Clinical Medicines Management Service

What was the issue you were addressing or working on?

Previously Care of the Elderly clinical pharmacy input would only be available from the hospital setting, not in the community.  In this example, patient had problems taking her medicines after being discharged from hospital following a stroke.

What you did?

An 80 year old lady recently discharged from stroke rehab at Ayr hospital. Compliance issues after discharge so referred to Hub pharmacist. Meds in blister pack but unable to swallow them. Meds reconciliation carried out by pharmacist. Discussion with family who agreed to administer meds if supplied in suitable formulation. Pharmacist noted which meds in liquid form, which could be dispersed in water, and which capsules could be opened. As therefore meds would be unlicensed, GP consulted. Medication chart supplied. Pharmacist contacted patient’s community pharmacist to update and agree ongoing supply of suitable formulations.

Change Funding allowed us to provide a Care of the Elderly clinical pharmacy resource that is available in the community setting. This “Hub pharmacist” has links to the Integration and Enablement service as well as to other health and social care professionals in the community.

What were the outcomes - benefits or otherwise?

The outcome of this particular case study was that the patient was able to remain at home with family support, with her medicines reconciled and in a form that she can take. Thus managing her clinical condition in an optimal fashion. Communication between clinical pharmacist, GP, community pharmacist, patient and her family allowed an acceptable working solution to the problem, to be found, without requiring admission back to hospital.

Contacts - to find out more

Diane Lamprell,   01292 665721