PHARMACIST RESPONDING TO SYMPTOMS

PRESENTED BY NIKHIL SINGHM.PHARMNIPER

CONTENTS• INTRODUCTION• ESTABLISHING PATIENT IDENTITY• ESTABLISHING PROFILE OF THE SYMPTOMS• ESTABLISHING A TREATMENT HISTORY• DETECTION OF SERIOUS SYMPTOMS• MANAGEMENT OF THE CONDITION• RECOMMENDATION OF A COURSE OF ACTION• FOLLOW UP• REFERRAL

INTRODUCTIONWho is Pharmacist ?A person who is professionally qualified to manufacture and dispense medicinal drugs…….

Who is Community Pharmacist ?A community pharmacist is a pharmacist that deals directly with people in the local area. He/She has responsibilities including compounding, counselling, checking and dispensing of prescription drugs to the patients with care, accuracy, and legality……

ESTABLISHING PATIENT IDENTITY

• The pharmacist should be establishes the identity of the patient.Ex. Name, Gender , Place etc.

• The pharmacist should be familiar with the patient.

ESTABLISHING PROFILE OF THE SYMPTOMS

• The pharmacist asks the patient to describe the nature and severity of the symptom(s)

• The pharmacist asks the patient about the onset and duration of the symptom(s)

• The pharmacist asks the patient whether he experiences any accompanying symptom(s)

• The pharmacist asks the patient whether there is anything which makes the symptom(s) worse or better

ESTABLISHING A TREATMENT HISTORY

• The pharmacist asks whether self medication was attempted • The pharmacist asks the patient whether a medical doctor was

consulted for this symptoms • The pharmacist asks the patient whether any medication was

prescribed or used for this symptom in a previous occurrence

DETECTION OF SERIOUS SYMPTOMSThe pharmacist attempts to detect symptoms suggestive of serious disease• Diarrhoea • Anorexia Constipation • Blood loss from any orifice Nausea & Vomiting • Difficulty in swallowing Indigestion • History of severe injury Cough and Colds • Increasing breathlessness Sore Throats and Colds • Loss of weight Headache • Menstrual abnormality Painful, frequent and urgent• urination• Persistent or recurrent pyrexia Abdominal pain • Pain in chest, abdomen, head, or ears• Musculoskeletal disorders• Spontaneous bruising Eye Disorders

MANAGEMENT OF THE CONDITION

• EXAMPLE :Diarrhoea• The pharmacist recommends electrolyte replacement salts with

or without medications to reduce diarrhoea• The pharmacist recommends regular fluid intake • The pharmacist recommends medications to reduce diarrhoea

RECOMMENDATION OF A COURSE OF ACTION

• The pharmacist explains how to carry out home nursing and remedies only

• The pharmacist supplies a non prescription medicine and gives details on

action of medicines supplied manner in which it is takenduration of treatment possible side effects, contra-indications and interactions economic choice

FOLLOW UP

• The pharmacist provides information on the health condition • The pharmacist helps the patient to feel in control of, take

responsibility for and manage the DISEASE • The pharmacist informs the patient to come again or seek

medical advice if symptoms exist

REFERRAL

• The pharmacist refers the patient to the patient’s regular family doctor

• The pharmacist offers to phone and make an appointment for the patient with DOCTOR

• The pharmacist advise a general practitioner and provides patient with his details (i.e. telephone number, clinic times)

REFERENCES• www.um.edu.mt/__data/assets/.../RESPONDING_TO_SYMPTOMS.pdf

• http://www.slideshare.net/PTCnetwork/community-pharmacy-2010final-pdf

• http://www.lpet.nhs.uk/Pharmacists/PreregistrationTraineePharmacists/SupportMaterial/RespondingtoSymptoms.aspx

• http://www.pharmahost.org/support/index.php?title=Responding_to_Symptoms

THANK YOU