docProtocol - Medication Therapy Adherence Clinic : Respiratory
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Protocol - Medication Therapy Adherence Clinic : Respiratory
MEDICATION THERAPY ADHERENCE CLINIC : RESPIRATORY PHARMACEUTICAL SERVICES DIVISION MINISTRY OF HEALTH MALAYSIA First Edition, 2010 Pharmaceutical Services Division Ministry of Health, Malaysia ALL RIGHT RESERVED No part of this publication may be reproduced, stored or transmitted in any form or by any means whether electronic, mechanical, photocopying, tape recording or others without written permission from the Senior Director of Pharmaceutical Services, Ministry of Health Malaysia. Perpustakaan Negara Malaysia Cataloguing-in-Publication Data Protocol - Medication Therapy Adherence Clinic : Respiratory MTAC PROTOCOL : RESPIRATORY Preface Pharmacy practice which was traditionally product centered has now shifted towards patient care. Pharmaceutical care, which is comprehensive and patient focussed is vital in ensuring that patients receive rational, safe and effective treatment. Medication Therapy Adherence Clinic (MTAC) was introduced in 2004 as part of the clinical pharmacy services in the Ambulatory Clinic System which emphasizes on medication management to improve on quality, safety and cost-effectiveness of patient care. MTAC is operated by pharmacists who provide drug therapy monitoring and patient’s education in improving their ability to successfully manage disease condition and preventing debilitating symptoms together with reducing the likelihood of medication errors. The service also includes clinical pharmacokinetic consultation, laboratory monitoring and dosage adjustment of relevant medications. This protocol is meant for clinical pharmacists involved in the management of chronic obstructive respiratory disease (COPD) and asthma as which comprises outlines on the activity and documentations in handling MTAC Respiratory. The availability of this protocol will enable the standardization of practice and expansion of MTAC Respiratory services throughout Ministry of Health (MOH) facilities. I would like to commend the Clinical Pharmacy Working Committee (Respiratory Subspecialty), Pharmaceutical Services Division, MOH for their contribution and commitment to the publication of this protocol. Thank you HASNAH BINTI ISMAIL DIRECTOR PHARMACY PRACTICE AND DEVELOPMENT PHARMACEUTICAL SERVICES DIVISION MINISTRY OF HEALTH MALAYSIA 1 i MTAC PROTOCOL : RESPIRATORY ii MTAC PROTOCOL : RESPIRATORY Clinical Pharmacy Committee (Respiratory Subspecialty) Abdol Malek Bin Abd Aziz Melaka Hospital Lim Yan Chun Sultanah Aminah Hospital, Johor Bahru Shahirah Binti Zainudi Selayang Hospital Nicholas Leow Chun Wei Sibu Hospital Suhadah Binti Ahad Melaka Hospital Nurulhayati Binti Abdul Jamal Sultanah Nur Zahirah Hospital Kuala Terengganu Rohaya Binti Sulaiman Tengku Ampuan Afzan Hospital, Kuantan Sabrina Binti Mohamad Salleh Kuala Lumpur Hospital Jaya Muneswarao a/l Ramadoo@Devudu Kulim Hospital Suzana Binti Mustafa Hospital Tg Anis, Pasir Puteh Chong Meng Fei Pulau Pinang Hospital Siti Hamisah Binti Said Raja Perempuan Zainab II Hospital, Kota Bharu Jason Thean Chow Hee Institut Perubatan Respiratori Kuala Lumpur Wong Hui Shean Tuanku Ampuan Najihah Hospital Kuala Pilah Chow Foong Yan Raja Permaisuri Bainun Hospital, Ipoh Sui Chee Fai Queen Elizabeth Hospital, Kota Kinabalu Norhayati Mustapha Raja Perempuan Zainab II Hospital, Kota Bharu Shaziyah Ahmad Sultanah Bahiyah Hospital Alor Setar Nur Mariana Ayub Sultanah Aminah Hospital Johor Bahru 3 iii MTAC PROTOCOL : RESPIRATORY iv MTAC PROTOCOL : RESPIRATORY 5 1 MTAC PROTOCOL : RESPIRATORY 2 MTAC PROTOCOL : RESPIRATORY 3 MTAC PROTOCOL : RESPIRATORY 4 MTAC PROTOCOL : RESPIRATORY 5 9 MTAC PROTOCOL : RESPIRATORY 6 MTAC PROTOCOL : RESPIRATORY 7 MTAC PROTOCOL : RESPIRATORY Appendix 2 : Inhaler Technique Assessment Workflow Previous User New User Explain function and mechanism Education and demonstration Assess inhaler technique Educate and explore to check comprehension of the patient Technique? Good Poor Reinforcement Assess Technique? Good Poor Offer to repeat the counselling Follow up as appropriate Documentation 8 12 MTAC PROTOCOL : RESPIRATORY 9 MTAC PROTOCOL : RESPIRATORY 10 MTAC PROTOCOL : RESPIRATORY 11 MTAC PROTOCOL : RESPIRATORY 12 MTAC PROTOCOL : RESPIRATORY 13 MTAC PROTOCOL : RESPIRATORY 14 MTAC PROTOCOL : RESPIRATORY 15 MTAC PROTOCOL : RESPIRATORY 16 MTAC PROTOCOL : RESPIRATORY 17 MTAC PROTOCOL : RESPIRATORY 18 MTAC PROTOCOL : RESPIRATORY 19 MTAC PROTOCOL : RESPIRATORY 20 MTAC PROTOCOL : RESPIRATORY 21 MTAC PROTOCOL : RESPIRATORY NOTES 22
