Workshop

Question 1

Disclosure

1. What information does a patient need in order to make an adequately informed decision?
2. How do we determine whether or not enough information has been given to a patient?

Answer 1

1.

• Benefits of treatment
• Side effects & risks (common and rare)
• Options (Medicine A, Medicine B, Nothing)
• Cost (time cost as well)
• Funding

2.

• Once you talk to someone, ask them questions (easy ones)
• When they stop asking questions (sometimes)

Question 2

Comprehension

1. What might prevent a patient understanding the information presented to them?
2. What can a healthcare provider do to enable comprehension to them?

Answer 2

1.

• Language barrier
• Jargon
• health literacy (poor)
• Environment
• Privacy (lack of)
• Fast speaking

2.

• Translator
• Safe, comfy environment
• brochures
• slow speaking

Question 3

Competence

1. List some examples of patients who might not be competent to make particular medical decision:
2. Who can give consent when a patient is not competent to do so?

Answer 3

1. • Mentally ill (severe)
   • Children
   • Learning difficulties

2.

• Legal gardian
• Welfare gardian
• Power of attorney

Question 4

WK2

Answer 4

1. Describe the signs and symptoms of pyrexia in adults and children
2. Triage signs and symptoms of pyrexia in a presenting patient
3. have a working knowledge of commonly used pyrexic references in adults and children
4. Have a brief discussion about some thermometers commonly used for measuring fever in adults and children
5. Use the NICE Traffic Light triage system in pyrexia in adults and children
6. Perform simple calculations for paracetamol and ibuprofen dosing, in adults and children

Question 5

WK3

Answer 5

1. Understand and communicate social processes underlying antimicrobial resistance
2. Be aware of strategies to address the development and spread of resistance in the community

Question 6

WK5

Answer 6

1. To be aware of pertinent risk factors and red flags that require referral for further investigation
2. To become familiar with and recognise laboratory tests which may indicate infection
3. To be familiar with common pathogens associated with cellulitis
4. To be aware of and able to access reliable resources for antimicrobial selection guidance
5. To use clinical judgement alongside specific patient factors when selecting an antimicrobial regimen

Question 7

WK6

Answer 7

1. Recognise the symptoms and causes of the cold sores (Herpes Simplex Type 1 (HSV1) virus) as they present in community pharmacy
2. Differentiate symptoms between cold sores and other conditions on the skin (eg impetigo) that may warrant a referral.
3. Recommend pharmacological and non-pharmacological approaches to treating cold sores, including pharmacist-only, over-the-counter (OTC) medicines and any lifestyle modifications
4. Recognise the symptoms and causes of minor Aphthous ulcers (mouth ulcers) as they present in community pharmacy
5. Recommend pharmacological and non-pharmacological approaches to treating minor Aphthous ulcers (mouth ulcers), including pharmacist-only, over-the-counter (OTC) medicines and any lifestyle modifications
6. Recognise the symptoms and causes of oral thrush (oral candidiasis) as they present in community pharmacy.
7. Recommend pharmacological and non-pharmacological approaches to treating oral thrush (oral candidiasis), including pharmacist only, over-the-counter (OTC) medicines and any lifestyle modifications
8. Be able to discuss timeframes for symptom control or recovery for the various treatment recommendations made
9. Provide patient education and counselling for issues that are sensitive in nature