What information does a patient need in order to make an adequately informed decision?
How do we determine whether or not enough information has been given to a patient?
A
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)
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2
Q
Comprehension
What might prevent a patient understanding the information presented to them?
What can a healthcare provider do to enable comprehension to them?
A
1.
Language barrier
Jargon
health literacy (poor)
Environment
Privacy (lack of)
Fast speaking
2.
Translator
Safe, comfy environment
brochures
slow speaking
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3
Q
Competence
List some examples of patients who might not be competent to make particular medical decision:
Who can give consent when a patient is not competent to do so?
A
Mentally ill (severe)
Children
Learning difficulties
2.
Legal gardian
Welfare gardian
Power of attorney
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4
Q
WK2
A
Describe the signs and symptoms of pyrexia in adults and children
Triage signs and symptoms of pyrexia in a presenting patient
have a working knowledge of commonly used pyrexic references in adults and children
Have a brief discussion about some thermometers commonly used for measuring fever in adults and children
Use the NICE Traffic Light triage system in pyrexia in adults and children
Perform simple calculations for paracetamol and ibuprofen dosing, in adults and children
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5
Q
WK3
A
Understand and communicate social processes underlying antimicrobial resistance
Be aware of strategies to address the development and spread of resistance in the community
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6
Q
WK5
A
To be aware of pertinent risk factors and red flags that require referral for further investigation
To become familiar with and recognise laboratory tests which may indicate infection
To be familiar with common pathogens associated with cellulitis
To be aware of and able to access reliable resources for antimicrobial selection guidance
To use clinical judgement alongside specific patient factors when selecting an antimicrobial regimen
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7
Q
WK6
A
Recognise the symptoms and causes of the cold sores (Herpes Simplex Type 1 (HSV1) virus) as they present in community pharmacy
Differentiate symptoms between cold sores and other conditions on the skin (eg impetigo) that may warrant a referral.
Recommend pharmacological and non-pharmacological approaches to treating cold sores, including pharmacist-only, over-the-counter (OTC) medicines and any lifestyle modifications
Recognise the symptoms and causes of minor Aphthous ulcers (mouth ulcers) as they present in community pharmacy
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
Recognise the symptoms and causes of oral thrush (oral candidiasis) as they present in community pharmacy.
Recommend pharmacological and non-pharmacological approaches to treating oral thrush (oral candidiasis), including pharmacist only, over-the-counter (OTC) medicines and any lifestyle modifications
Be able to discuss timeframes for symptom control or recovery for the various treatment recommendations made
Provide patient education and counselling for issues that are sensitive in nature