wk 7- medical history taking Flashcards
older people taking 5+ medicines are at a risk of
dilerium and falls
polypharamcy inreases the risk of
-drug interactions
-adverse effects
-toxic levels
top 4 medications associated with adverse effects in AUS
- opioids
2.NSAIDS - aspirin
- Beta blockers
what is a medical reconiliation
matching prescribed medicines to the medical history
best practice in medication history taking (3)
- all medications taken at the time of admission or presentation
- includes ADRs or allergies
- includes recently stopped or changed medication
why is accurate and complete MHX important?
- clincally appropriate treatment (safe, appropriate, continuity of care)
- identify drug related problems
- identify potential interactions (drug-drug, drug-disease, drug-food, drug - patient)
- assess allergy/reaction
- assess patients medication managment and adherence to prescribed regimes
how do medication errors occur
most commonly from poor history taking at presentation- incorrect documentation
patient not wanting to disclose information/forgetting
patient not thinking its important information
not cross checking with other health professionals
examples of medication errors
-incorrect documentation
-incorrect dosage
-continuation of drugs when meant to be stopped
-drug admission when there is a contraindication
-lack of education/instruction of consumption
what sources could you confirm medical history
-patient
-medicines list
-prescriptions
-referrals
-GP
-dispensing pharmacy
-my health record
information documentation for drugs
generic drug name,
dose,
route,
formulation,
drug strength
time of day,
administation device
signs of non- adherence
- date of dispense
- remaining tablets
- no expected response to therapy
- word choice
- poor understanding of regime
- adverse effects reported
- disengaged
strategies of improving adherence
- setting timers
- daily drug containers
- apps
- ???
