for the development of pharmaceutical care: pharmaceutical … · 2012. 3. 29. · cantabria 45...

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The General Council of Official Colleges of Pharmacists - Villanueva, 11 - 7º - 28001 MADRID - Spain - Telf: 00 34 91 431 25 60 - Fax: 00 34 91 432 81 00 - E Mail: congral@redfarma.org

ResultsResults

AimAimPromoting the practice of Pharmaceutical Indication in the community pharmacies, registeringthe number of people who are helped to alleviate the symptoms of a cold and theprofessional intervention performed.

Material and methodMaterial and method

Capilla P. - Peña C. - Herradón J. - Carbonell J. - Fuentes M. - Linaza I. - Amaro L.

Results of the 3rd action from the Strategic Planfor the development of Pharmaceut i ca l Care:

PHARMACEUTICAL INDICATION FOR COLDS

The development of the action was between October 2005 and May 2006. Delivery of a work systematic in specific material for the pharmacist, and Bot Plus as the structural support. The protocol includes the knowledge and registration of parameters obtained from the interviewwith the person requesting help to alleviate the signs of the cold: who the patient is; the reasonfor the consultation; the time that the referred to health problem lasts; if referring to allergies, pregnancy…; other illnesses and additional treatments. After verifying the alarm signals, the pharmacist will act.

Person who reques t s he lp

The patient himselff: 76,51%

Relative/carer: 22,67%

Others: 0,82%

I nd i ca t ion reques t by age and sex

Other ages

65 a 85 years old

35 a 65 years old

18 a 35 years old

Men Women

60%

50%

40%

30%

20%

10%

0% Common cold

53,60%

5,80%

Isolated symptoms Information about medicines

40,60% 60%

50%

40%

30%

20%

10%

0%

PRM 1

46,18%

PRM 5 PRM 6

31,42%

12,89%

9,51%

39,34%

13,23%

9,26%

38,17%

38,20%

9,74%

9,77%

42,29%

Reason for pharmaceut i ca l ind icat ion

PRM 3

PRM detec ted

8.500 data registered from which the following may be deduced:

65,64%

9,21%

11,66%

3,35%

4,43%

5,42%

Non-pharmacological treatment with information

Others

Advice without dispensingmedicines

OTC pharmacological treatment with information

Send to doctor or healthcareprofessional

Recommendation of conservative measures

Send to PharmacotherapeuticMonitoring

Drug surveillance

Profess ional in tervent ion

0,06%

0,23%

Asturias 125La Coruña 195

Lugo30

Orense55

Pontevedra110

León55

Zamora50

Palencia 25

Cantabria45

Vizcaya130

Guipuzcoa165

Álava 45

Burgos30

La Rioja60

Navarra75

Valladolid95

Huesca60

Zaragoza185

Soria25

Segovia50

Lérida45

Salamanca90

Cáceres95

Teruel60

Guadalajara65Madrid

195

Ävila45

Cuenca55

Albacete70

Badajoz75

Ciudad Real125

Toledo 140

Gerona30

Valencia35

Castellón75

Barcelona656

Tarragona55

Alicante170

Melilla10

Ceuta1

Santa C. Tenerife

85

Baleares

Jaén80

Córdoba100

Sevilla115

Huelva105

Málaga150

Granada80

Cádiz105

Murcia130

Almería 50

55

Las Palmas60

PHARMACEUTICAL INDICATION FOR COLDS

5.500PHARMACISTS INSCRIBED, BELONGING TO ALL THE COLLEGESOF PHARMACISTS IN SPAIN.

5.500PHARMACISTS INSCRIBED, BELONGING TO ALL THE COLLEGESOF PHARMACISTS IN SPAIN.

The Strategic Plan is a professional project with specific actions to aid the implantation ofPharmaceutical Care in the society, through the Colleges and the General Council of Pharmacists.

Over three quarters (76,51%) of all the consultations made in the community pharmacy, it is the patient himself who asks for help to alleviate the cold symptoms or requests some kind of information about medicines to use. In 22,67% of cases it is a relative/carerand 0,82% correspond to others, who are the ones who visit the pharmacy

There are no important differences related to the gender ofthe patients who consult about colds at the pharmacy:

53,85% are women 46,15% are men.

With respect to age, over three quarters (77,64%) of all thepatients (men and women) are included in the age rangesof 18 to 65 years of age.

The reason for the indication is mainly related (94,2%) to theconsultation about a health problem, the cold or a relatedsymptom, as opposed to 5,8% who request information abouta medicine related to the treatment of the cold, without therebeing any dispensing involved.

The length of the problem referred to by the patient when he goes to the pharmacy has lasted from 1 to 3 days (68,7%).

The pharmaceutical intervention is characterised by dispensing an OTC medicine with information about it (65,64%), giving advice withoutdispensing medicines (11,66%), and sending the patient to the doctor (9,21%).

Without being a specific aim of the Action, 30% of PRMs were detected and registered, related to:1. The patient suffers from a health problem as a consequence of not receiving a medicine he requires: 46,18% 5. The patient suffers from a health problem as

a consequence of a non-quantitative insecurity of a medicine (RAM): 31,42%

6. The patient suffers from a health problem as a consequence of a quantitative insecurity of a medicine: 12,89%

3. The patient suffers from a health problem as a consequence of a non-quantitative ineffectiveness of the medicine: 9,51%

There has been a high participation of pharmacists implied in de development of pharmaceutical care' specific actions.The Pharmaceutical Indication provides of a more professional practice by facilitating an appropiate methodology that it iscomposed in the everyday activity of the pharmacist in his community office, helping him to offer to the patient the safest and moreeffective personalized solution when there is a “autolimited” health problem as it is cold or its associated symptoms, and givingenough information about the medicine dispensed to assure a rational use of it to protect the patient about the problems related.

ConclussionsConclussions