MEP chapter 2 Flashcards
Themes of patient-centred care?
- Treating patients as equal partners in decisions about their care
- Respect for patients
- Empathy, compassion and dignity
- patient choice, control and influence
Examples of patient-centred care?
- Involving patients in their care
- asking patients what to do and not TELLING them
- ability so speak openly
- involvement in patient concerns/views about their medication and the impact on their life
- identify problematic polypharmacy
- explaining your role
What is medicines optimaisation?
Ensuring that patients get the best outcome from their treatment. Right medicine at the right place at the right time.
Goals of medicines optimisation?
- Improve outcomes
- Ensure efficacy and adherence
- Reduce wastage
- Improve safety
- Avoid unnecessary usage of excess meds
4 principles of medicines optimisation?
1) Understand patient experience
2) evidence-based choice of medication
3) medicines use is as safe as possible
4) making med optimisation a part of routine practice
Define polypharmacy.
The inappropriate prescribing of multiple medication or when intended benefit of medication is not realised
Benefits of a polypharmacy review
- reduce wastage
- improve health
- increase adherence
Define professional judgement
The ability to use accumulated knowledge and experience with the incorporated approach of the law, standards and ethical consideration + values/attitudes/behaviours to problem solve issues that involve patients.
How would a pharmacist exercise professional judgement?
Identify the issue Gather the info Identify options Weigh up pros and cons Choose an option Ensure to record
When facing professional/ethical dilemmas, give examples of where pharmacists could make records?
PMR
Intervention book
Medical notes
Behind the prescription register
Before starting work as a pharmacist, what type of insurance is required?
Professional indemnity insurance to cover the nature and extents of risks in practice.
Special type of patients to be aware of when clinically checking?
Animals Pregnant/Breastfeeding Children Elderly Ethnic groups
Name a medication used for cholesterol that has a lower initial and max dose for those of Asian origin.
Rosuvastatin (initial: 5mg, max: 20mg)
Where should you report patient safety incidents?
NRLS - National reporting and learning systems
As a pharmacist how many records do you have to submit per year for revalidation’?
6 records
