For more on how to tell the difference between bronchiolitis and viral-induced wheeze, read this post: “Why Do Different Children Wheeze Differently? – Simple, but first you have to understand all of paediatrics“. It is important to remember that LRTI is usually preceded by URTI. Safety-netting advice is key. Here’s an example of […]
There are no absolute rules. This is paediatrics so there are special circumstances. Small infants and babies should be considered to have a higher probability of serious bacterial infection whenever they present. However, that should not mean a liberal use of oral antibiotics in a community setting. If you are treating them differently […]
I think that when I was taught as a medical student, the auscultation findings in the chest were over-emphasised. The reality is that these can be misleading. First of all, the presence of focal findings in the chest is common even in the absence of LRTI. The infant or child with URTI […]
An expert commission recently called for a ‘no blame’ approach to fix drug treatment services in Dundee that are ‘not fit-for-purpose’ and struggling to cope with rising drug deaths.
Are there any particular traits or skills that pharmacists who specialise in mental health need? They are no different from the traits or skills that I would expect from a pharmacist working in any other area of patient-facing healthcare setting. I would say that mental health pharmacists compared to other pharmacists may over time […]
Have you completed any additional qualifications in the area of mental health? As well as a postgraduate diploma in pharmacy practice I also have a postgraduate diploma in psychiatric pharmacy. I am currently undertaking a PhD which is focused on mental health. Could you describe a typical working day for you? […]
Finally here is another opportunity to record your learning after reading this dilemma. We will publish the results of the votes next week. Thank you for taking part in this dilemma. Click here to view more dilemmas.
This dilemma has hopefully provided food for thought and helped you reflect on your own practise and that of others. What is your advice for pharmacists considering a role in general practice? “Work shadow an experienced practice pharmacist. Ask for & follow your mentor/ leads advice. Go slow until relationships & competency […]
It is now an eventful year into working for the practice and the GP team is under pressure. They are a team of 6 and three GPs are off sick and one is on maternity leave. As a result, they have laid on some evening clinics. Our pharmacist is asked to run a ‘minor […]
Our pharmacist was lacking in training. Do you think it is safe for pharmacist prescribers to run ‘minor illness’ clinics without medical supervision? Yes 35% No 65% Do you think the previous patient’s lung cancer would have been picked up sooner if the pharmacist was being supervised? Yes 86% No […]