Patient Medication history interviews help the pharmacist to establish
rapport with the patient, commence preliminary counseling and help to
devise an ongoing pharmaceutical care plan
Sources: Patient, medication records from the hospital and other sources.
 To gather information to be utilized to case discussion
 Compare medication profiles with the medication administration
record and investigate discrepancies
 Verify medication histories taken by other staff and provide additional
information where appropriate
 Document allergies and adverse reactions
 Screen for drug interactions assess patient medication compliance
 Assess the rationale for drugs prescribed
 Assess for evidence of drug abuse
 Appraise drug administration techniques
 Examine the need for medication aids
 Document patient-initiated medication administration
 Documentation of medication history include
 Current medication administration record
 Previous prescriptions
 Current admission details
 Referral letter from local doctor or other sources
 The patient’s own medication list
Preparing for the Interview
 Determine specific goals of the interview
 Establish the identity of the patient
 Introduce yourself
 Explain the purpose of the interview
 Respect the patient’s right to decline an interview
 Adopt a suitable physical position to enable the interview to take
place comfortably and effectively.

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