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Quality Use of Medicines: Understanding and Practices

Understand the judicious, appropriate, safe, and effective use of medicines. Explore different forms of medicines, brand names, benefits, and precautions. Learn how to take medicines correctly, manage side effects, and address difficulties in medication management. Find out how clients can access, store, and use medicines safely for optimal health outcomes.

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Quality Use of Medicines: Understanding and Practices

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  1. Working through this presentation • Group discussion or group work • Let’s plan for your clinic

  2. What does QUM mean to you?

  3. Quality Use of Medicines means • The judicious, appropriate, safe and effective use of medicines • Judicious use implies that a medicine is the appropriate treatment choice • Appropriate medicine is one that has been carefully selected to meet the patients needs. • Safe medicine is one that is not overused or underused, or mixed with other drugs. • Effective medicine is accessible to the patient, stored properly and taken properly.

  4. Put simply • Quality use of medicines means using medicines wisely and safely to help improve the health of our patients.

  5. What QUM practices do you use in your clinic?

  6. Who are the team members in achieving QUM and what are their individual roles?

  7. What is a medicine? • Medicines include all of the following: • • Prescription medicines (prescribed by a doctor) • Medicines that can be bought over the counter (OTC) in the pharmacy or supermarket • • Bush medicines • • Herbal or complementary medicines

  8. What are the different forms of medicines? • Medicines come in lots of different forms, not just tablets and capsules. Other forms of medicine include: • • Creams • • Inhalers • • Lotions • • Ointments • • Patches • Suppositories • Injections • Liquids • Eye drops • Ear drops • Pessaries

  9. Generic and Brand Name • Medicines have one generic name but can have many brand names • The generic name is the real name and the name of the chemical active ingredient. • The active ingredient is what makes your medicine work. • The brand name is the name given to the medicine by the company who makes it and sells it. • You may be prescribed a medicine with a different brand name but the same generic name. The medicine will do the same thing.

  10. Calculations • It is important to have an understanding of how much medication should be given per dose, and how often that dose should be given.

  11. What are the benefits of medicines?

  12. What are the benefits of medicines? • Used topreventdiseases (Aspirin) • Used totreatORmanagediseases (Insulin) • Used torelievesymptoms (Paracetamol)

  13. How to take medicines • Some medicines need to be taken every day, even when the client is feeling well (e.g. sugar tablets) • Some medicines only need to be taken when the client has symptoms (e.g. salbutamol puffer) • Some medicines only need to be taken for a short while (e.g. antibiotics)

  14. What do clients need to know abouttheir medicines? • How much? • How often? • How long?

  15. What do clients need to know abouttheir medicines? • What for? • What to expect? • What to check?

  16. What do clients need to know abouttheir medicines? • Sometimes we need to give our clients extra information which is specific to their individual medicine, such as : • Avoid alcohol e.g metronidazole • Avoid sun exposure e.g. amiodarone • Monitor for severe diarrohea e.g clindamycin • Take with or after food e.g. augmentin • Do not lie down after taking dose e.g. fosamax

  17. What are some side effects and precautions of medicines?

  18. Side Effects of Medicines • Side effects are bad effects of medicines. All medicines can cause side effects but not all side effects are serious. • Not everyone will experience side effects from medicines and not everyone will experience the same side effects from medicines.

  19. Precautions with Medicines • Contraindications • Elderly • Kidney or liver disease • Other co-existing diseases • Mixing medicines • Pregnancy and breastfeeding

  20. Mixing medicines • Not all medicines can be taken together. • When some medicines are taken together they can make you sick. • Always check with the clinic before you start taking a new medicine.

  21. Mixing medicines with alcohol • Sometimes it is bad to drink any alcohol at all with your medicines because it will make you very sick.

  22. Pregnancy and breastfeeding • Not all medicines are safe to take while you are pregnant or breastfeeding. • Always check if the patient is pregnant or breastfeeding.

  23. What are some difficulties that your clients may have with managing their medicines?

  24. What are some difficulties that your clients may have with managing their medicines? • Access and storage problems • Taking medicines at the wrong time or forgetting to take medicines. • Taking medicines together that should not be taken together (mixing medicines) • Side effects

  25. What clients need to know aboutaccessing and storing their medicines • Clients should make sure they can access their medicines when they need to so they do not run out of medicines • Store as per manufacturers instructions. • Some medicines have to be stored in the fridge (e.g. insulin) • Store away from children.

  26. Where should clients not storetheir medicines? • Medicines should NOT be stored: • In hot, sunny places such as the dash of a car. • In the freezer. • In places where children can reach them.

  27. What should clients do with old medicines? • Clients should not • take old medicines • give old medicines to other people. • Clients should • take old medicines back to the clinic.

  28. What does your clinic do with old and expired medicines?

  29. Dose Administration Aids • Dose administration aids can sometimes make it easier for people to manage their medicines. E.g. • • Dosette boxes • • Webster packs

  30. Dose Administration Aids • Before starting someone on a webster pack or dosette box make sure: • • They can get to the clinic to collect it each week. • • Know how to use it. • • Like using it.

  31. Let’s meet Jane • Jane is a 35 year old lady who takes medicines for diabetes and high blood pressure. Jane and her partner have two young children. Jane and her family use the local Aboriginal Health Service when they are not well or need a check up.

  32. What does QUM mean for Jane? • For Jane, this means having access to her medicines, knowing when and how to take her medicines, knowing how to store her medicines and working with staff at the clinic to ensure the medicines are the most suitable ones for her

  33. Who are the team members in achieving QUM for Jane? • Jane is the number one member of the team working towards the best health outcomes for her. Other team members include: • • Aboriginal Health Workers at the clinic • • Her doctor • • Nurses at the clinic • • Other health care professionals • (e.g. Physician, Podiatrist, • Pharmacist, Dietitian, health professionals involved in eye care)

  34. What are the benefits of Jane’s medicines? • Jane takes medicines that help to control her sugars, blood pressure and keep her kidneys healthy.

  35. What are the difficulties Jane has with her medicines? • In the past Jane has had some difficulties with her medicines, including: • • how to store them away from her children and; • • what to do when she forgets to take her medicines. • When Jane has problems with her medicines she speaks to the staff at the clinic.

  36. What is your clinic procedure when someonecomes in to collect their medicines?

  37. 1) RIGHT Client? 2) RIGHT medicine? 3) RIGHT dose and strength? 4) RIGHT route? 5) Right time? 6) Is it ALRIGHT to give? 7) WRITE it down! What are the seven RIGHTS of Medicine Administration?

  38. Lets take a better look at Jane’s medicines: • Metformin 500mg tds • Gliclazide 80mg mane • Amlodipine 10mg mane • Irbesartan 300mg mane • Your clinic Doctor wants to prescribe: • Doxycycline 100mg d for 6 days for Jane’s sinus infection. • 1) What do you check before you give out the medication? • 2) What counselling do give Jane about her new medication?

  39. Check ups • Regular check ups are important while people are taking medicines. • It is important to check that medicines are working properly, not causing any side effects and at the right level in the body.

  40. Finally… • Clients should remember that medicines are only part of the story. • People still need to stay healthy, look after themselves and get regular check ups while they are on medicines.

  41. QUM: The whole picture, once the need for medicine is established (judicious use)

  42. The End • Any questions?

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