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