WWHAM Flashcards
What is the most important part in a consultation?
- Asking questions
- Considering the range of treatment options
- Giving general and lifestyle advice
- Having good product knowledge
- Knowing about a lot of complaints / conditions
- Knowing the evidence base
- Listening
- Working with patients / 3rd party
Responding to patients
- Listening
- Asking questions to gather information
- Working with patients / 3rd party
- Knowing about a lot of complaints / conditions
- Considering the range of treatment options
- Having good product knowledge
- Knowing the evidence base
- Giving general and lifestyle advice
W (1)
Who’s is the medicine for?
W (2)
What are the symptoms?
H
How long have the symptoms been present?
A
What action has been taken?
M
What medication is patient taking?
Limitations
-family history
-previous symptoms
-general appearance
-social factors
-lifestyle factors
Red flags
- Knowing when to refer
- Knowing who to refer to
- Distinguishing between minor and major illness
Examples
Long duration of symptoms
Recurring or worsening problem
Severe symptoms (depends on the condition)
Shortness of breath, tightness of chest, wheezing
Blood / bleeding
Suspected link with medication
Recently returned from travels
Asking deeper questions
TED + ICE
TED
TELL
EXPLAIN
DESCRIBE
ICE
IDEAS
CONCERNS
EXPECTATIONS
Helpful example questions
- Tell me why you have come to the pharmacy today
- Explain the problem to me …and who is it for?
- Describe your symptoms to me…and how long have you had these?
- Ideas: Do you have any ideas about what might have caused it?
- Concerns: Is there anything in particular that is worrying you?
- Expectations: Have you had any thoughts on what might be the best approach?
- Have you tried anything already?
What other medicines do you take?
ENCORE
Explore
No medication?
Care
Observe
Refer
Explain