MEDICATION THERAPY - moh.gov.myjknj.moh.gov.my/farmasi/garispanduan/[2010] Protocol...

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MEDICATION THERAPY ADHERENCE CLINIC :

RESPIRATORY

PHARMACEUTICAL SERVICES DIVISIONMINISTRY OF HEALTH MALAYSIA

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First Edition, 2010Pharmaceutical Services DivisionMinistry of Health, Malaysia

ALL RIGHT RESERVED

No part of this publication may be reproduced, stored or transmittedin any form or by any means whether electronic, mechanical,photocopying, tape recording or others without written permission from the Senior Director of Pharmaceutical Services, Ministry of Health Malaysia.

Perpustakaan Negara Malaysia Cataloguing-in-Publication DataProtocol - Medication Therapy Adherence Clinic : Respiratory

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Preface

Pharmacy practice which was traditionally product centered has now shifted towards patient care.

Pharmaceutical care, which is comprehensive and patient focussed is vital in ensuring that patients

receive rational, safe and effective treatment.

Medication Therapy Adherence Clinic (MTAC) was introduced in 2004 as part of the clinical

pharmacy services in the Ambulatory Clinic System which emphasizes on medication management

to improve on quality, safety and cost-effectiveness of patient care. MTAC is operated by

pharmacists who provide drug therapy monitoring and patient’s education in improving their ability

to successfully manage disease condition and preventing debilitating symptoms together with

reducing the likelihood of medication errors. The service also includes clinical pharmacokinetic

consultation, laboratory monitoring and dosage adjustment of relevant medications.

This protocol is meant for clinical pharmacists involved in the management of chronic obstructive

respiratory disease (COPD) and asthma as which comprises outlines on the activity and

documentations in handling MTAC Respiratory. The availability of this protocol will enable the

standardization of practice and expansion of MTAC Respiratory services throughout Ministry of

Health (MOH) facilities.

I would like to commend the Clinical Pharmacy Working Committee (Respiratory Subspecialty),

Pharmaceutical Services Division, MOH for their contribution and commitment to the publication of

this protocol.

Thank you

HASNAH BINTI ISMAILDIRECTORPHARMACY PRACTICE AND DEVELOPMENTPHARMACEUTICAL SERVICES DIVISIONMINISTRY OF HEALTH MALAYSIA

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Chow Foong Yan Sui Chee FaiRaja Permaisuri Bainun Hospital, Ipoh Queen Elizabeth Hospital, Kota Kinabalu

Norhayati Mustapha Shaziyah AhmadRaja Perempuan Zainab II Hospital, Sultanah Bahiyah HospitalKota Bharu Alor Setar

Nur Mariana AyubSultanah Aminah HospitalJohor Bahru

Clinical Pharmacy Committee (Respiratory Subspecialty)

Abdol Malek Bin Abd Aziz Lim Yan ChunMelaka Hospital Sultanah Aminah Hospital, Johor Bahru

Shahirah Binti Zainudi Nicholas Leow Chun WeiSelayang Hospital Sibu Hospital

Suhadah Binti Ahad Nurulhayati Binti Abdul JamalMelaka Hospital Sultanah Nur Zahirah Hospital

Kuala Terengganu

Rohaya Binti Sulaiman Sabrina Binti Mohamad SallehTengku Ampuan Afzan Hospital, Kuantan Kuala Lumpur Hospital

Jaya Muneswarao a/l Ramadoo@Devudu Suzana Binti MustafaKulim Hospital Hospital Tg Anis, Pasir Puteh

Chong Meng Fei Siti Hamisah Binti Said Pulau Pinang Hospital Raja Perempuan Zainab II Hospital, Kota Bharu

Jason Thean Chow Hee Wong Hui SheanInstitut Perubatan Respiratori Tuanku Ampuan Najihah HospitalKuala Lumpur Kuala Pilah

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New UserPrevious User

Documentation

Appendix 2 : Inhaler Technique Assessment Workflow

Good

Poor

GoodPoor

Explain function and mechanism

Education and demonstration

Offer to repeat the counselling

Follow up as appropriate

Assess inhaler technique

Assess

Educate and explore to check comprehension of

the patientTechnique?

Technique?

Reinforcement

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NOTES

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