Type 2 Diabetes

diabetes patients. Using QRISK Is 10 year risk > 10%* Yes No Initiate Atorvastatin 20mg daily Reassess in one year • Maintain current statin prescription No • Discuss adherence and timing of statin dose • Optimise diet and lifestyle measures • Consider increasing Atorvastatin if not already on maximal dose *Use clinical judgement if;

  Patients, Diabetes, Statins, Diabetes patients

Inhaled Salbutamol (MDI) 1-2 puffs as required, up …

Formoterol Delivery Devise Dose per metered inhalation UK licence > 12 years Adult dose regime Atimos MDI 12mcg √ 12mcg BD, increased to max. 24mcg BD

Management of Menopausal Symptoms v3

Hormone Replacement Therapy Options for the Management of Menopausal Symptoms. Indications: Hormone replacement therapy for oestrogen deficiency symptoms in post and peri-menopausal women (unless contra-indicated) & prevention of osteoporosis. Contraindications: Oestrogen-dependent cancer, history of breast cancer, active thrombophlebitis, active or …

  Symptom, Menopausal, Menopausal symptoms

VITAMIN D PRESCRIBING GUIDANCE for children (<18yrs)

2. British Paediatric and Adolescent Bone Group. December 2012. Position statement on vitamin D deficiency. 3. National Osteoporosis Society. December 2018. Vitamin D and bone health: A practical clinical guideline for patient management in children and young people. 4. British National Formulary for Children 2018-2019. 2018. Section 7. Vitamin ...

  Guidelines, Adolescent

Epididymal Cyst

Cystic fibrosis: an inherited illness in which there are cysts in the lungs, pancreas and other areas of the body. Polycystic kidney disease: an inherited condition in which cysts develop in the kidneys and other parts of the body. Von Hippel-Lindau disease: an inherited disease in which tumours develop in the eye, kidneys and nervous system.

  Tumours, Pancreas

MIGRAINE PROPHYLAXIS

Prophylaxis treatment is used to reduce the number of migraine attacks in circumstances when acute therapy, used appropriately, fails to provide adequate symptom control (two or more attacks per month that produce disability lasting for 3 days or more). Always discuss the benefits and risks of prophylactic treatment for migraine with the

  Treatment, Acute, Migraine

INSULIN PEN DEVICES GUIDE - rotherhamccg.nhs.uk

INSULIN used in pen LIFESPAN (to be replaced after) *Rx ISSUED Humapen SAVVIO Eli Lilly 1-60 units Lilly 3ml cartridges from Humalog and Humulin ranges 6 years A Humapen LUXURA HD Eli Lilly 0.5-30 units (half unit increments) (audible clicks) Lilly 3ml cartridges from Humalog and Humulin ranges 3 years A

  Insulin, Insulin pens

PUQE INDEX ASSESSMENT PUQE Index Score <6 (mild)

or Prochlorperazine or Metoclopramaide Dehydration – Refer Secondary Care PUQE Index Score >13 (severe) Refer Secondary Care BUMPS Patient Information Sheet 1. On an average day, how long do you feel nauseated or sick to your stomach? > 6hrs (5 points) 4-6 hrs (4 points) 2-3 hrs (3 points) > 1 hr (2 points) Not at all (1 point) 2.

  Prochlorperazine

Two-level DVT Wells score - rotherhamccg.nhs.uk

12 weeks requiring general or regional anaesthesia 1 Localised tenderness along the distribution of the deep venous system 1 Entire leg swollen 1 Calf swelling at least 3 cm larger than asymptomatic side 1 Pitting oedema confined to the symptomatic leg 1 Collateral superficial veins (non-varicose) 1 Previously documented DVT 1

  Anaesthesia

ACUTE KIDNEY INJURY GUIDELINES FOR PRIMARY CARE

function. It is not a traumatic injury to the kidney as the name may imply, nor is it a diagnosis in its own right, rather a syndrome with many different underlying causes WHY IS AKI IMPORTANT? AKI is extremely common in hospitalised patients, occurring in 10-20% of emergency hospital admissions and is associated with extremely poor outcomes.

  Diagnosis, Emergency

Owner compliance – educating clients to act on pet care …

Following on from compliance is adherence, which can be defined as the extent to which clients administer medications prescribed, including filling/refilling the prescription; correct dosage, use and timing; and completing the prescribed course. Compliance is commonly confused with concordance – the process by which the professional and

  Owner, Compliance, Clients, Adherence, Educating, Concordance, Owner compliance educating clients to act

Guidelines for pharmacists performing clinical interventions

Adherence A qualitative measure of the extent to which a patient’s behaviour corresponds with the recommendations agreed with a healthcare professional, ideally through a concordant approach8 Compliance, concordance Carer A person who is responsible for, or taking part in, the provision of care for another person. This may be

  Compliance, Adherence, Concordance

Primary Care Prescriber Decision Support for Direct Oral ...

adherence / concordance Warfarin Patients with poor compliance may be at greater risk of thromboembolic complications with DOACs. DOAC have short half-life and so missed doses may have greater loss of anticoagulation than warfarin. Weight > 120 kg Warfarin Although the Summary of Product Characteristics (SPCs) does

  Compliance, Adherence, Concordance

コンコーダンス - jahbs.info

コンコーダンス（Concordance）は，1997年 「コンプライアンスからコンコーダンスへ（From Compliance to Concordance）」という報告書 で，薬の服用に関する新しい解決策として提案 された概念である。英国王立薬剤師会（Royal Pharmaceutical Society of Great Britain）が大

  Compliance, Concordance

Patient Safety Incident Response Framework Contributory ...

Safety focus •Rule compliance Dealing with risks from past incidents • Awareness of current practice • Adherence to current practice • Empowerment of staff to act Work planning and delivery •Risk management plans • Scheduling • Incentive schemes •• Contingency planning Staffing levels and skill mix •Skill mix

  Compliance, Adherence

Atrial Fibrillation (Non-valvular): prescriber decision ...

adherence to prescribed therapy Illness interacting drug therapy lifestyle factors including diet and alcohol consumption Consider self-monitoring as per NICE Guidance if concordance affected by inconvenience of INR testing Reassess at appropriate time interval to assess improvement in control if measures put in place NO YES 5

  Adherence, Concordance

Improving patient outcomes

Improving patient outcomes – the better use of multi-compartment compliance aids Page 5 of 29 Executive Summary The use of multi-compartment compliance aids (MCA)* has become regarded as a panacea for medicines use and is often integrated into practice and service policy without giving due consideration to the alternatives available.

  Compliance

Implementation Quick Start Guide: Teach-back

promotes patient engagement, patient safety, adherence, and quality. This low-cost, low-technology intervention can be the gateway to better communication, better understanding, and ultimately shared decisionmaking. The goal of teach-back is to ensure that you have explained medical information clearly so that patients and their families

  Guide, Implementation, Quick, Start, Adherence, Implementation quick start guide