responding to symptoms framework Flashcards
(19 cards)
appropriate greeting to get the mark
Appropriate greeting and introduction as the pharmacist (name and role)
Good morning, my name is Heer, and I’ll be your pharmacist today
first thing we have to confirm of the patient
who they are and their age
what do we ask about main symptoms
- what they are
- how long have they been present
- are there any additional symptoms
how do we further explore symptoms
- Further explores patient presenting complaint i.e. location, severity (e.g. what is the cough like, any mucus, etc)
- are their any aggravating / relieving factors that affect the symptoms
- Is it affecting their daily activities?
- Asks if the patient has tried anything for the symptoms?
what do we finally do before we move on from symptoms
recap them and confirm them: minimum of 3!!
what red flags do we need to investigate
anything that would warrant a referral to the GP
what 2 things do we actively need to determine
- patients ideas and concerns about what they think about their symptoms and how the condition affects them
- what expectations the patient has with regards to treatment options i.e.
preference over non-drug vs drug
before giving any medications, what do we need to make sure the patient doesn’t have
- any allergies
- any intolerances
aside from allergies and intolerances, what is it good to ask about
Confirms if the patient has any medical conditions? (Both current and previous)
- Asks if the patient is taking any medicines? (POM/P/Herbal/Homeopathic/Online)
PHYSICAL EXAMINATION (IF APPLICABLE): what can we offer to be present?
a chaperone!
PHYSICAL EXAMINATION (IF APPLICABLE): what do we need 2 do:
- Explains the process of physical examination/procedure including any pros/cons,
consequence/outcomes, side effects etc. where relevant - Gains consent to carry out examination/procedure
- Carries out examination/procedure in accordance with any SOPs previously provided and practised
now that we have done all the questioning: what do we do with all this info:
Correctly concludes diagnoses of presenting complaint based on symptoms
Explains what this diagnosis means
maybe explains why they have chosen diagnosis over potential other (differential diagnosis)
how do we make sure the patient doesn’t panic
- Reassures the patient that the symptoms can be managed with advice/practical measures
- Explains that a referral is required/not required
what do we do after diagnosing, in RECOMMENDATION & SAFETY NETTING
Provides appropriate treatment options (no treatment, non-drug treatment, drug treatment)
what should we mention about the treatment we have picked:
- Makes suggestions and provides advantages and disadvantages of recommended treatment options if more than one
- Provides a clear explanation of why a particular option might be better and involves the patient in
the decision on which to choose - Outlines treatment option around patients’ previously described ideas/concerns/expectations
what practical administration stuff do we say about the treatment
Provides detailed advice on above chosen option i.e. how to use the product or practical measures
to undertake
what practical advice can we give
- When the person is likely to be feeling better
- telling them to rest, take fluids, healthy diet, maintain good hygiene, not share stuff etc
if no treatment, what does it mean to do: Appropriate signposting if no treatment response, including the presence of relevant red flags
- say the relevant red flags and mention if they need to be referred, have a ward based response etc
what 3 things do we have to do in the closing
- Checks patient understanding
- Confirms patient is happy with recommended plan and all patient concerns addressed
- Checks with patient if they have any questions
