Uncategorised Personal Learning Activities 1.2 Undertakes an appropriate clinical assessment. 1.1 Takes an appropriate medical, social and medication history, including allergies and intolerances. Competency 1: Assess the patient 1.3 Accesses and interprets all available and relevant patient records to ensure knowledge of the patient’s management to date. 1.6 Understands the condition(s) being treated, their natural progression and how to assess their severity, deterioration and anticipated response to treatment. 1.5 Makes, confirms or understands, the working or final diagnosis by systematically considering the various possibilities. 1.4 Requests and interprets relevant investigations necessary to inform treatment options. 3.1 Works with the patient/carer in partnership to make informed choices, agreeing a plan that respects patient preferences including their right to refuse or limit treatment. 1.8 Refers to or seeks guidance from another member of the team, a specialist or a prescribing information source when necessary. 2.3 Assesses the risks and benefits to the patient of taking or not taking a medicine or treatment. 3.6 Explores the patient/carers understanding of a consultation and aims for a satisfactory outcome for the patient/carer and prescriber. 1.7 Reviews adherence to and effectiveness of current medicines. 2.1 Considers both non-pharmacological (including no treatment) and pharmacological approaches to modifying disease and promoting health. 2.2 Considers all pharmacological treatment options including optimising doses as well as stopping treatment (appropriate polypharmacy, de-prescribing). 3.3 Explains the rationale behind and the potential risks and benefits of management options in a way the patient/carer understands. 2.5 Assesses how co-morbidities, existing medication, allergies, contraindications and quality of life impact on management options. 6.1 Establishes and maintains a plan for reviewing the patient’s treatment. 5.1 Checks the patient/carer’s understanding of and commitment to the patient’s management, monitoring and follow-up. Competency 2: Consider the options 2.7 Identifies, accesses, and uses reliable and validated sources of information and critically evaluates other information. 5.2 Gives the patient - carer clear, understandable and accessible information about their medicines 2.8 Stays up-to-date in own area of practice and applies the principles of evidence-based practice, including clinical and cost-effectiveness. Competency 3: Reach a shared decision 3.2 Identifies and respects the patient in relation to diversity, values, beliefs and expectations about their health and treatment with medicines. 5.4 Ensures that the patient/carer knows what to do if there are any concerns about the management of their condition, if the condition deteriorates. 6.2 Ensures that the effectiveness of treatment and potential unwanted effects are monitored. Competency 5: Provide Information 4.3 Prescribes within relevant frameworks for medicines use as appropriate (e.g. local formularies, care pathways, protocols and guidelines). 4.1 Prescribes a medicine only with adequate, up-to-date awareness of its actions, indications, dose, contraindications, interactions, cautions, and side effects. 4.2 Understands the potential for adverse effects and takes steps to avoid/minimise, recognise and manage them. 4.5 Understands and applies relevant national frameworks for medicines use (e.g. NICE, SMC, AWMSG and medicines management/optimisation) to own prescribing practice. 2.4 Applies understanding of the mode of action and pharmacokinetics of medicines and how these may be altered (e.g. by genetics, age, renal impairment, pregnancy). Competency 4: Prescribe 3.5 Builds a relationship which encourages appropriate prescribing and not the expectation that a prescription will be supplied. 5.5 When possible, encourages and supports patients/carers to take responsibility for their medicines and self-manage their conditions. Competency 6: Monitor and review 2.6 Takes into account any relevant patient factors (e.g. ability to swallow, religion) and the potential impact on route of administration and formulation of medicines. 9.1 Reflects on own and others prescribing practice, and acts upon feedback and discussion. 10.1 Acts as part of a multidisciplinary team to ensure that continuity of care across care settings is developed and not compromised. Competency 10: Prescribe as part of a team 4.12 Makes accurate legible and contemporaneous records and clinical notes of prescribing decisions. 3.4 Routinely assesses adherence in a non-judgemental way and understands the different reasons non-adherence can occur (intentional or non-intentional) and how best to support patients/carers. 6.4 Adapts the management plan in response to on-going monitoring and review of the patient’s condition and preferences. 7.1 Prescribes within own scope of practice and recognises the limits of own knowledge and skill. 4.13 Communicates information about medicines and what they are being used for when sharing or transferring prescribing responsibilities/ information. 10.2 Establishes relationships with other professionals based on understanding, trust and respect for each other’s roles in relation to prescribing. 5.3 Guides patients/carers on how to identify reliable sources of information about their medicines and treatments. 8.4 Makes prescribing decisions based on the needs of patients and not the prescriber’s personal considerations.