MM+401

=Medication Management 401=

Timetable of case studies: [|link]

Instructions for MM test (including an answer template): [|link] //bring a non-programmable calculator, AMH and APF as available resources//

MM Feedback guide: [|link]

Case 1: Albert Page
[|download case study] - [|Albert Page Week 1 ppt] - [|Albert Page Week 2 ppt] - [|Case 1 final copy] - [|MM notes with some additions] - [|Notes for Week 2 Slides] - [|Prioritisation of Issues] - [|Quiz]

Case 2: Janice Johnson
[|download case study] - [|MM scenario 2] - [|MM case 2 - Recommendations and Monitoring] - [|Case 2 Recommendations]

[|Causes of drug therapy problems] (page 12)
Need for additional drug therapy Unnecessary drug therapy Wrong drug Dosage too low Adverse drug reaction Dose too high Compliance

[|Prioritising problems]
The best approach is to identify the patient’s most pressing problem and address that first. Then you rank the other problems in order of importance and work your way through them.

For example if there is a problem that is serious or life threatening, you would address that before one that is theoretical or has minor consequences for the patient. Some problems can wait. Remember, you often can’t solve everything in one session – the patient can do only so much and your own time is limited. A useful strategy is to make appointment for other times in which these less critical problems are addressed. It is, however, the pharmacist’s responsibility to ensure **all** problems are addressed and none are forgotten.

Assessment Feedback
- - One common error many students made was including more than one drug related problem in one sheet. This led to many running out of drug related problems. While we have given extra marks for the identification of drug related problems, it is difficult to give marks for the explanation if they are all combined into one problem. - - - Many students also seem to be confused about the role of the pharmacist and the role of the doctor. For example, many students correctly identified that the citalopram was probably one of the agents contributing to the insomnia. This can be easily addressed by the pharmacists by recommending the patient to take the citalopram dose in the morning instead of at night. However many students referred the patient to the doctor for a change in dose timings. - - A majority of the students did well in the remaining two questions which were related to DRPs seen as a priority by the patient and DRPs which can be easily addressed by the pharmacist.

The average mark for the Medication Management assessment was 8.6. The lowest mark was 4.4 and the highest mark was 13.5