Introduction
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.
Goals
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
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.