1- TA is a 45 years old patient who suffers from generalized fatigue; pallor, and headache, up-on consultation with a consultant pharmacist, the patient affirmed that:

these symptoms appeared 2 months after taking Ibuprofen. The pharmacist asked him about his defecation pattern, the patient answered he has a normal defecation pattern but his stool is black since use of his anti-inflammatory drug.

A-Traditional method B- Open ended questions method C- Closed ended questions method

D- All of the above

More accurate and comprehensive. Identifies pt with special needs.

Pt understanding of drug dosage regimen

Improves Pt attention > 90% /24hrs

Sally comes to the pharmacy alone to pick up a tamoxifen prescription as shown below. You have reviewed the profile and are ready to educate her on the medication

Functional: Hearing, vision, Language, illiteracy.

Emotional: Anger, hostility, sadness, depression, fear & anxiety

Lake of privacy, interruption, high work load. Other non-prescribed therapy, disease state,

cancer stage, ADR.

Introduction Verify Pt identity Suitability of occasion First prime question

New prescription:What did your Dr tell you the medication is for?How did your Dr tell you to take the medication?What did your Dr tell you expect?

Refill prescription:What do you take the medication for?How do you take it?What kind of problems are you having?

Don’t know the exact indication

Refill: What was the surgery for?What its benefit to surgery?

Pt doesn’t know exactly the use or indication of the drug and is suspected to be for breast cancer

Refill: What is its benefit to breast cancer?

Pt is angry and feels hostility

Reflective response: It sounds as if you are Frustrated or

angry, isn’t it?

e. Listed below are three different responses to the third Prime Question. Consider what each tells you, and state what you would do next in the consultation.

-Patient Response A: “I hope it will keep my cancer in check.”

aware about drug benefit so, transfer to next step of ADR. -Patient Response B: “The doctor says things look

good, but I thought I heard something about uterine cancer?”

 Unaware about the exact drug effect and SE and require information -Patient Response C: “Nothing. I’m not sure

anything is going to help me now.” Disappointed patient

    

3- Tom is a 53-year-old man with type 2 diabetes mellitus who is picking up an antibiotic for an infected cut on his arm. He owns his own construction company and is always “on the go.” You are ready to educate him about his antibiotic prescription.

based on reviewing the patient’s medication profile,

What else would you like to know about your patient?

Non-prescribed medications Other disease states Patient compliance on glipizide and Bl Gl.

Response. Hearing or language defect, how to take the

drugs  b-Before talking with the patient, what functional

and emotional barriers would you expect during education?

 Hearing, Language, Embarrassment, Annoying,

Sadness, Depression….etc

c-What are the goals of the education?

Create a relationship with pharmacist Demonstrate concern and care Help in illness management Decrease drug therapy problems and

reduce costs and non-compliance problems

d- How are you going to begin the education?

Pharmacist should introduce himselfBegin with open ended question to facilitate

the conversation.

f- You have decided to ask about glipizide. Listed next is Tom’s answer to your inquiry about the glipizide. Consider what the statement reveals, and state how you would address his concerns.

Tom: “Yeah, well, I’m really busy with my business and it’s hard to remember to take it.”

The patient is busy and has no time for conversation so the pharmacist and seems to be so, reflective question and determine another time to complete the conversation.