Medication history Interview

Medication History
Interview
Steps in medication history interview

1. Medication History
Dr. Ramesh Bhandari
Asst. Professor
Dept. of Pharmacy Practice
KLE College of Pharmacy,
Belagavi

2. LEARNING OBJECTIVES
•Know the Definition Of ‘medication history’
•Understand the components of medication history
•Understand the Steps Involved In medication history
interview

3. INTRODUCTION
•Medicationhistoryisapartofpharmaceuticalconsultation
thatidentifiesanddocumentallergiesorotherserious
adversemedicationeventsaswellasinformationabout
howmedicinesaretakencurrentlyandhavebeentakenin
thepast.
•Startingpointformedicationreconciliationandmedication
review
•Partofmedicalhistorywhichfocusesonmedication
therapy.

4. GOALS OF MEDICATION HISTORY
•Togaininformationon
Prescriptionandnonprescriptionmedications
Perceivedbenefitoradverseeffectsofthe
therapy
Medicationallergy/intolerance
•Identificationofpotentialmedicationproblems
•Todevelopmorethroughassessmentand
pharmaceuticalcareplan.
•Betterpatientoutcomes

5. Types of Data Collection
•Subjective:
Information provided by the patient
Cannot confirmed/observed/measured
Other measure to validate it
•Objective:
Measurable and observed
Not influenced by the opinion/perception of the
patient

6. •Patientinterview
•Medicalrecords
•Pharmacydispensingrecords
•Healthcareproviders
•Caregiver/familymembers
Sources of Patient Data

7. Components of Patient Drug History
1)Demographicandpatientfinancialinsuranceinformation
2)Medicationallergiesandintolerance
3)Immunizations
4)Medications
5)Additionalhomemonitoringandcomplianceaids
6)Barrierstocompliance
7)Additionalinformationforpatienthistory:
•Socialhistory
•Acute/chronicmedicalproblems

8. Aspects of medication use obtained from medication
history interview
•Historyofpreviousallergies/ADR
•Perceivedefficacy
•Perceivedsideeffects
•Adherencetomedication
•Medicationadministrationtechniques
•Specificproblemsrelatedtomedicineuse
•Possibilityofpregnancyinwomenofchild
bearingage.

9. Steps involved in Medication History Interview
1)PatientSelection
2)SelfPreparation
3)Privacyandconfidentiality
4)Purposeofinterview
5)Conductinterview
6)Conclusion
7)Documentandfollow-up

10. 1)Patient Selection
IdeallyallPatient
Ifnotpossiblepriorityshouldbegivento
thosewhoaremorelikelytogetbenefit.
Eg:Patientwithpolypharmacy,Multiple
andchronicdiseases.
Certaindiseasesitisnotpossibletotake
medicationhistoryinterviewlike
psychiatricdisorders,impairedcognition
etc.
Considerfamilymembersorrelatives.

11. 2)Self Preparation
Collectalltherelevantdataincludingco-
morbidconditions
Makeuseofvarioussourcesofdata
Provisionallistofmedicationscanbe
madethroughmedicalnotes
Preparationoflistofquestionscanbe
helpful

12. 3)Privacy and Confidentiality
Considerprivacyandconfidentialityofthe
patient
Hospitalsetting–difficulttomaintain
becauseinterviewsaretakenatbedside
Patientunabletocommunicate–family
memberscanbeinvolved
Mustmaintainconfidentialityofthedata
exceptforexchangeofinformationwith
otherhealthcareprofessionals.

13. 4)Purpose of interview
Introducehim/herselfandexplainthe
purposeofinterview
Possiblebenefitsshouldalsobeexplained
Respectpatientrighttodeclinethe
interview

14. 5)Conduct Interview
Usepropercommunicationskillsduring
interview
Wherepossibleaskopenendedquestions
Closeendedquestionsmaybeusefulto
confirmdetails
Allthequestionsaskedappropriately

15. 6)Conclusion
Checkwhetherallimportantandrelevant
detailsobtained
Askpatientifhe/shehasanyquestions
relatingtothemedications.

16. 7)Documentation and follow up
Allinformationshouldbedocumented
Documentedmedicationsshouldbe
comparedwiththeinformationobtained
fromhealthcareprofessionalsforany
discrepancies.
Ifanydiscrepancies–informedtothe
concernedphysician
Documentedinformationwillbehelpfulfor
ongoingpharmaceuticalcare

17. References
•G.Parthasarathi,KarinNyfortHansen,MilapC
Nahata.Atextbookofclinicalpharmacypractice
Essentialconceptsandskills.UniversitiesPress.
2
nd
edition.
•JosephT.Dipiro.EncyclopediaofClinical
Pharmacy.TaylorandFrancisGroup.NewYork:
London.