2. CONTENTS
• INTRODUCTION
• ESTABLISHING PATIENT IDENTITY
• ESTABLISHING PROFILE OF THE SYMPTOMS
• ESTABLISHING A TREATMENT HISTORY
• DETECTION OF SERIOUS SYMPTOMS
• MANAGEMENT OF THE CONDITION
• RECOMMENDATION OF A COURSE OFACTION
• FOLLOW UP
• REFERRAL
3. INTRODUCTION
Who is Pharmacist ?
A person who is professionally qualified to manufacture and
dispense medicinal drugs…….
Who is Community Pharmacist ?
A community pharmacist is a pharmacist that deals directly with
people in the local area. He/She has responsibilities including
compounding, counselling, checking and dispensing of
prescription drugs to the patients with care, accuracy, and
legality……
4. ESTABLISHING PATIENT IDENTITY
• The pharmacist should be establishes the identity of the patient.
Ex. Name, Gender , Place etc.
• The pharmacist should be familiar with the patient.
5. ESTABLISHING PROFILE OF THE
SYMPTOMS
• The pharmacist asks the patient to describe the nature and
severity of the symptom(s)
• The pharmacist asks the patient about the onset and duration of
the symptom(s)
• The pharmacist asks the patient whether he experiences any
accompanying symptom(s)
• The pharmacist asks the patient whether there is anything which
makes the symptom(s) worse or better
6. ESTABLISHING A TREATMENT
HISTORY
• The pharmacist asks whether self medication was attempted
• The pharmacist asks the patient whether a medical doctor was
consulted for this symptoms
• The pharmacist asks the patient whether any medication was
prescribed or used for this symptom in a previous occurrence
7. DETECTION OF SERIOUS SYMPTOMS
The pharmacist attempts to detect symptoms suggestive of serious disease
• Diarrhoea
• Anorexia Constipation
• Blood loss from any orifice Nausea & Vomiting
• Difficulty in swallowing Indigestion
• History of severe injury Cough and Colds
• Increasing breathlessness Sore Throats and Colds
• Loss of weight Headache
• Menstrual abnormality Painful, frequent and urgent
• urination
• Persistent or recurrent pyrexia Abdominal pain
• Pain in chest, abdomen, head, or ears
• Musculoskeletal disorders
• Spontaneous bruising Eye Disorders
8. MANAGEMENT OFTHE CONDITION
• EXAMPLE :Diarrhoea
• The pharmacist recommends electrolyte replacement salts with
or without medications to reduce diarrhoea
• The pharmacist recommends regular fluid intake
• The pharmacist recommends medications to reduce diarrhoea
9. RECOMMENDATION OF A COURSE
OF ACTION
• The pharmacist explains how to carry out home nursing and
remedies only
• The pharmacist supplies a non prescription medicine and gives
details on
action of medicines supplied
manner in which it is taken
duration of treatment
possible side effects, contra-indications and interactions
economic choice
10. FOLLOW UP
• The pharmacist provides information on the health condition
• The pharmacist helps the patient to feel in control of, take
responsibility for and manage the DISEASE
• The pharmacist informs the patient to come again or seek
medical advice if symptoms exist
11. REFERRAL
• The pharmacist refers the patient to the patient’s regular family
doctor
• The pharmacist offers to phone and make an appointment for
the patient with DOCTOR
• The pharmacist advise a general practitioner and provides
patient with his details (i.e. telephone number, clinic times)
