My Client(s)
This form is for a care manager or community nurse
Please fill in as many details as possible and submit for GP referral
Please fill in as many details as possible and submit for GP referral
Circumstances where Medication Review and clinical support are required include (but are not limited to):
When care is commenced, transitions of care (e.g. hospitalisation or palliation) or annually
When there is a change in diagnosis or deterioration in behaviour, cognition or mental or physical condition, or when my client is acutely unwell
When there is polypharmacy (>5 medicines or >12 doses daily) and the potential to deprescribe
Starting a new medicine or a change to an existing medicine or medication management plan
When an adverse event, potentially related to medicines has occurred
When there is high-risk medicine use (e.g. opiates, antipsychotics, anticoagulants, antimicrobials, insulin, cytotoxics etc.)
Ensuring safe administration of medicines (e.g. swallowing difficulties)
Where medication information support would be beneficial