Key Slides: Introduction to Medication Review

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Key Slides Introduction to Medication Review
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Aims

• List the key elements comprising a comprehensive
  medication review
• Describe the advantages and disadvantages of the
  four levels of medication review
• Differentiate between a Medication Review and a
  Medicines Usage Review
• Develop an effective review process that
  maximizes the benefits of medication review
  within your available resources

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Definition

• A structured, critical examination of a patients
  medicines with the objective of reaching an
  agreement with the patient about treatment,
  optimising the impact of medicines, minimising
  the number of medication-related problems and
  reducing waste.
• Room for Review A guide to medication review
  the agenda for patients, practitioners and
  managers. London Medicines Partnership 2002.

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Key Elements of Clinical Review

• List of ALL medicines being taken
• Appropriateness
• Understanding
• Side effects
• Interactions
• Monitoring/Tests
• Practicalities
• Concordance

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Who?

• gt4 medicines daily
• Drugs requiring special monitoring
• Transfer of Care
• Multiple carers
• Multiple prescribers
• Poor disease control
• New guidelines

• Older People
• Care Homes
• Mental issues
• Learning Disability
• Minority ethnic background
• Language and communication issues
• Poor social support

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Three Levels of Review

• Level 1 Technical Review
• Level 2 Concordance and compliance review
• Level 3 Clinical Review

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What to Cover

• Why am I here?
• Understanding
• Tests, measurements
• Efficacy
• Side effects

• Practicalities
• Future plans
• Support available
• Questions Concerns

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Resources

• Room for Review A guide to medication review
  the agenda for patients, practitioners and
  managers. London Medicines Partnership 2002
  (available from www.npc.nhs.uk)
• Medicines and Older People Implementing
  medicines related aspects of the NSF for Older
  People. London Department of Health 2001.
• For Patients - Focus on your Medicines
  http//www.npc.co.uk/med_partnership/assets/med-re
  v-focus-on-your-medicines.pdf
• NPCi Medicines Usage Review (MUR) module
  Quality Prescribing module
• www.psnc.org.uk
• Management of medicines - a resource to support
  implementation of the wider aspects of medicines
  management for the National Service Frameworks
  for Diabetes Renal Services and Long-Term
  Conditions (Sept 2004) www.dh.gov.uk/en/Publicatio
  nsandstatistics/Publications/PublicationsPolicyAnd
  Guidance/Browsable/DH_4096033.