Patient Care Reflection

.docx

School

Saint Joseph's University *

*We aren’t endorsed by this school

Course

PRX

Subject

Medicine

Date

Apr 3, 2024

Type

docx

Pages

Uploaded by AmbassadorWallabyMaster1092

As an IPPE student at SunRay Drugs, I was responsible for making CMR and TIP’s calls to patients who fill their medications at one of the SunRay owned pharmacies in the area. One intervention that I will be talking about today was a scheduled CMR call I completed with our patient LT. I was responsible for completing a CMR with 39-year-old, female patient LT. Prior to the scheduled CMR, I had to complete a patient workout for LT. This workout consisted of LT’s past medical history, allergies, previous hospitalizations, and social history. The workup also consisted of LT’s current drug list, documented vaccinations, and possible drug interactions. Finally, the workup also left room to ask the patient important questions such as any otc’s or herbal medications she’s taking, if she has a caretaker to help with her medications, adherence issues, and any other concerns she may have. I started the call with asking LT basic demographic information that we may have needed, then went on to ask about her current medication list. As the call went on, it was apparent to me that LT was taking additional medications that we did not have record of and was also very nonadherent to a few of her medications. LT had mentioned to me that she was out of her Alprazolam and Amitriptyline medications, but she picked up a month supply 2 weeks earlier. Additionally, LT had revealed to me that she was pregnant, and was currently taking a few medications that were contraindicated in pregnancy. This phone call had revealed numerous important issues that had to be assessed quickly, to minimize harm to the patient and the fetus. If this intervention was not made, the patient would still be taking a medication that could harm her fetus and even if the patient wasn’t pregnant, she was potentially doubling up on her Alprazolam and Amitriptyline, which could have caused various adverse drug reactions. Some ADR’s that are seen in people that take more Alprazolam then prescribed are confusion, muscle weakness, slurred speech, drowsiness, etc. Some common ADR’s that patients may experience when taking too much Amitriptyline are changes in heartbeat, seizures, or hospitalizations. Discussing that it is important to take medications as directed, despite how you may be feeling in that moment, has potentially saved my patient from unwanted adverse drug reactions and potential side effects. This intervention has potentially improved other areas of my patient’s life because it helped reduce harm to their fetus, which could lead to a much longer and healthier pregnancy and a successful birth. This experience has affected me as a future pharmacist because it gave me more practice on how to complete a successful CMR. This was my first time ever completing a CMR, and it went so great. The patient was extremely knowledgeable on what her medications were for and seemed to be adherent initially. It wasn’t until I asked the patient the open-ended question of “How do you take this medication?” that I learned the patient was taking her medication differently than what was described. This interaction taught me that proper communication styles with patients are very important and sets the conversation up for success and I will be able to build off this skill as my time as a pharmacist.

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