Quest Scholar MAC & OTC Meds 101 - Quiz #2

collect

Why are you here and what is going on? Tell me a little about yourself.

Assess

How severe is the condition? Is it treatable?

Plan

What is the BEST recommendation for this patient given the facts?

Implement

this is my plan and why. Here is what to expect. Do you agree and understand?

Follow up

give the patient a timeline/plan moving forward

Qu (QuEST)

quickly and accurately collect pt info

E (QuEST)

establish that the patient is a self-care candidate

S (QuEST)

suggest appropriate self-care strategies

T (QuEST)

talk with the patient

Symptoms

what symptoms are you experiencing?

Characteristics

How would you describe the symptoms?

History

Has it happened in the past and what was the outcome? What has been done so far this time?

Onset

When did your symptoms start?

Location

Where are your symptom(s)?

Aggravating factors

What makes your symptoms worse?

Remitting Factors

What makes your symptoms better?

Medications

What medications (RX and OTC and herbals) are you on?

Allergies

What allergies do you have?

Conditions

What medical conditions do you have (ex: past medical history)

SBAR

situation, background, assessment, recommendation

Situation

state patient's age; findings from SCHOLAR

background

what is the patient's PMH, HPI, medications, allergies?; findings from MAC

Assessment

what is your assessment? Any exclusions for self care?

Recommendation

provide med recommendation (dose directions) and follow-up directions

rhinorrhea (seasonal allergies)

"runny nose", watery

Pruitus

itching of eyes, nose, and/or palate

conjunctivitis

red, irritated eyes

non-pharmacologic therapy - seasonal allergies

- avoid allergens

- nasal irrigation

- nasal wetting agents

pharmacologic therapy - seasonal allergies

- anti-histamines

- nasal corticosteroids

- decongestants

non pharmacologic therapy - heart burn

- diet

- smoking cessation

- weight loss

- elevating head at bedtime

- smaller portion sizes

pharmacologic therapy - heart burn

- antacids

- histamine Type 2 receptor antagonists (H2RAs)

- proton pump inhibitors (PPIs)

non-pharmacologic Therapy- pain and fever

- RICE therapy

- relaxation exercises for headaches

- fluid intake for fever and headache

- cool compress, light clothing for fever

pharmacologic therapy- pain and fever

- antipyretic/analgesic (acetaminophen)

- antipyretic/analgesic/anti-inflammatory (NSAIDs)