PSA

Here is my public service announcement (PSA).

Not to be confused with prostate-specific antigen, Pharmaceutical Society of Australia and I’m sure many other words starting with those letters positioned in that order.

Do you take any medication? Any medications?? Even one medication?

“No, only vitamins, no medications”. “Which vitamins?” “Umm…”

“Just a blood pressure tablet…oh I don’t know what it’s called, its the pink one”

“The doctor started me on an antibiotic this week, no I don’t know what it is”

Here goes, my entire public service announcement: KNOW YOUR OWN MEDICATIONS.

Every day, somewhere between 4 to 18 times depending on shift length and how busy the department is, I walk into an ED cubicle and ask a patient, do you take any medications? And I get some frustrating answers: frustrating in that the patient or their carer hasn’t taken ownership for their own or the patient’s healthcare, frustrating in that I have to put in a lot of time and effort that the patient didn’t think was worthwhile, and isn’t necessary, and I forget why else; I’m sure there was something.

 

I’m not whinging about having to do my job. The whole point of a pharmacist is to elicit the best possible medication history from or for a patient, and I have to dig a lot to get the optimal history. It’s the reason I go to work and the challenge of it creates a real sense of satisfaction once I’m certain of a patient’s medications. But I do think that patient’s have to be engaged and do their part. Obviously I cheerfully exempt unconscious patients, those who are demented/delirious, institutionalised patients and anyone else not in charge of their own medications. But the rest of you? Own your health, for your own sake if nothing else.

You don’t have to be a doctor, a healthcare professional or know anything really about medicine to excel at managing your own medications. You just have to put in  a little time and effort, and get to know the following: the medication generic name (the one in small print), or the brand name (I can work with that), and the strength of the medication. That’s it. I’m not even asking you to memorise it. In fact I don’t want you to rely on your memory. When you’re in the ED, there are so many things going on that with you that your medication name and strength are going to get prioritised right out of your memory recall centre, and be useless to both me and you! So write it down, photograph it, tattoo it on your skin if you must! Okay, the last one is a joke, people!

After that, I need to know a couple of things about each medication: how many times a day you take it, what time of day you take it, and anything else pertinent to the medication specifically. If its written down, all you have to do is hand me the list and that’s all I need; if its on your phone just hand me the phone. So if you don’t want me bugging you, and asking you questions, be organised! I will reward you.

And as an added bonus, if your medications are written out neatly and the list shows you know your doses, your medication chart will be written up quicker, more accurately and your medication chart will be safer. I think that’s worth some effort.

For instance, one patient today brought all of their own medications in a box with a handwritten list saying what time of day each was taken. I was able to record all the information I need: generic medication name, strength (from the medications themselves), and the amount she took and what time of day she took it (from the handwritten list) while the patient was sleeping. When she woke up, I just quickly ran through the list with her to confirm it was up to date, and that was that! Easy, fast, and done, just like that! Her medication chart checked for accuracy and the patient was safe to go to the ward, medication-wise.

A lot of patient’s are very good at bringing in their own medications. In fact Epworth patients are exceptional at bringing in their own medications. This is mostly because they know from their last admission or from savvy ambulance drivers that if they don’t bring their own we’ll dispense what they need, but they’ll pay the same cost as if they were getting the medication dispensed at their usual pharmacy. Most figure they’ll just use what they already have. But having all the medications together in one place at the start makes taking a medication history a lot easier and more accurate, so there’s a hot tip for you.

 

Let’s try this again: do you take any medications? Yes? So what are they? Acceptable answers include:

  1. Here is a photo on my phone of all my current medications including vitamins showing the medication name and strength of the tablet/capsule clearly
  2. Here is my medication list that I keep in my wallet/handbag/toiletry bag that I bring to hospital with the name and strength of each medication and what time of day I take them
  3. Here are all of my medications in some sort of bag
  4. Here is the name of the pharmacy where I get all/most of my medications dispensed regularly

Personally? I carry a list in a plastic slip case that I got the the National Prescribing Service (NPS): it has sections for medication name, strength, amount, time of day, diseases, allergies all neatly in a double-sided fold up sheet that fits into a plastic cover; I think you can get them from NPS online.

So even if it’s one, or two, or “just” vitamins/non-prescribed medications, take the time to record them some way, some how. This isn’t just for hospital, but of course this is from my perspective working in a hospital. But I’m sure your GP, your specialists, and maybe others will make good use of your medication recording. So get going, and do me proud! I’d love to see your efforts, so send me your best!

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Canberra Day 69

[Saturday November 19th] A hot dry day with cool to warm morning for riding

I’ve had two early mornings in a row after late nights, like 5am wide awake after midnight bedtimes, so it’s time to be alert but not alarmed as needing less sleep can be the first sign of a “high” or manic episode coming on. It’s nice to have a little more energy though, get a bit more done, drag my feet less, enjoy life that bit more; hopefully it’s just a PMS thing, cos that can happen, or just an oddity. So at 8am, after going back to sleep for a bit, I decided hubby’s suggestion of a morning bike ride was actually a good one. Usually I’m not with it enough to get up until hubby is nearly or actually back home from his ride, so I don’t really get to thinking about what to do while he’s out. But seize the day! Let’s change that up. So off I go exploring, finding my way down to Lake Burley Griffin via some lovely back streets, then around the middle and wetlands loop and a bit of the hilly loop to get there. You never know what you might find in the backstreets; check out the awesome bird street art. I have to say I felt a bit disorientated riding around the lake! It was 8.30am, but what with the second sleep earlier and people’s activities I felt like it was at least lunchtime. I mean who picnics on the edge of the lake at 8.30am in the morning? Who races dragon boats and attends a full boating carnival at 8.30am in the morning? What’s with people, do they hate sleeping in on the weekend? I can understand the people bird watching maybe, because I dropped off at the Jerrabomberra wetlands for a quick peek at the bird hide where a group of elderly were yapping at the top of their voices!! Hello, its a bird hide! Silence is required at all times otherwise what bird in its right mind is going to come close so that we get great views? I asked them to be quiet, one lady paid attention. I asked again and one oldie told me I could come back later! I told him it wasn’t for my convenience, it was the rule of bird hides; they left not long after. It stuck in my craw though!! I also stopped off at the site where they built trenches for soldiers to train in; that was pretty fascinating. Anyway, it was just incredible to see the masses of walkers, joggers, dogs, cyclists all out and about so early. Then home to hang out with hubby. We were planning on going out together but I was fading after all that exercise and emotion, so off for a nap and hubby put his feet up on the couch to chill out for a while.

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If I could design my own wall, I don’t think I could have chosen better!

Our plan was to go to Sparrow hill in Kowen Park which is out off the Bungendore Road past Queanbeyan. It’s a dead end road that I think is a leftover from when they built the current road, and its beautiful with gorgeous green English trees mixed in with the eucalypts and otherwise sandy, rocky, dry bush. They’ve built 40 kilometres of mountain bike paths with linking trails and man alive, are they well used on the weekend compared to when I dropped by the other week! There was a single other car there that day and today I can easily count 20 without hesitating! As the afternoon wore on more and more cars with picnics and bikes and rugs and crates of stuff arrived…turns out there was a juniors 3 hour mountain bike enduro race so all the families were piling in for a nice night in the bush from 4 to 7pm. Meanwhile I wasn’t enjoying the 30 degree heat (yep I know its not that hot but I was dripping!) so I wasn’t budging far at all, and sticking to the shade (which gum trees aren’t really great for), and basically doing as little as possible while trying to watch for birds as much as possible. I didn’t get a great long list, but I was well entertained by a family of Rufous Whistlers that were chasing each other all around me, and challenging me to grab whatever photos I could as they fleetingly touched down then flitted off again to harass each other. Half at least of the satisfaction of bird photography is grabbing a decent photo despite the best efforts of the birds being flighty, the situation (directly over head into the blazing sun!), the weather (overcast, raining), and whatever else comes up (low battery, full memory card, dust on the lens, la di la di la)! Getting home and seeing that the photo turned out as well as I hoped is always a huge thrill! Anyway, an hour mountain bike (MTN) bike ride for hubby, an hour bird watching for me; everyone’s happy! Then a nice fresh dinner of Vietnamese, some groceries and home to chillax as the evening breeze comes drifting in the bedroom door and lounge room floor and makes for a gorgeous evening inside, as much as outside. Delish!

And to top it all off, I problem solved the reason my photo software wasn’t uploading almost by myself, not much hubby input. This is impressive because ever since I started dating hubby and he was studying software, I’ve pretty much left anything technology to him. I have learnt a few things too, but more or less anything out of my immediate knowledge goes to hubby. And he gives me the phrase made famous by the IT crowd: “Have you tried turning it off and on again?”. I’m trying to put my brain to learning a bit more, before the medications kill my memory retention altogether. Let’s see how I go. In typical style, I got my afternoon/evening burst of energy and got stuck into getting my blog up to date and managed to get 2 blogs written. I know I should be writing much less, but my memory being what it is, I’m trying to keep the details in so I can remember it later. I haven’t really been able to convey the sense of the day always, the mood, the weather, but hopefully remembering the things will bring back the feeling of the day. We’ll see.

Canberra Day Five

15th September 2016

Some enthusiasm has gone out of me with a string of late nights trying to catch up with slow days; never a sensible plan. But I’m pushing on. I must remind myself that no day is a fail even if I don’t get as much done as I hoped. After all, it’s day 5. That’s FIVE days so far. Not even a week! It’s nothing in the scheme of things. I’ve been so many places, seen so much of Canberra’s urban and bush areas, and birds, and lake and although there’s so much more to see, it’s just one day after the other.

My morning routine continues, and today I plan to check out Mount Ainslie. There was actual peak traffic on leaving hubby’s work! A surprise! It was raining (maybe the reason for the traffic) and as I drove towards the mountain it looked like the top was in cloud but trying to be the optimist, I went up anyway. Yep, nothing to be seen but white fluff. Oh well, I tried. I’ll be back some sunny day. So I head for home, but what’s this? A sign for Mount Pleasant lookout! I’ve never heard of it, but let’s go check it out. So I make a right turn and happen to find myself in a fascinating little world that is Duntroon, the Army military college. Gorgeous old style cream and maroon houses and buildings, parade grounds, the odd couple of soldiers left and righting it along the footpath, military police, its own ambulance station; it’s so interesting! If it weren’t raining…but it is so I’ll write it down for another day.

The signs to Mount Pleasant prove a bit difficult, but whether its me or the signs is difficult to say! A few false turns and finally I start up Mount Pleasant. It’s not far, and a gradual climb – I might just come back on my bike and practice my climbing skills! Another misty, rainy view; it’s becoming a thing but it’s another location full of possibility for future walks, bird watching and bike riding. I’ll add it to the plus list. I’m still proud and pleased that I made it here to get the view; it would have been easy to turn and head for home today.

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Not a great deal more to the day except for getting a few jobs done down the street, familiarising myself with my local shops and getting a new pharmacy, a new Coles, a new post office and getting a nice Cold Rock icecream with fruit tingles and Nerds to round out the afternoon. Oh, and my daily 2 hour nap! No day would be complete…

For dinner we had a spontaneous night out for Japanese banquet at Kokoro in Gunghalin…I’m gradually getting used to the foreign sounds of the Canberra suburbs; I think I’m more used to Japanese! 6 courses of Japanese delishousness…not something I’ve ever done before but I think I’m sold! The raw fish section was a challenge but I got through at least one piece of each and some wasabi mayonnaise and soy sauce helped the rest to go down. I now LOVE lotus root chips, I’m ambivalent about edamame beans, and I renewed my appreciation for Japanese style sushi with just rice and fish. The sticky cooked salmon was wonderful but being the last course, it was hard to really appreciate! As for the black sesame and green tea flavoured ice cream…no thanks! But give me amaranth tea with floating flowers anytime, it was divine. Heavy tummy, off to sleep!

Check out the rest of today’s photos on my website: Duntroon and Mount Pleasant

Some of today’s blossoms are included in my Spring Blossoms portfolio: red and pink japonica, yellow daffodils and the deeper pink tree blossoms