Pharmacy Counselling
Pharmacy Counselling
Pharmacy Counselling
Elderly
Child
Have you used the medicine before? I am sure I can help.To help me give
the best advice, though,Id like a bit
YES: any further info needed?
more information from you, so I need
to ask a few questions. Is that OK?
NO: REQUEST for symptom help
How has he come to request this
SYMPTOMS: Could you tell me
product?
what sort of trouble you have
had........?
Duration !....For how long
How and when it began,
Timing of symptoms
How it has progressed
What have you tried so far ?
Any other symptoms or anything
different from usual
Decision: REFERRAL Danger,
Duration, Incomplete info
TREATMENT: effective and safe
(medical history and medicine use)
(age restriction)
OUTCOME: improvement within
usually 1 week, otherwise DOCTOR
Could you just tell me what sort of trouble you get with your piles?
Im not sure I quite understand when you say . . . , or Im not quite clear what you meant by . . . .
Id just like to make sure Ive got it right. You tell me youve had this problem since . . .
Also ask then some more direct questions to exclude danger symptoms
Other questions could include
what treatments have you tried so far this time? What sort of treatment were you hoping for today?
What other medications are you taking at present? Do you have any allergies?
REFERRAL:Long duration of symptoms
Recurring or worsening problems
Severe pain
Failed medication (one or more appropriate medicines used already, without improvement)
Suspected adverse drug reactions (to prescription or OTC medicine)
Danger symptoms.
For accidents and injuries:_ The person is, or has been, unconscious.There is a suspected broken bone or dislocation.The person is
experiencing severe chest pain or is having trouble breathing.The person is experiencing severe stomach ache that cannot be treated by OTC
remedies.There is severe bleeding from any part of the body.
e.g. History taking is particularly important when assessing skin disease. For example the use of a topical
corticosteroid inappropriately on infected or infested skin may substantially change the appearance; allergy to
ingredients such as local anaesthetics may produce a problem in addition to the original complaint.The attacks of
heartburn that occur after going to bed or on stooping or bending down are indeed likely to be due to reflux,
whereas those that happen during exertion such as exercise or heavy work may not be. In recurrent mouth ulcers,
for example, do the current ulcers resemble the previous ones, was the doctor or dentist seen on previous
occasions, was any treatment prescribed or OTC medicine purchased and, if so, did it work?
ASS. SYMPTOMS:
feel bad or
MODIF.FACTORS:
work?
OTHER QUEST:
taking?
What other symptoms do you have? What else happended? How else do you
different around the time it happened?
What makes it better? What worse? What have you tried for this? How did it
What do you think cause this problem? What medications are you currently
Each letter in the QuEST acronym is intended to represent a sequential step in the consultation
process, namely:
Quickly
Establish
Suggest
Talk
and accurately assess the patient. ASK about current complaint SCHOLAR
ASK about MAC (medication, allergies, conditions)
that the patient is an appropriate self-care candidate.
NO severe or persistent/recurring symptom,
NO self-treating to avoid medical care
appropriate self-care strategies
medication or general care measures
with the patient.
about medication action, administration, adverse
effects
about what to expect, about follow-up
The SCHOLAR
Symptoms:
Characteristics:
History:
successful?
Onset:
When did this particular problem start?
Location:
Where is the problem?
Aggravating factors:
What makes it worse?
Remitting factors:
What makes it better?
The MAC
Medications:
name and generic
Allergies:
Conditions:
TED
TELL
Tell me more about the feeling you get, when you take the blood pressure tablet
EXPLAIN
Explain to me why you are worried about taking this new tablet
DESCRIBE
You say, that your are feel out of sorts after taking your tablet, describe this
feeling to me
I am really sorry, how do you feel about that ?
What effect is this having on you family ?
ICE
IDEAS
Why do you think has this happened ? Have you any ideas about it yourself ?
CONCERNS
you ?
EXPECTATION
WHO
What has been going through your mind ? Is there anything that is part. Worrying
What do you think might be the best approach ?
Elderly
Child
Have you used the medicine before? I am sure I can help.To help me give
the best advice, though,Id like a bit
YES: any further info needed?
more information from you, so I need
to ask a few questions. Is that OK?
NO: REQUEST for symptom help
How has he come to request this
QuEST SCHOLAR MAC
product?