This document collects information from a patient for a medical consultation, including their name, date of birth, occupation, current medical conditions, allergies, smoking and substance use history, current medications including names, dosages, frequencies, durations and whether they are prescription or over-the-counter. For each medication, it asks about the reason for taking it, when it was started, how often and when it is taken, adherence, and any experienced side effects. It concludes by listing all drugs and assessing concordance, and providing recommendations for each drug regarding concordance, interactions, side effects, and whether to stop, increase, decrease or change the medication.
This document collects information from a patient for a medical consultation, including their name, date of birth, occupation, current medical conditions, allergies, smoking and substance use history, current medications including names, dosages, frequencies, durations and whether they are prescription or over-the-counter. For each medication, it asks about the reason for taking it, when it was started, how often and when it is taken, adherence, and any experienced side effects. It concludes by listing all drugs and assessing concordance, and providing recommendations for each drug regarding concordance, interactions, side effects, and whether to stop, increase, decrease or change the medication.
Copyright:
Attribution Non-Commercial (BY-NC)
Available Formats
Download as DOCX, PDF, TXT or read online from Scribd
This document collects information from a patient for a medical consultation, including their name, date of birth, occupation, current medical conditions, allergies, smoking and substance use history, current medications including names, dosages, frequencies, durations and whether they are prescription or over-the-counter. For each medication, it asks about the reason for taking it, when it was started, how often and when it is taken, adherence, and any experienced side effects. It concludes by listing all drugs and assessing concordance, and providing recommendations for each drug regarding concordance, interactions, side effects, and whether to stop, increase, decrease or change the medication.
Copyright:
Attribution Non-Commercial (BY-NC)
Available Formats
Download as DOCX, PDF, TXT or read online from Scribd
Current medical conditions (on-going medical problems)
Allergies (Sensitivities and describe the event)
Smoking, Drinking and Recreational drugs
Have you brought all your medicines? If no prescription or empty boxes
Name, form, Frequency Reason Duration OTC/prescribed
strength
Drug:
Why are you taking this medicine?
When was it started? How often do you take this drug? When do you take this drug? Do you regularly take this medicine? Have you experienced any side effects?
Do you feel you need these tablets?
List all drugs and concordance
Recommendations and concordance for every drug
1. Concordance 2. Interactions 3. Side-effects 4. Stop/Increase or Decrease/change drug
Eg
Atenolol 50mg
1. Not taking daily and does not know why taking it