for the development of Pharmaceutical Care: PHARMACEUTICAL … · 2012. 3. 29. · Cantabria 45...
Transcript of for the development of Pharmaceutical Care: PHARMACEUTICAL … · 2012. 3. 29. · Cantabria 45...
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The General Council of Official Colleges of Pharmacists - Villanueva, 11 - 7º - 28001 MADRID - Spain - Telf: 00 34 91 431 25 60 - Fax: 00 34 91 432 81 00 - E Mail: [email protected]
ResultsResults
AimAimPromoting the practice of Pharmaceutical Indication in the community pharmacies, registeringthe number of people who are helped to alleviate the symptoms of a cold and theprofessional intervention performed.
Material and methodMaterial and method
Capilla P. - Peña C. - Herradón J. - Carbonell J. - Fuentes M. - Linaza I. - Amaro L.
Results of the 3rd action from the Strategic Planfor the development of Pharmaceut i ca l Care:
PHARMACEUTICAL INDICATION FOR COLDS
The development of the action was between October 2005 and May 2006. Delivery of a work systematic in specific material for the pharmacist, and Bot Plus as the structural support. The protocol includes the knowledge and registration of parameters obtained from the interviewwith the person requesting help to alleviate the signs of the cold: who the patient is; the reasonfor the consultation; the time that the referred to health problem lasts; if referring to allergies, pregnancy…; other illnesses and additional treatments. After verifying the alarm signals, the pharmacist will act.
Person who reques t s he lp
The patient himselff: 76,51%
Relative/carer: 22,67%
Others: 0,82%
I nd i ca t ion reques t by age and sex
Other ages
65 a 85 years old
35 a 65 years old
18 a 35 years old
Men Women
60%
50%
40%
30%
20%
10%
0% Common cold
53,60%
5,80%
Isolated symptoms Information about medicines
40,60% 60%
50%
40%
30%
20%
10%
0%
PRM 1
46,18%
PRM 5 PRM 6
31,42%
12,89%
9,51%
39,34%
13,23%
9,26%
38,17%
38,20%
9,74%
9,77%
42,29%
Reason for pharmaceut i ca l ind icat ion
PRM 3
PRM detec ted
8.500 data registered from which the following may be deduced:
65,64%
9,21%
11,66%
3,35%
4,43%
5,42%
Non-pharmacological treatment with information
Others
Advice without dispensingmedicines
OTC pharmacological treatment with information
Send to doctor or healthcareprofessional
Recommendation of conservative measures
Send to PharmacotherapeuticMonitoring
Drug surveillance
Profess ional in tervent ion
0,06%
0,23%
Asturias 125La Coruña 195
Lugo30
Orense55
Pontevedra110
León55
Zamora50
Palencia 25
Cantabria45
Vizcaya130
Guipuzcoa165
Álava 45
Burgos30
La Rioja60
Navarra75
Valladolid95
Huesca60
Zaragoza185
Soria25
Segovia50
Lérida45
Salamanca90
Cáceres95
Teruel60
Guadalajara65Madrid
195
Ävila45
Cuenca55
Albacete70
Badajoz75
Ciudad Real125
Toledo 140
Gerona30
Valencia35
Castellón75
Barcelona656
Tarragona55
Alicante170
Melilla10
Ceuta1
Santa C. Tenerife
85
Baleares
Jaén80
Córdoba100
Sevilla115
Huelva105
Málaga150
Granada80
Cádiz105
Murcia130
Almería 50
55
Las Palmas60
PHARMACEUTICAL INDICATION FOR COLDS
5.500PHARMACISTS INSCRIBED, BELONGING TO ALL THE COLLEGESOF PHARMACISTS IN SPAIN.
5.500PHARMACISTS INSCRIBED, BELONGING TO ALL THE COLLEGESOF PHARMACISTS IN SPAIN.
The Strategic Plan is a professional project with specific actions to aid the implantation ofPharmaceutical Care in the society, through the Colleges and the General Council of Pharmacists.
Over three quarters (76,51%) of all the consultations made in the community pharmacy, it is the patient himself who asks for help to alleviate the cold symptoms or requests some kind of information about medicines to use. In 22,67% of cases it is a relative/carerand 0,82% correspond to others, who are the ones who visit the pharmacy
There are no important differences related to the gender ofthe patients who consult about colds at the pharmacy:
53,85% are women 46,15% are men.
With respect to age, over three quarters (77,64%) of all thepatients (men and women) are included in the age rangesof 18 to 65 years of age.
The reason for the indication is mainly related (94,2%) to theconsultation about a health problem, the cold or a relatedsymptom, as opposed to 5,8% who request information abouta medicine related to the treatment of the cold, without therebeing any dispensing involved.
The length of the problem referred to by the patient when he goes to the pharmacy has lasted from 1 to 3 days (68,7%).
The pharmaceutical intervention is characterised by dispensing an OTC medicine with information about it (65,64%), giving advice withoutdispensing medicines (11,66%), and sending the patient to the doctor (9,21%).
Without being a specific aim of the Action, 30% of PRMs were detected and registered, related to:1. The patient suffers from a health problem as a consequence of not receiving a medicine he requires: 46,18% 5. The patient suffers from a health problem as
a consequence of a non-quantitative insecurity of a medicine (RAM): 31,42%
6. The patient suffers from a health problem as a consequence of a quantitative insecurity of a medicine: 12,89%
3. The patient suffers from a health problem as a consequence of a non-quantitative ineffectiveness of the medicine: 9,51%
There has been a high participation of pharmacists implied in de development of pharmaceutical care' specific actions.The Pharmaceutical Indication provides of a more professional practice by facilitating an appropiate methodology that it iscomposed in the everyday activity of the pharmacist in his community office, helping him to offer to the patient the safest and moreeffective personalized solution when there is a “autolimited” health problem as it is cold or its associated symptoms, and givingenough information about the medicine dispensed to assure a rational use of it to protect the patient about the problems related.
ConclussionsConclussions