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Hey #livertwitter
I want to talk about “medication reconciliation”
It is extremely important and worth your time.
Why?
It’s the end product of your assessment and plan.
Hear me out to make my case for dedicated visits to focus on Med list
I want to talk about “medication reconciliation”
It is extremely important and worth your time.
Why?
It’s the end product of your assessment and plan.
Hear me out to make my case for dedicated visits to focus on Med list
1/ if you stop carvedilol for low MAP and ascites and referred for banding, nicely documented in your note, but patient never took it out of their pill box, have you achieved your goal?
2/if you prescribed lactulose and nicely documented to be adjusted to 3 soft BM per day but it was last refilled a year ago, have you achieved your goal?
3/if you are trying to improve volume status and your patient is on a medication that causes fluid retention from another provider and you keep increasing diuretics, have you achieved your goal?
These are not hypothetical scenarios. These are real issues with patients when you ask a close ended question like “are you taking all that is listed” or “have you stopped this”.
What to do
What to do
Ask your patients to bring medicine bottles,drops, creams,inhalers in to their visit.
Do a video visit and focus on cleaning up their drug cabinet.
Keeping up with ever changing list of meds from different providers is tough, patients need advocates, allies on their corner.
Do a video visit and focus on cleaning up their drug cabinet.
Keeping up with ever changing list of meds from different providers is tough, patients need advocates, allies on their corner.
