Home' Australian Pharmacist : Australian Pharmacist April 2016 Contents Australian Pharmacist April 2016 I ©Pharmaceutical Society of Australia Ltd.
CONTINUING PROFESSIONAL DEVELOPMENT
To administer eye ointment1,7,11
Wash hands thoroughly before and
after use with soap and water.
Sit down and tilt head back until you
see the ceiling.
Pull down the lower eyelid to form a
Place a thin line of approximately
1.5 cm of ointment along the inside
the pouch without letting the tip
touch the eye or eyelashes.
To spread the ointment, blink several
Wipe away excess ointment or
drainage from eyelid and lashes with
a clean tissue.
Vision may be temporarily blurred.
After deciding on a management
option, it is important that the patient
understands how to use any medicine
provided, what to expect from
treatment, adverse effects of treatment,
and when to seek help. To ensure that
the patient understands, the pharmacist
can summarise these points at the end
of the consultation or have the patient
summarise these points.
Information for general management
of the condition should be provided to
the patient. Infectious conjunctivitis is
highly contagious and it is important for
affected people to pay careful attention
to good hygiene measures such as
washing hands regularly, and if needing
to wipe the eye, it should be done with a
It is important to reinforce any
information provided during the
interaction with written information
that the patient can take with them.
The PSA Self Care Fact Card Red and dry
eyes explains some of the causes of red
and dry eyes including conjunctivitis,
and importantly, provides information on
the correct application of eye drops and
eye ointments. This card also highlights
when patients need to seek medical help.
CMI brochures for any products supplied
should be provided to the patient
and these also contain information on
correct application of products, dose and
frequency of administration, adverse
reactions to medicines, and storage
conditions for products.
When referring patients to other health
professionals, it is important the patient
understands the timeframe in which
they need to seek help and who it is
they should seek help from, e.g. general
practitioner, optometrist, or emergency
department. Documentation provided
by the pharmacist can facilitate the
referral process, such as information
gathered from the consultation with
the patient including signs, symptoms,
duration and reason for referral.
Relevance to pharmacy
While the focus of pharmacy practice
has moved away from the supply of
medicines, assessing the patient’s
condition and patient factors such as
medical history and medicines, has
been, and remains key to guiding choice
of management to provide the best
chance of an optimal health outcome.
Recommending Pharmacist Only
medicines provides an opportunity to
engage and collaborate with the patient
to provide a solution that addresses
all of the patient needs such as rapid
resolution of symptoms and prevention
of infection to others. Many people
seek a pharmacist’s advice on various
health-related topics and it is important
that pharmacists remain well-informed
to be able to provide advice and
management solutions that are accurate
and address the needs of the patient.
However, the way the information is
communicated is also important so
that the information is understood
and able to be used by the patient.
The use of guidance documents such as
Guidance for provision of a Pharmacist
Only medicine – chloramphenicol for
ophthalmic use assists in ensuring that
assessment and provision of product
and information are structured and
logical, and likely to meet the needs of
all of those involved in the consultation.
Through engagement with customers
when recommending and providing
Pharmacist Only medicines, it is possible
to identify patients that may benefit from
other services. For example, patients
presenting with various eye symptoms
may benefit from a Medscheck or Home
Medicines Review with a focus on the
condition if they meet the eligibility
criteria for these services.
Practical tools to support
PSA Guidance for provision of
a Pharmacist Only medicine –
chloramphenicol for ophthalmic use.
PSA Professional Practice Standards
Version 4, 2010.
Application in pharmacy practice
Infectious conjunctivitis is common
in the community with many patients
presenting to pharmacies. By providing
thorough patient assessment
and recommending appropriate
management strategies, pharmacists
are able to make a significant and timely
contribution to the management of this
condition. Pharmacist management
strategies are likely to ease pressure on
the primary health setting but also, to
indicate the abilities of pharmacists to
contribute to community health such
as with management of other minor
Mrs EB’s eye
Mrs EB describes feeling an irritated,
red eye for approximately 24 hours. She
noticed a thick, sticky discharge a few
hours after this, and her eye felt like it
was stuck together upon waking this
morning. She is not taking any medicines,
and her medical history is insignificant.
You indicate that she is likely to have
bacterial conjunctivitis. You explain to
Mrs EB, that in around two-thirds of
cases, the infection will clear on its own,
however, there is treatment available
over-the-counter which may assist it to
clear more rapidly.
Mrs EB would like to purchase some
eye drops. You explain that she should
use chloramphenicol 0.5% eye drops,
COUNSELLING IN PRACTICE
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