7. Person-centredness - Is the person willing and able to take drug therapy as intended?

Process

Does the patient understand the outcomes of the review?

  • Consider Teach Back
  • Involve the adult where possible. If deemed to lack capacity, discuss with relevant others, e.g. welfare guardian, power of attorney, nearest relative if one exists. Even if adult lacks capacity, adults with Incapacity Act still requires that the adult’s views are sought. Ensure “Adults with Incapacity Documentation” in place.

Ensure drug therapy changes are tailored to patient preferences. Consider:

  • is the medication in a form the patient can take?
  • is the dosing schedule convenient?
  • are they able to take medicines as intended?

Agree and communicate plan

  • discuss and agree with the individual/carer/welfare proxy therapeutic objectives and treatment priorities 
  • include lifestyle and holistic management goals
  • inform relevant health and social care providers of changes in treatments across the transitions of care

Ask patient to complete the post-review PROMs questions after their review

 

Medicines to review

The table below brings together some common areas where prescribers may be able to take action. This list is not exhaustive and does not replace individual clinical judgement. For more detail see Detail by therapeutic area based on amalgamated medication assessment tool.

 

Check self-administration (Cognitive) Check self-administration (Technical)

Warfarin/DOAC

Analgesics

Methotrexate

Tablet burden

“Rescue medicine” e.g. in COPD, adrenal insufficiency

Inhalers

Eye drops

Bisphosphonates /calcium

Any other devices