domiciliary care – medicines management hannah blight lead pharmacist – medicine mid-staffs nhs...
TRANSCRIPT
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Domiciliary Care – Medicines Management
Hannah Blight
Lead Pharmacist – Medicine
Mid-Staffs NHS foundation trust
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Introduction Hospital admission – What do hospitals
need? Medication following Discharge –
understanding the discharge letter Medication issues – Medication timing,
swallowing difficulties and falls. Questions?
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Hospital Admission
List of Medications – Most recent, up-to-date, printed MAR chart.
Allergy information. Copies of other relevant charts e.g.
warfarin charts or Insulin charts. May be asked to bring in patient own
medication.
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Discharge Medication
Every patient leaving hospital should have a discharge letter.
List of medications on discharge. Information about changes to medication. At least 2 weeks supply of medication for
newly prescribed / changed medications. Communication of changes.
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The Discharge Letter
Patient details
Admissioninformation
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The Discharge Letter continued…
Discharge Medication
Medication Changes
Supply InformationPH = HomePL = Locker
* = Supply
made at time of discharge
Course Length
Allergies /sensitivities
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Medication Issues
Medications where timing is critical. Medication administration for patients with
swallowing difficulties and / or enteral tubes.
Medication and Falls.
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Medications where timing is critical
Parkinson's medication. Insulin. Antibiotics. Antiepileptic medication.
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Swallowing difficulties / Enteral tubes
May need converting to liquids / patches. Not all medication is available as a liquid. Not all solid oral dosage forms are suitable to be
crushed. Modified Release MR / SR / XL
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Swallowing Difficulties / Enteral tubes continued …..
Film or enteric coated. May need dosage adjustment. Advice needs to be obtained before crushing or
dispersing in water. Licensed and unlicensed routes of
administration.
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Medication and Falls
4 or more medicines High risk medications : Benzodiazepines,
Alcohol, Antidepressants, Laxatives, Diuretics, Salbutamol, Beta blockers, vasodilators, antihypertensives, Antiarrythmics Anticoagulants, Urinary incontinence; abdominal cramps and Eye preps.
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Any Questions?