wk 5- communication

Question 1

4 dimensions of benefit or harm and communicating it

Answer 1

1. nature- onset, duration, reversibility
2. probability - that it will occur
3. importance to the person experiencing it
4. how benefit can be maximised and harm prevented

Question 2

benefits and harms convo with patient should include talking about

Answer 2

► What are the likely benefits of taking this medicines?
► What harms, such as medication side effects, should I be
aware of?
► What would happen if I didn’t take this medicine?
► What are my other treatment options?
► Which option has the best balance of benefits to harms for
me?
► How do I take the medicines and for how long?
► How much is it going to cost?

Question 3

writing a prescription

Answer 3

► Write in full – avoid initialisms, acronyms or any other abbreviation
► Print all text – especially drug names
► Use generic drug names – not brands
► Use words or Hindu-Arabic numbers i.e. one, two or 1, 2
► Use metric units e.g. gram or millilitre
► Use leading zeros for doses less than 1 e.g. 0.5ml, don’t use trailing zeros e.g. 5.0ml

Question 4

are PBS available for pod prescriptions

Answer 4

no

Question 5

do prescriptions count toward PBS safety net threshold

Answer 5

no

Question 6

prescribing errors that occur at the pod level

Answer 6

-incorrect diagnosis
-unncesessary medicine
-medical history issues
-route correct
-written correctly

Question 7

requirements from PBA for pods and antibiotics

Answer 7

-prolonged treatment only done with medical practitioner advice
-worsening state or no improvement after dose, dose and drug must be reviewed with referral for further investigation

Question 8

requirements from PBA for pods with antifungals

Answer 8

-must notify medical practitioner for monitoring of systemic status

Question 9

requirement by PBA for pods with gout

Answer 9

notify medical practitioner for further diagnostics and long term management

Question 10

what do you need to do if theres been an adverse effect

Answer 10

report to TGA
cease therapy

Question 11

what are pharmacists roles

Answer 11

check for:
1. registration no for legality of script
2. interactions
3. counsel patients
4. drug is written correctly
5. monitor s8 use (substance abuse)
6. dispense drugs
7. offer different brands/costs

Question 12

what does an endorse podiatrist need to write on a prescription in qld

Answer 12

prescribers name, pod with ESM, address, rego no.

patients name, address, DOB (for S8, not mandatory for S4)

generic drug name, dose, formulation, duration, repeats

advice about how to take drug

signature

Question 13

can you write a prescription for S2/3 drugs

Answer 13

its official form of communicating (pharmacist)

means drug/drug interactions get monitored better, and theres more documentation of their medications, and more counselling to the patient

its not mandatory but you can do it

Question 14

whats a placebo effect

Answer 14

psychosomatic process in the body

if patient believes in a positive effect it will increase the quantifiable effects - not just for drugs, for any intervention

communicating in a positive way is a stratgey to use the effects of this