Patient Factor 1
Engage an interpreter.
How to over come language barriers?
Post-op / severely-ill
What are the types of patients with reduced level of consciousness?
Active Preparation
How to manage the lack of time/resources in obtaining BPMH
To anticipate need to clarify medication information.
Initiate your interview by explaining the importance of BPMH and how it will improve the care patient receives.
How to manage patients who are reluctant to speak during medication reconciliation
Post-stroke, dementia
What are the types of patients with cognitive impairment?
Send reminder prior to clinic visits
How to manage patients who tends to forget to bring their physical medications along with them?
Validate with at least two sources of information.
How do we validate accuracy of information gathered?
show-and-tell technique
How to obtain BPMH from patients with poor recall of medications?
Empower patient to actively participate by asking open-ended questions and giving them opportunities to share their experience.
How to manage patients who are reluctant to speak to you during medication reconciliation
Consult other medication information resources.
How to obtain BPMH if patient did not bring his/her physical medication?
Instead of asking "do you take this medication", you should consider saying “Tell me how you take this medication?”.
How do we ask open-ended questions?
Contact family members/ caregivers or family physician to clarify medications
What is the solution to overcoming patient factor challenges like language barriers, communication barriers and poor patient recall of medications?
Paraphrase questions if necessary
How to manage patients with poor perception of what is a medication.
Obtaining an accurate and comprehensive BPMH is a complex process which involves familiarity with how to interpret multiple sources of medication information, using e
Why is obtaining BPMH a complex process?
Helps with efficient order of questions, optimal phrasing of questions and prompts for commonly-missed medications.
Why do we use a systemic process/interview guide for obtaining BPMH?