and healthy eating in the latter category before considering other services for the seriously overweight patient.
26
What are predisposing factors to obesity (3)
1. Diabetes 2. Hypertension 3. Cardiovascular Disease
27
What are the suggested non-pharmacological interventions for obesity (7)
1. To improve the health of an obese individual by supporting sustainable weight loss 2. To provide tailored behavioural goals as a tool to aid weight loss 3. To support the individual to be more physically active 4. To provide targeted advice and motivational support on healthy eating, physical activity and promotion of a healthy weight by setting achievable goals on a regular basis and monitoring progress towards them. 5. Structured Support Programme 6. One-one consultations (12 weeks) 7. Goal: Lose up to 5% of own weight by 12 weeks.
28
What are key parameters of obesity pathways (4)
1. Blood Pressure 2. BMI 3. Physical Activity 4. Individual’s motivation and barriers
29
What are the two routes into the obesity pathway through community pharmacy (2)
1. GP – often inter-referral within the surgery 2. CP- Self-referral
30
What are the positive outcomes of the two routes into the obesity pathway through community pharmacy (3)
1. Personalised and Private 2. Improved Self-confidence 3. Enjoying life after years of seclusion and Isolation.
31
What are other opportunities for the obesity pathway through community pharmacy (3)
1. Enhance the preventative role – Healthy Living Pharmacy 2. Services for obese children 3. Community Pharmacists are the medicine experts - Consider pharmacological interventions
32
What signs could lead to obesity (4)
1. Mental Health 2. Chaotic lifestyle 3. Specific Medicines 4. Specific diseases
33
What reasons might poor weight management stem from (7)
1. cheaper foods 2. labour-saving machinery 3. television 4. overeating 5. computers and email 6. irregular meal times 7. reduced space for recreation
34
What will healthy weight reduce the risk of (3)
1. HEART DISEASE 2. STROKE 3. TYPE II DIABETES
35
What weight management advice may a pharmacy give (7)
1. Avoid the word ‘DIET’ 2. Eat LESS FOOD 3. Eat SMALLER PORTIONS, with no second helpings/snacks between meals 4. Have three REGULAR MEALS per day 5. Eat LOW CALORIE FOODS: Salads, fruits, vegetables, low fat milk & yoghurt 6. Take CARE: cakes, biscuits, cheese, chocolate, nuts, crisps & fried food 7. Encourage the household to be SUPPORTIVE and INVOLVED
36
What presentations involve concerns of the diet (3)
1. DIABETES 2. CORONARY HEART DISEASE 3. SOME CANCERS
37
What dietary advice may the pharmacist recommend (6)
1. Eat 5 portions of fruit and vegetables each day (5-A-Day) 2. Plan your meals appropriately to obtain a good balance 3. Variety is important – consider different fruit/veg 4. Include meat, fish, eggs and pulses 5. Attempt to eat ‘3 portions’ of dairy products/day 6. Be careful with sugar, fat and cholesterol intake
38
What healthy eating tips are there (7)
1. Stay in season 2. Have variety 3. Care with butter, cream or cheese 4. Caution with dried fruit 5. Look at the pack information 6. Reduce meat portion size 7. Maximise nutrient intake
39
What are prescribed weight loss injections (3)
1. Liraglutide (Saxenda) - daily injection 2. Semaglutide (Wegovy) - weekly injection 3. Work by making you feel fuller and less hungry.
40
What drugs affect metabolism (5)
1. Interact with alcohol (metronidazole) 2. Interact with milk (ciprofloxacin) 3. Taken after food (NSAIDs) 4. Taken 30-60 minutes before food (budesonide, dipyridamole) 5. Taken when stomach is empty (ampicillin)
41
What drugs may increase weight (7)
1. Paroxetine 2. Sodium valproate 3. Olanzapine 4. Prednisolone 5. Chlorpropamide 6. Atenolol 7. Medroxyprogesterone
42
What drugs may decrease weight (6)
1. Metformin 2. Fluoxetine - Selective serotonin uptake inhibitor 3. Topiramate - Anti epileptic 4. Thyroid treatments - Thyroxine and carbimazole 5. Anti infective agents - Metronidazole, Atovaquone. 6. ADHD medicines - methylphenidate
43
What medical conditions may increase weight (3)
1. Hypothyroidism - Underactive thyroid gland. Not enough thyroid hormones so metabolism is slowed. 2. Depression and other related mental health issues 3. Cushing’s syndrome - High cortisol levels in the body. May be iatrogenic.
44
What medical conditions may decrease weight (5)
1. Cancer 2. Coeliac disease - Inflammation of small intestine affecting absorption 3. Chronic Obstructive Pulmonary Disease COPD 4. Crohn’s disease 5. HIV and AIDs
45
What medicines support weight loss (6)
1. Phentermine 2. diethylpropion. 3. Sibutramine 4. dexfenfluramine 5. fenfluramine. 6. Orlistat