WWHAM Flashcards

1
Q

What is the most important part in a consultation?

A
  1. Asking questions
  2. Considering the range of treatment options
  3. Giving general and lifestyle advice
  4. Having good product knowledge
  5. Knowing about a lot of complaints / conditions
  6. Knowing the evidence base
  7. Listening
  8. Working with patients / 3rd party
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2
Q

Responding to patients

A
  1. Listening
  2. Asking questions to gather information
  3. Working with patients / 3rd party
  4. Knowing about a lot of complaints / conditions
  5. Considering the range of treatment options
  6. Having good product knowledge
  7. Knowing the evidence base
  8. Giving general and lifestyle advice
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3
Q

W (1)

A

Who’s is the medicine for?

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4
Q

W (2)

A

What are the symptoms?

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5
Q

H

A

How long have the symptoms been present?

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6
Q

A

A

What action has been taken?

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7
Q

M

A

What medication is patient taking?

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8
Q

Limitations

A

-family history
-previous symptoms
-general appearance
-social factors
-lifestyle factors

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9
Q

Red flags

A
  • Knowing when to refer
  • Knowing who to refer to
  • Distinguishing between minor and major illness
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10
Q

Examples

A

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

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11
Q

Asking deeper questions

A

TED + ICE

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12
Q

TED

A

TELL
EXPLAIN
DESCRIBE

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13
Q

ICE

A

IDEAS
CONCERNS
EXPECTATIONS

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14
Q

Helpful example questions

A
  • 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?
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15
Q

ENCORE

A

Explore
No medication?
Care
Observe
Refer
Explain

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16
Q

AS METHOD

A

Age/appearance
Self or someone else
Medication
Extra medicines
Time persisting
History
Other symptoms
Danger symptoms

17
Q

SIT DOWN SIR

A

Site or location?
Intensity or severity?
Type or nature?
Duration?
Onset?
With? (Other symptoms)
N annoyed or aggravated by?
Spread or radiation?
Incidence or frequency pattern?
Relieved by?

18
Q

There’s more

A

QuEST
SCHOLAR
CHAPSFRAPS

19
Q

WWHAM example

A

W: 25-year-old male requesting information for himself
W: sore throat symptoms
H: 4 days
A: has not taken anything for the sore throat
M: no regular medication

20
Q

ENCORE example

A

E: sore throat symptoms – little information apart from throat looks a little sore
N: not taking any medication – not an adverse drug reaction
C: No warning symptoms are present – for example bacterial infection such as swollen glands or white tonsil exudate. Sore throat only of 4 days’ duration.
O: 25-year-old male, looks generally healthy but a little run down as if he is not taking care of himself
R: no need to refer in this case
E: suck a lozenge or pastille to soothe throat etc.

21
Q

AS METHOD example

A

A: 25-year-old male, looks generally healthy but a little run down as if he is not taking care of himself
S: requesting information for himself
M: no regular medication
E: has not taken anything for the sore throat
T: 4 days
H: has a tendency to have sore throats associated with cold symptoms, blames this on workplace
O: no other symptoms
D: no symptoms to cause concern

22
Q

SITDOWNSIR

A

S: throat
I: quite sore
T: worse on swallowing
D: four days
O: usually associated with cold
W: no other symptoms
N: no information
S: no spread of symptoms
I: two recent colds and usually associated with sore throat
R: has not tried any medication, throat continually sore but worse on swallowing