Polypharmacy

Question 1

Considering illness

Answer 1

Identity - diagnosis, label, symptoms
Cause
Timeline - expected duration of illness
Consequences - physical, emotional and social
Curability and controllability

Question 2

Compliance definition

Answer 2

The extent to which the patients behaviour matches prescribers recommendations

Question 3

Adherence definition

Answer 3

The extent to which the patients behaviour matches agreed recommendations from the prescriber

Question 4

4 forms of HCP-Patient relationships

Answer 4

1. Paternalism - passive, controlling through verbal tone, argumentative, interrupting and questioning
2. Consumerism - HCP’s obligations and patients needs and rights
3. Mutuality - Shared decision making, conductive participation, education and seeking viewpoint of patient
4. Default - No control from either doctor or patient, no agreement made

Question 5

Medicines most associated with admission due to ADR

Answer 5

• NSAIDs
• Diuretics
• Warfarin
• ACE inhibitors
• Antidepressants
• Beta blockers
• Opiates
• Digoxin
• Prednisolone
• Clopidogrel

Question 6

Medicines that needed to be withheld in severe dehydration

Answer 6

• ACE/ARBs
• NSAIDs
• Diuretics
• Metformin