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level: TYPES OF PRESCRIPTION REVIEW

Questions and Answers List

level questions: TYPES OF PRESCRIPTION REVIEW

Question	Answer
Primary purpose: ADDRESS practical MEDICINE MANAGEMENT ISSUES that can improve clinical and cost-effectiveness of medicines and patient safety. It can take place WITHOUT THE PRESENCE OF THE PATIENT. Any changes in the medication should be made with the consent of the patient/carer. Other purpose: IDENTIFY RX ANOMALIES ex. Rx still prescribed which is intended for short term use only IDENTIFY UNMET and under met THERAPEUTIC NEED IDENTIFY MEDS that was PRESCRIBED BUT NOT DISPENSED	Type 1: Prescription Review
Takes place IN PARTNERSHIP WITH THE PATIENT/CARER ENABLES patient and practitioner to EXPLORE PATIENT’S MEDICINES-TAKING, including the patient’s actual PATTERN OF MEDICINE-TAKING and patient’s belief about medicine. Purpose: Opportunity for the patient to ASK QUESTIONS Offer and SHARE INFORMATION about the medicines WITH THE PATIENT Establish whether the patient and health professional have SIMILAR OR DIFFERENT VIEWS about medicines CHECKS THE PATIENT’S READINESS, ability and intent in taking the medicines Ensure that patients know if SYMPTOMS CHANGE or problem persists	Type 2: Concordance and Compliance Review
Takes place with the patient and ACCESS TO PATIENT’S MEDICAL NOTES and relevant LABORATORY RESULTS Also takes place in the context of RECENT INDICATOR’S of the patient’s UNDERLYING CONDITIONS and with the patient’s self report of their current symptom experience or a report made by health or social care professional Focus on TREATMENT OF SPECIFIC CONDITION Purpose: A PERIODIC REVIEW of the patient’s medical CONDITION and treatment to ensure that conditions are managed optimally. OBTAIN FEEDBACK in response for treatment for symptomatic condition Review medical and self management of LONG-TERM CONDITIONS PROVIDE FULL AND ACCURATE INFO about pros and cons of treatment	Type 3: Clinical Medication Review
Type 1: Prescription Review When to do it?	1 Patient is IN THE HOSPITAL or TRANSFERRED BETWEEN CARE SETTINGS 2 REVIEWING PRACTICE for a class of medicine
Type 2: Concordance and Compliance Review When to do it?	1 PATIENT IS DISCHARGED from the hospital 2 Patient has NEW MEDICINE 3 Patients with LONG TERM CONDITIONS WITH MULTIPLE MEDICATIONS 4 Clinician IDENTIFIED a MEDICATION RELATED PROBLEM
Type 3: Clinical Medication Review When to do it?	1 Patient’s with LONG-TERM CONDITIONS 2 Patient with RECENTLY DIAGNOSE LONG-TERM CONDITIONS 3 Patient experienced an ADVERSE EVENT ASSOCIATED WITH MEDICINE-TAKING 4 Patient/Carer REQUESTS A REVIEW OR REPORTS they have STOPPED TAKING PRESCRIBED MEDICINE.