Medication Interview and Review The interview I conducted was a friend of my cousins’ and me. The biggest concern was the person was only available for a limited time period. We had discussed over the phone the format of the interview and I had sent her a copy of the questions beforehand. The interviewee generally was pleasant, but at times appeared restless and non-committal. I was curious about what she was thinking. There were times during the interview where I felt like she was not listening to the questions, as evidenced by her inability to focus on the subject matter. I was not sure if the reason she seemed ambiguous was, she did not really want to answer the questions or she was just not listening. As the interview continued and she began to discuss the medication she was taking I thought perhaps she might be overmedicated? The person was well dressed and appeared calm. The one behavior I noticed was she would not make eye contact and seemed to find the process unsettling, she kept fidgeting with her hands and appeared restless. I felt she was less than truthful, no evidence of her being deceitful, just a feeling. She stated she had been diagnosed with depression and anxiety. Her initial symptom was she would cry all the time, and the moments were random, this caused her to feel uneasy about being out in public. She said the reason she went to the doctor was she just could not understand why she could not stop crying. She stated that she had been depressed before
During the time of assessment the patient was sitting upright in her bed. The patient denies SI and HI. However, reports that for the past two weeks her "ex-friend" and she has been arguing, however does not remember what about. The patient reports that this conflicted has been going on for the past 5 months. During the assessment the patient lacks focus severely time and continues to talk about her relationship with her "ex-friend". The patient reports seeing people on the lawn of her home. When asked if she knew them, she reports that they week her sister and the sisters
Recently, I completed a psychosocial assessment on a patient in the PHRM/ISS program. She was 21 years old, pregnant with her fifth child. When she initially walked in she seemed pleasant. Then, before we could get started she received a phone call. She politely asked could she step out and of course I said sure. Immediately, after she walked back in she seemed anxious and annoyed as evidence by her frowning and checking her phone every minute. Then, she would continue to say yes and not pay attention to the questions that I was asking. After a while, this began to bother me. This is because I would ask her a question and she would not answer or ask me to repeat myself. Then, she made a comment stating that “it does not matter and she was ready to go because she was upset.” At that moment, I knew that I needed to take an assertive stance.
The intended use of medications is meant to improve a person’ health, it is very important the individual administering medication or self-medicating use the drugs correctly, by following the doctors’ instruction for the medication prescribed. Medication is given to diagnose, treat, and prevent illness. Medication can be very dangerous, which can potentially cause harm or even deaf if it’s not used properly.
1. During the interview, the interviewer (Dr. Noonan) was able to control the session even when the client was challenging her. Dr. Noonan continued to repeat the question "How can I help you?" when the client avoided answering Dr. Noonan about why she was seeking services from her. The interviewer also maintained patient confidentiality when the client mentioned a previous coworker that had also seen Dr. Noonan. Dr. Noonan did not give any information to the client about this previous patient and she did not give any indication that she had been this coworker's doctor in the first place.
This is a complex medication visit. This is a young woman who I have treated for (lipastimea) and depression last seen a year ago. She returns now complaining of increasing depression over the past several months culminating an emergency room visit.
Throughout the interview, Xavier’s mother answered the majority of the questions and expressed the difficulties she faces daily while taking care of her son. She also talks about the process of receiving the diagnosis of ASD, as well as a previous diagnosis that was incorrect. Xavier’s mother first noticed something different while comparing his development, mainly his speech, to that of her nephew who was around the same age as her son. She claims that he wasn’t talking at all at the age of 1 ½ and that concerned her. Xavier’s doctor said his speech was probably delayed and suggested a speech therapist as early intervention. His mother claims that he didn’t outwardly appear Autistic to her because he wasn’t withdrawn. She also claims that
The American society has taken many steps in the positive direction to ease the pressure on local law enforcement by limiting the amount of opiates doctors prescribe to patients through a system called the Prescription Drug Monitoring Program (PDMP). PDMPs allow doctors universal access to patients drug prescription history to make informed decisions on their prescription habits. However, this system only works if the doctors use the system before writing a prescription. According to the Center of Disease Control and Prevention, “Prescription drug monitoring programs (PDMPs) continue to be among the most promising state-level interventions to improve opioid prescribing, inform clinical practice, and protect patients at risk.” When doctors
Patient Presentation: Benjamin Fowler arrived 15 minutes late for his appointment today. He was accompanied by his sister, Paula Fowler. She joined us in the interview to assist Benjamin and to answer some questions concerning Benjamin's behavior. Benjamin is a 27-year-olds African American male. He wore a t-shirt with dress pants and tennis shoes to his interview. Benjamin looked like he had not showered recently. Benjamin had issues focusing on the questions during the interview. He also was distracted by objects in the office during the interview. Benjamin also spoke in a quick manner. Benjamin was not able to tell me what day it was or where he was.
Ms. Kirstin Elliot-Noon, a 26-year-old heterosexual White female, appears her stated age. She was a little over 5 feet tall, wore a white t-shirt, ripped blue jeans, and white sneakers with her long blonde hair tied back in a ponytail. Her grooming was adequate. She approached the session in a cooperative and calm fashion. She was alert. She responded directly to comments and questions. Her use of language was quite sophisticated. She frequently nodded and kept a receptive body posture throughout the exam. There are no noted abnormal involuntary movements. Her speech was of normal tone, rate, volume, and clarity, and eye contact was good. No unusual gestures or mannerisms were noted. Mood was described as “feeling pretty good”. She reported coming into to make sure she was doing alright.
That event is the one that seem to trigger the response and is connected with negative memories. She was never left alone with the nurse, and only routine temperature check and blood pressure check was performed. The nurse had to do it on her leg. Since pt came home she cannot sleep alone. She has nightmares, describes also some pictures in her mind. The patient is not verbal. Most of the interview is from the patient confirming or denying or drawing pictures or showing on her interactive device, and also communicating with her mother. So most of the information is by her mother who takes care of her.
In the article “The Political Economy of FDA Drug Review: Processing, Politics and Lessons for Policy”, the author Daniel P.Carpenter discusses different aspects of the FDA’s drug processing system and the political effects that can alter the routes and outcomes of that process. The role of the FDA is often thought to be mainly focused on protecting the public from non-efficient drugs and that that is the reason behind its popularity. However, the article points out how this role is actually more focused on protecting the FDA’s own reputation; as a long-time FDA observer said, “The FDA is very responsive to what I would call ‘opinion leaders’ in the scientific and medical communities. It cares very much about what these people think as to how the agency is doing”. It is rather surprising and makes complete sense at the same time. I believe because the public often saw the FDA as a heroic agency that shielded them from harmful drugs with no concern of the outcomes. But this vision would certainly vanish if the
would start by first assessing the patients cognitive level. This will allow me to determine if the patient is able alert and orientated and able to answer appropriately. I would then focus on the patient’s cough. I would ask how long the patient has had the cough, what makes it better or worse, are there any triggers, ect. I would also ask about allergies (seasonal, dust, pollen, medications, and food). If their cough is affecting their daily life, and if they have taken any home medications for the cough. I would finish by asking about the patient’s immunization and vaccination record.
This author was lucky enough to be able to see the workings of an outpatient pharmacy at a local hospital. There are different people who help run a pharmacy. In this small pharmacy there were two pharmacists a pharmacy tech and a receptionist.
Initially during the interview, she appeared to be tensed and abrupt in responding to the questions. On some instances, she gave vague and short answers because of frustration, so the examiner had to probe her answers some more. During the interview, there is a neutral rapport present between her and the examiner. However, there is a minimal eye contact, hand gestures, and tend to overuse the word “ahh” and “hmm”.
For the assignment, I interview a pharmacy profession who works in Purdue Student Health Center as a clinical assc professor in pharm practice. This interview took place at her office in push in the afternoon of November 3rd. As being a student in the pharmacy college, I think it will be a good idea to interview a pharmacy profession to understand more information about it and gain some useful advice. Before meeting the professor, I try to get familiar with the questions and have a short talk with the professor allowing us to know more about each other.