1 / 11

Complex Medication Review

Complex Medication Review. Robert Hallworth Chair – Greater Manchester Non-Medical Prescribing Network. Oldham Primary Care Trust. The Levels of Medication Review. Level 3 – Clinical Medication Review. Level 2 – Concordance & Compliance Review.

aldis
Download Presentation

Complex Medication Review

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Complex Medication Review Robert Hallworth Chair – Greater Manchester Non-Medical Prescribing Network Oldham Primary Care Trust

  2. The Levels of Medication Review Level 3 – Clinical Medication Review Level 2 – Concordance & Compliance Review Level 1 – Prescription Review Level 0 – Ad Hoc

  3. Medication Review - particular risk groups identified in Older People NSF • Those on 4 or more medicines • Post-discharge from hospital • In care homes • Where medicine-related problems have been identified • Patients over 75 • Following an adverse change in health

  4. Patient CB • Paracetamol – under dose? • Gaviscon – under dose? • Prochlorperazine – under dose? Adverse effects? • Propranolol – interaction with diltiazem? • Pholcodine – under dose? Adverse effects?

  5. Patient CB • Clopidogrel – indication? Adverse effects? • Dilitiazem – adverse effects? • Monomax – dose timing • Bezafibrate – use with a statin? • Quinine bisulphate – indication? • Metformin – what is the intended dose?

  6. Patient CB • Lansoprazole Fastabs – Dose. Cost effectiveness • Furosemide – indication • Nicorandil – is it needed? Adverse effects? • Terbinafine – course length • Ferrous sulphate – indication. Adverse effects.

  7. Patient RK • BP control • Diabetes control • Weight – orlistat? • GI symptoms • Nicorandil • Lipid modification • Smoking • Asthma

  8. Patient RK • Angina • Depression / mental health • Pain • Monitoring – BP, HbA1C, BG, U&Es, lipids, LFTs, PEFR

  9. The NO TEARS tool Need and Indication Open questions Tests and Monitoring Evidence and Guidelines Adverse Events Risk Reduction or Prevention Simplification and Switches

  10. Questions? Thank you Robert.Hallworth@nhs.net

More Related