(精选)The Role of a Hospital Pharmacist within a Headache Clinic.教学课件.pptVIP

The Role of a Hospital Pharmacist within a Headache Clinic. Dr Stuart Weatherby - Neurologist Victoria Harman – Pharmacist Plymouth Hospital NHS Trust July 2016 Issues in Chronic Headache Headache disorders account for 4% of all primary care consultations and 35% of all neurology outpatient consultations. Specialist clinics are scarce and tend to ‘silt up’ over time through accumulation of patients needing follow-up BUT.. Starting medication…Medication needs adjusting in a timely fashion. Compliance rates low and so without follow-up the value of consultation is reduced AND Stopping medication… Ensuring adherence to stopping criteria when situation improves reduces unnecessary treatment, reduces cost and reduces risk (eg pregnancy occurring while on teratogenic medication) Pharmacists are involved in patient management in other conditions, and represent an untapped resource in headache. They automatically ‘get’ the multiple issues round medication in long term conditions. Aims for the pharmacist headache service We developed a pharmacist-led clinical service in 2008- which integrated within the existing headache service. Pharmacist development of patient information leaflets for all prophylactic medication recommended by the service. Pharmacist prescribing of prophylactic medication when appropriate, from an agreed ‘menu’ Pharmacist telephone consultations for FU pts- assess response/adjust treatment, help patients with compliance and facilitate withdrawal of analgesic overuse How did we develop it? 2-3 months training- sitting in clinic, supervised discussion, seeing pts Development of medication sheets to ensure standardisation of information - - Enrol and complete a prescribing course- 1 year Check if demand for telephone FU through audit of patients Approval by trust clinical governance steering group - Governance structure:-once trained- ensure that telephone clinics are conducted alongside consultant once a week so cases can be discusse