Home' Australian Pharmacist : Australian Pharmacist October 2012 Contents 802 Australian Pharmacist October 2012 I © Pharmaceutical Society of Australia Ltd.
1. The survival rate at 5-years for Stage
B bowel cancer is approximately:
2. Which of these statements
regarding bowel cancer is TRUE?
a) 75% of bowel cancer occurs in people
with no known risk factors.
b) All bowel cancer occurs in people over
the age of 50 years.
c) Bowel cancer is the leading cause of
mortality in Australia.
d) Everyone in Australia should be
screened for bowel cancer with a FOBT.
3. Which of the following statements
regarding iFOBT is CORRECT?
a) Individuals require vitamin C
supplementation prior to undergoing
b) Guaiac-based faecal occult blood tests
are superior to faecal immunochemical
c) The test detects degraded human
d) No specific dietary modifications are
required for this test.
4. Who should undergo a faecal
immunochemical test to screen for
a) An asymptomatic 48-year-old woman
with no family history of bowel cancer.
b) A 50-year-old man with rectal pain and
c) A 61-year-old woman with abdominal
pain and diarrhoea.
d) An asymptomatic 57-year-old man
with no family history of bowel cancer.
Pharmacists should review their
knowledge of bowel screening, the tests
All staff involved in this activity should
receive training to know their role in
encouraging testing while understanding the
implications of the results.
An appropriate environment
QCPP guidelines require a private
environment in which the consumer is
comfortable. For information campaigns,
the stand should be in an appropriate
position in or outside the pharmacy.
Reliability of the screening
Customers should be made aware of the
benefits and sensitivities of the different
tests. Customers should be able discuss the
repercussions of false positives.
Systematic operating service
The pharmacy should have a recording
procedure to document the number of tests
sent for analysis and provide a consumer
Systematic procedure for results,
counselling and referrals
Pharmacists should have a documented
referral pathway to give customers the
opportunity for further counselling
Appropriate risk management for the
The pharmacy should have a documented
procedure to ensure tests are handled
appropriately and that staff have taken
adequate infection control precautions when
dealing with faecal matter.
The service, like all in the pharmacy, is subject
to review and evaluation for accuracy, value
Partners and resources
Local promotion partners include the Cancer
Council,1 which provides evidence-based,
up-to-date information about all aspects
of cancer to doctors and other health
professionals to help improve prevention,
detection and treatment of cancer, and to
cancer patients and the general community.1
Your local community health centre and
council will usually have health promotion
officers whose role is to assist in local
projects. Your local state health department
may also have other resources for
There are multiple online resources available
from the Cancer Council at: www.cancer.org.
BowelScreen Australia (www.
bowelscreenaustralia.org ) is a
pharmacy-based awareness program.
The program has free awareness kits
consisting of symptoms brochures, flyers,
posters, risk and treatment options pathway
pages. These are available with two weeks’
notice and could be used for a pharmacy
promotion. DVDs, presentations and
community grants are also available.4
Bowel Cancer Australia (www.
bowelcanceraustralia.org) is another
Following a discussion of your proposed 2013
health promotion campaign, your pharmacy
has decided to promote bowel cancer
screening in February. You have contacted
Rotary Australia to see if anything is planned
in your area. You have talked to your local
GP practice and community health centre to
complement any campaign planned and you
ensure that a referral pathway for concerned
customers is available. At least six weeks
before your promotion you begin advertising
and tie in with the BowelScreen and NBCSP
promotions. You decide to have a week long
campaign using a local celebrity ensuring the
print and local TV media have been informed.
After the campaign you evaluate your activity
with evidence of the number of tests sold,
contacts and a reflection of the activity to
inform your next campaign.
Pharmacy can play an important role to
complement bowel cancer screening
initiatives in the community. Encouraging
customers to modify risk factors and to use
the screening test can help to decrease the
community disease burden. Any customer
who experiences persistent bowel habit
changes should be encouraged to see
1. Cancer Council [online] 2012 At: www.cancer.org.au
2. Choo L, Norton I. Bowel cancer screening. Aust Pharm.
3. Australian Government Department of Health and Ageing.
Calendar of Events [online] 2012 At: www.health.gov.au
4. Bowel Screen Australia [online]. 2011. At: www.
5. Bowel Cancer Atlas [online] 2012. At: www.bowelcancercoalition.
6. Australian Government Department of Health and Ageing.
National Bowel Cancer Screening Program [online]. 2011. At:
7. Bowel Scan Program Rotary Australia [online]. At: www.
8. 5CPA Pharmacy Practice Incentive Program [online]. At:
9. PSA Professional Practice Guidelines [online]. At: www.psa.org.au
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