Module -3 gathering Data And Resolving Discrepancy

Question 1

ADR
ALF
EMR
Ivy
MAR
OTC
PAML
PRN

Answer 1

Adverse drug reaction
Assisted-living facility
Electronic medical record
Intravenous
Medication administration record
Over-the-counter
Pre-admission meditation patient list 
As needed

Question 2

Step 1- what is the patient’s situation?
- —what is the patient’s condition?

Answer 2

1-what are the patient’s living situation and functional status?
2- a) alert and responsive
b) altered state of
- consciousness ?(unable to participate?

Question 3

Step 2-

Question 4

step 2- gather the patient’s home medication information that is readily accessible for you

Answer 4

-Home medication list in medical record or if one is available.
-home medication is provided by patient and our family or other caregivers.
-home medication container and our pillbox is brought to the hospital.
-Information for third-party prescription database if available

Question 5

Step3- interview the patient and are the family member or other caregivers

Answer 5

-intervals patient:
if they are alert and responsive, a reliable sort of information about the medication regimen, partially or fully independent with the medication.
-Interview family members or all the caregiver if…
1-the patient with the medication
The patient is unable to participate in an interview due to a decreased level of consciousness or are not reliable so of information about the medication

Question 6

Medication history documentation :

Answer 6

1 Once discrepancy and resolved create the PAML:

-contains Home medication as determined by medication history taker.
-Concludes the essentials-medication, strength, doses, frequency, administration times.
-Will be used by admitting medical provider to order patient home medication

Question 7

Medication history documentation:
#2-medication history, chart note

Answer 7

-sources of information utilize.
-Allergies – ADR information.
-PAML
-medication which added, changed, and or discontinue.
-medication adherence:
- -adherence strategies e.g. feels all medication, planner, family, monitor, adherence, etc., concerned about adherence.
-medication education needs identify, if any.
-unresolved discrepancies or other issues requiring follow up
-signature or co-signature, if required.
-Day and time

Question 8

Medication History Documentation

Question 9

Learning objectives:
-explain the process, obtaining home medication information, comparing information from multiple sources to identify discrepancy, and resolving discrepancy.
Give example or interviewing questions that increased likelihood of obtaining complete and accuracy home medication information.
Identify component of medication history document

Question 10

Objectives:
-describe interpersonal and professional skills and behaviors necessary for medical history takers
-Explain interview skills, utilize by effective medication history take