Patient_Medication_History_Interview clincical pharmacy practice ppt (2).pptx

patient medication history interview

1. Patient Medication History In terview Clinical pharmacy practice Presented by, Anurag Rokhade M.Pharm in Pharmacy Practice (Semester I) Under the guidance of Dr. Anushree Deshpande Assistant professor Department of Pharmacy Practice KLE college of pharmacy, Belagavi

2. Contents Introduction Objectives of Medication history interview Advantages Sources of Information Common problems identified Need for medication history Planning for interview Interview preparation Conducting the interview Interviewing techniques Evaluation medication history interview Case presentation Summary of interview Format Conclusion

3. Introduction Medication history is cornerstone of clinical pharmacy practice Provides a comprehensive record of patient’s past and present drug use Helps to identify drug-related problems (DRPs) early Ensures safe and effective therapy

4. Objectives of Medication History Interview Collect complete and accurate patient drug information Assess appropriateness of current therapy Identify drug interactions, allergies, ADRs Evaluate patient compliance & lifestyle factors Aid in planning future therapy

5. Advantages Comprehensive medication list Early detection of DRPs and prevention of ADRs/interactions Improves therapeutic outcomes and adherence Continuity of care; better team collaboration

6. Sources of Information Patient interview (primary) Prescription/pharmacy records; previous medical records Family/caregivers; other health professionals Medicine containers, labels or strips

7. Common Problems Identified Polypharmacy; duplication of therapy Drug–drug and drug–herbal interactions Adverse drug reactions (ADRs) Non-adherence (missed doses, wrong timing) Outdated prescriptions; incorrect self‑medication

8. Need for Medication History Interview Prevents adverse drug events (ADEs) Ensures rational drug use Improves patient safety & quality of care Provides baseline for pharmaceutical care plan

9. Planning for Interview Prepare structured questionnaire/checklist Review patient’s case sheet before interview Arrange private and quiet environment Allocate sufficient time Gather consent and build rapport

10. Interview Preparation Arrange a quiet, comfortable space. Prepare structured forms for documentation. Keep relevant drug information sources ready. Establish patient trust.

11. Conducting the Interview Start with a warm greeting and self-introduction. Explain the purpose of the interview clearly. Ask the patient to describe all medicines currently used. Verify dose, route, timing, and duration for each drug. Record any past reactions, side effects, or allergies. Encourage the patient to share OTC, herbal, or home remedies. Summarize what was discussed to ensure accuracy.

12. Interviewing Techniques Use open-ended questions to let patients explain freely. Apply active listening – maintain eye contact, nod, avoid interrupting. Show empathy and patience throughout the interview. Use simple, non-technical language the patient understands. Clarify responses when uncertain by rephrasing questions.

13. Evaluating Medication History Interview Check whether the patient’s details are complete and consistent. Cross-verify information with prescriptions, discharge notes, or pill bottles. Identify any drug duplications, omissions, or errors. Assess patient’s knowledge and adherence to medications. Conclude with a brief summary for clinical records.

14. Steps of patient medication history 1️⃣ Introduction & Rapport Building Greet patient politely Explain purpose of interview Make patient comfortable 2️⃣ Patient Identification & Demographics Name, age, sex, weight, height Social & lifestyle info 3️⃣ Chief Complaint & Reason for Visit Reason for seeking care Context of medication use 4️⃣ Current Medication Review Prescription drugs: dose, frequency, duration

15. 5️⃣ Past Medication History Previous treatments & therapies Allergies or ADRs Non-adherence or self-medication 6️⃣ Medication Use Assessment Indications for each drug Effectiveness & side effects Potential drug interactions 7️⃣ Documentation & Communication Accurate record keeping Share with healthcare team Educate patient on proper use

16. Case Presentation Patient profile: age, gender, chief complaint. Summary of medical history: past illnesses, hospitalizations. Current treatment details: prescribed medicines and doses. Medication therapy review: effectiveness and safety. Note drug sensitivities, allergies, or history of abuse. Suggest forecasted medication needs for continuity of care.

17. Summary of Medication History Identification of accurate patient details. Medical history and treatment history collected. Therapy evaluation and drug sensitivity noted. Substance use and abuse identified if present. Anticipated drug needs planned for continuity of care.

18. Format Patient details: Name, Age, Sex, Address, IP/OP No., Date Drug history: current/past Rx, OTC, herbals, vitamins/supplements Compliance; adverse effects/allergies Special notes: duplication, interactions, storage/affordability issues Interviewer signature, date, designation

19. Conclusion Medication history interview is a vital clinical skill. Promotes safe, effective, and personalized therapy. Builds trust between healthcare professional and patient. Helps in forecasting drug needs and improving outcomes.

20. Reference A text book of Fundamentals of Clinical Pharmacy Practice by D Sudheer kumar , J Krishnaveni , P Manjula.

21. Thank you