By helping people my dream is coming true  A community pharmacist,  the Story Dr. Herbert Cabana
Topics <ul><li>Introduction </li></ul><ul><li>Cases </li></ul><ul><li>Can our wo r k influence public health? </li></ul><u...
Topics <ul><li>Introduction </li></ul><ul><li>Cases </li></ul><ul><li>Can our work influence public health? </li></ul><ul>...
Introduction <ul><li>Before I started with my studies my dream was: </li></ul><ul><ul><li>As a pharmacist to support peopl...
Introduction <ul><li>At university  </li></ul><ul><ul><li>I realised that we had to learn quite a lot of physics, botany, ...
Introduction <ul><li>In the community pharmacy:   </li></ul><ul><ul><li>How I experience my life as pharmacist to day I wi...
 
 
 
Topics <ul><li>Introduction </li></ul><ul><li>Cases </li></ul><ul><li>Can our wo r k influence public health? </li></ul><u...
Case history one  The Patient <ul><li>66 years old </li></ul><ul><li>male </li></ul><ul><li>He  wants a remedy for dizzine...
Case history one the first conversation <ul><li>Do you have tabletts against hypertention at home? </li></ul><ul><li>Do yo...
Case history one What – for example – can cause dizziness: <ul><li>High blood pressure </li></ul><ul><li>Low blood pressur...
Case history one  Results of the first conversation <ul><li>What did he tell me? </li></ul><ul><ul><li>He suffers from diz...
 
Case history one <ul><li>Result of measurement: </li></ul><ul><ul><li>Blood pressure = OK </li></ul></ul><ul><li>My decisi...
Case history one  the second conversation <ul><li>I will give you something against your dizziness. </li></ul><ul><li>Woul...
Case history one  the second conversation <ul><li>A new situation occur r ed! </li></ul><ul><ul><li>He is diabetic!!! </li...
Case history one  the second conversation <ul><li>A new situation occur r ed! </li></ul><ul><ul><li>He is diabetic!!! </li...
Case history one  the second conversation <ul><li>A new situation occur r ed! </li></ul><ul><ul><li>He is diabetic!!! </li...
Case history one  the second conversation <ul><li>A new situation occur r ed! </li></ul><ul><ul><li>He is diabetic!!! </li...
Case history one  the second conversation <ul><li>Yes </li></ul><ul><li>When did you take your diamicron lately? </li></ul...
Case history one  the second conversation <ul><li>Please te l l me when  did  your dizziness start </li></ul><ul><li>I see...
Case history one  Results of the second conversation <ul><li>Again I got new information: </li></ul><ul><ul><li>He is not ...
Case history one    <ul><li>I simply fulfilled the prescription </li></ul><ul><ul><li>Diamicron </li></ul></ul><ul><li>Gav...
Case history one  One week later <ul><li>He really came back </li></ul><ul><ul><li>Told me that  </li></ul></ul><ul><ul><u...
Case history one  Reflection <ul><li>Was my approach the best possible one? </li></ul><ul><li>Was there something I could ...
Case history one Reflection <ul><li>Remember the first conversation! </li></ul><ul><li>How were my questions? </li></ul><u...
Case history one Reflection <ul><li>Remember the first conversation! </li></ul><ul><li>I thought I got the right informati...
Case history one  Reflection <ul><li>Remember the second conversation  </li></ul><ul><li>How were my questions? </li></ul>...
Case history one  Conclusion <ul><li>Using closed questions makes it very difficult to recognise weather  a customer  has ...
Case history two  The Patient <ul><li>39 years old </li></ul><ul><li>female </li></ul><ul><li>She hands me over her prescr...
Case history two
Case history two Prescription Name   Mary   Taylor Date of birth: 24.12.19 68 Insurance   WGKK RP) Beloc Tbl  50mg    50 S...
Case history two Composition: Metoprolol Pharmaceutical form:   Tabletts Clinical data: cardiac insufficiency  (slight)   ...
Case history two
Case history two Field of application:  hypertonia   c ardiac insufficiency  (slight) Mode of application ; unchewed Dosag...
Case history two Side effects Interactions Warnings
Case history two
Case history two
Case history two
Case history two Phenprocoumon
Case history two Anticoagulans
Case history two
Case history two Valsartan
Case history two Angiotensin II Receptor Antagonist
Case history two
Case history two
Case history two Amiodaron HCl
Case history two Gravidity : Contra indication!!! 1 year contraception !!!
Case history two Avoid insolation  !!!
Case history two Reflection <ul><li>We have information concerning </li></ul><ul><ul><li>4 drugs </li></ul></ul><ul><li>Ea...
Sidestep interactions:
Sidestep interactions: Additive cardiodepressiv effect increased effect of the anticoag.   Risk of bleeding
Sidestep interactions  (IA): <ul><li>There is nearly no combination of drugs without IA! </li></ul><ul><li>How can we deal...
Sidestep interactions (IA): <ul><li>There is nearly no combination of drugs without IA! </li></ul><ul><li>How can we deal ...
Case history two Problem <ul><li>The number of information is huge </li></ul><ul><li>We cannot convey more then 3 facts </...
Case history two Solution <ul><li>We have to check all information and </li></ul><ul><li>Try to find the t h ree most impo...
Case history two Solution <ul><li>For our lady that could be: </li></ul><ul><li>„ Be shure that you take your medicine reg...
Case history two
Case history three The patient <ul><li>Age: 30 years </li></ul><ul><li>Sex: female </li></ul><ul><li>Her problem: She suff...
Case history three The next step  <ul><li>I asked my assistant to check the blood pressure </li></ul>
Case history three A problem occured <ul><li>My assistant informed me that she always got an error message on the device <...
Case history three A problem occured <ul><li>My assistant informed me that she always got an error message on the device <...
Case history three A problem occured <ul><li>My assistant informed me that she always got an error message on the device <...
Case history three A problem occured <ul><li>My assistant informed me that she always got an error message on the device <...
Case history three The next step <ul><li>My assistant informed me that she always got an error message on the device </li>...
Case history three The next step <ul><li>My assistant informed me that she always got an error message on the device </li>...
Case history three What could be done ? <ul><li>It is an  emergency  situation! </li></ul><ul><li>So  time  is an importan...
Case history three My decision <ul><li>I called the ambulance </li></ul><ul><li>I  prepared to give her a nitro spray </li...
Case history three Conclusion <ul><li>If my assistant would have told the patient that there is a failure in the device an...
Case history three Conclusion <ul><li>Sometimes patient`s problems are not directly drug related </li></ul><ul><li>Never t...
Topics <ul><li>Introduction </li></ul><ul><li>Cases </li></ul><ul><li>Can our woo r k influence public health? </li></ul><...
Can our work influence public health? 3  examples <ul><li>Blood pressure under control? </li></ul><ul><li>Disease preventi...
Can our work influence public health?   3 examples <ul><li>Blood pressure under control? </li></ul><ul><li>A project of co...
Starting position Patients unaware of  their hypertonia
Our activities: <ul><li>Measurement of blood pressure </li></ul><ul><li>Supported by </li></ul><ul><li>Regional GP`s and <...
Advantage: <ul><li>Access to the 75 % of hypertonia patients who are not treated </li></ul><ul><li>Drafting of risk profil...
Result: <ul><li>We could satisfy the  expectations </li></ul>
Health Promotion - joint initiatives <ul><li>Blood pressure under control? </li></ul><ul><li>A project of community pharma...
Starting position <ul><li>More than half of all deaths in Austria result from cardio-vascular diseases </li></ul><ul><li>A...
Aims <ul><li>Motivate patients to make their annual medical check-up </li></ul><ul><li>Raise patient awareness and respons...
How it worked <ul><li>Pharmacists and GPs promoted </li></ul><ul><li>“quick-check” of weight, blood pressure, blood sugar ...
Results <ul><ul><li>The number of patients who made use of their right to an annual medical check-up increased by  36 % wi...
Health Promotion - joint initiatives <ul><li>Blood pressure under control? </li></ul><ul><li>A project of community pharma...
„  10 minutes for my health“ <ul><li>In 2006 nearly all 1200 pharmacies all over Austria r a n a campaign offering a free ...
„  10 minutes for my health“  Measurement of health parameters <ul><li>The preventive screening includes:  </li></ul><ul><...
„  10 minutes for my health“  Results: <ul><li>68.000 persons were checked whereof more than 1/3 were males.  </li></ul><u...
„  10 minutes for my health“    <ul><li>After  the campaign  has  finished : </li></ul><ul><li>The screening is continued ...
<ul><li>With campaigns like   these  we   proved that  our work  in community pharmacies  is an important contribution to ...
Topics <ul><li>Introduction </li></ul><ul><li>Cases </li></ul><ul><li>Can our work influence public health? </li></ul><ul>...
What polls say about our reputation <ul><li>Poll by Reader`s Digest  2006 [2005] (2004) </li></ul><ul><li>Question:  How m...
What polls say about our reputation <ul><li>The table shows the percentage of respondents who trust in the several profess...
What polls say about our reputation Source:  Reader`s Digest European Trusted Brands 2005 2006 [2005] (2004) 2006 [2005] (...
What polls say about our reputation Source:  Reader`s Digest European Trusted Brands 2005 2006 [2005] (2004) 2006 [2005] (...
What polls say about our reputation Source:  Reader`s Digest European Trusted Brands 2005 2006 [2005] (2004) 2006 [2005] (...
What polls say about our reputation Source:  Reader`s Digest European Trusted Brands 2005 2006 [2005] (2004) 2006 [2005] (...
What polls say about our reputation Source:  Reader`s Digest European Trusted Brands 2005 2006 [2005] (2004) 2006 [2005] (...
What polls say about our reputation Source:  Reader`s Digest European Trusted Brands 2005 2006 [2005] (2004) 2006 [2005] (...
What polls say about our reputation Source:  Reader`s Digest European Trusted Brands 2005 Reputation of  community pharmac...
Topics <ul><li>Introduction </li></ul><ul><li>Cases </li></ul><ul><li>Can our wo r k influence public health? </li></ul><u...
Summary <ul><li>University education is essential for our professional work </li></ul>
Summary <ul><li>University education is essential for our professional work </li></ul><ul><li>Comprehensive knowledge of m...
Summary <ul><li>University education is essential for our professional work </li></ul><ul><li>Comprehensive knowledge of m...
Summary <ul><li>University education is essential for our professional work </li></ul><ul><li>Comprehensive knowledge of m...
Summary <ul><li>University education is essential for our professional work </li></ul><ul><li>Comprehensive knowledge of m...
Summary <ul><li>University education is essential for our professional work </li></ul><ul><li>Comprehensive knowledge of m...
Summary <ul><li>Use your knowledge! </li></ul><ul><li>Watch your patient! </li></ul><ul><li>Listen to your patient </li></...
Summary <ul><li>Use your knowledge! </li></ul><ul><li>Watch your patient! </li></ul><ul><li>Listen to your patient </li></...
Your questions please
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BY HELPING PEOPLE MY DREAM IS BECOMING TRUE

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PharmaCon2007 Congress, Dubrovnik, Croatia "New Technologies and Trends in Pharmacy, Pharmaceutical Industry and Education" http://www.pharmacon2007.com
Abstract is available at http://www.pharmaconnectme.com

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Transcript of "BY HELPING PEOPLE MY DREAM IS BECOMING TRUE"

  1. 1. By helping people my dream is coming true A community pharmacist, the Story Dr. Herbert Cabana
  2. 2. Topics <ul><li>Introduction </li></ul><ul><li>Cases </li></ul><ul><li>Can our wo r k influence public health? </li></ul><ul><li>What polls say about our reputation </li></ul><ul><li>Summary </li></ul>
  3. 3. Topics <ul><li>Introduction </li></ul><ul><li>Cases </li></ul><ul><li>Can our work influence public health? </li></ul><ul><li>What polls say about our reputation </li></ul><ul><li>Summary </li></ul>
  4. 4. Introduction <ul><li>Before I started with my studies my dream was: </li></ul><ul><ul><li>As a pharmacist to support people to stay healthy and help them very effective when they are ill. </li></ul></ul>
  5. 5. Introduction <ul><li>At university </li></ul><ul><ul><li>I realised that we had to learn quite a lot of physics, botany, chemistry, pharmacology and pharmaceutical technology. </li></ul></ul><ul><ul><li>At that time I could not imagine how my knowledge of university studies once could be combined with my imagination of the pharmacist profession. </li></ul></ul>
  6. 6. Introduction <ul><li>In the community pharmacy: </li></ul><ul><ul><li>How I experience my life as pharmacist to day I will show you by means of some cases. </li></ul></ul>
  7. 10. Topics <ul><li>Introduction </li></ul><ul><li>Cases </li></ul><ul><li>Can our wo r k influence public health? </li></ul><ul><li>What polls say about our reputation </li></ul><ul><li>Summary </li></ul>
  8. 11. Case history one The Patient <ul><li>66 years old </li></ul><ul><li>male </li></ul><ul><li>He wants a remedy for dizziness </li></ul>
  9. 12. Case history one the first conversation <ul><li>Do you have tabletts against hypertention at home? </li></ul><ul><li>Do you think your blood pressure is high? </li></ul><ul><li>Good morning. How can I help you? </li></ul><ul><li>Do you suffer from hypertention? </li></ul><ul><li>Very often I am so dizzy. Please give me some tabletts. </li></ul><ul><li>Yes . </li></ul><ul><li>Yes . </li></ul><ul><li>Yes. </li></ul>Cabana Patient <ul><li>But please give me some tablets against dizziness! </li></ul>
  10. 13. Case history one What – for example – can cause dizziness: <ul><li>High blood pressure </li></ul><ul><li>Low blood pressure </li></ul><ul><li>Shortsightedness – Longsightedness </li></ul><ul><li>Problems with the spinal column </li></ul><ul><li>Ear problems </li></ul><ul><li>Tumour </li></ul><ul><li>Endocrinology problems </li></ul><ul><li>Etc. Etc. Etc. ..... </li></ul>
  11. 14. Case history one Results of the first conversation <ul><li>What did he tell me? </li></ul><ul><ul><li>He suffers from dizziness </li></ul></ul><ul><ul><li>He suffers from hypertension </li></ul></ul><ul><ul><li>His hypertension is treated with tablets </li></ul></ul><ul><ul><li>He thinks his bloodpressure is high </li></ul></ul><ul><li>I suspected </li></ul><ul><ul><li>Hypertension might cause the dizziness </li></ul></ul><ul><li>My action: </li></ul><ul><ul><li>Measurement of blood pressure </li></ul></ul>
  12. 16. Case history one <ul><li>Result of measurement: </li></ul><ul><ul><li>Blood pressure = OK </li></ul></ul><ul><li>My decision: </li></ul><ul><ul><li>My patient told me, he was under medical treatment, so </li></ul></ul><ul><ul><li>I planned to give him </li></ul></ul><ul><ul><ul><li>an antivertiginosum and </li></ul></ul></ul><ul><ul><ul><li>detailed advice </li></ul></ul></ul>
  13. 17. Case history one the second conversation <ul><li>I will give you something against your dizziness. </li></ul><ul><li>Would you like anything else? </li></ul><ul><li>Yes; fulfil this prescription please </li></ul>Cabana Patient Prescription Name Hubert Miller Date of birth: 24.12.1937 Insurance WGKK RP) Diamicron 80 mg I OP Dr. John Helpful Common Practitioner Gliclazid (Antidiabeticum; Sulfonylurea)
  14. 18. Case history one the second conversation <ul><li>A new situation occur r ed! </li></ul><ul><ul><li>He is diabetic!!! </li></ul></ul><ul><li>My action: </li></ul><ul><ul><li>Measurement of blood sugar </li></ul></ul>
  15. 19. Case history one the second conversation <ul><li>A new situation occur r ed! </li></ul><ul><ul><li>He is diabetic!!! </li></ul></ul><ul><li>My action: </li></ul><ul><ul><li>Measurement of blood sugar </li></ul></ul>
  16. 20. Case history one the second conversation <ul><li>A new situation occur r ed! </li></ul><ul><ul><li>He is diabetic!!! </li></ul></ul><ul><li>My action: </li></ul><ul><ul><li>Measurement of blood sugar </li></ul></ul>
  17. 21. Case history one the second conversation <ul><li>A new situation occur r ed! </li></ul><ul><ul><li>He is diabetic!!! </li></ul></ul><ul><li>My action: </li></ul><ul><ul><li>Measurement of blood sugar </li></ul></ul><ul><li>The result: </li></ul><ul><ul><li>Glucose much higher then 200 ! </li></ul></ul>
  18. 22. Case history one the second conversation <ul><li>Yes </li></ul><ul><li>When did you take your diamicron lately? </li></ul><ul><li>No. I mean when did you take your dimicron lately? </li></ul><ul><li>When did you take your dimicron lately? </li></ul><ul><li>Sorry? </li></ul><ul><li>I ran out of the tabletts </li></ul>Cabana Patient
  19. 23. Case history one the second conversation <ul><li>Please te l l me when did your dizziness start </li></ul><ul><li>I see. </li></ul><ul><li>That was Friday so it was about 10 days ago </li></ul><ul><li>When was that? </li></ul><ul><li>When did you run out of di a micron? </li></ul><ul><li>When did your dizziness start? </li></ul><ul><li>Yes </li></ul><ul><li>2 we e ks ago </li></ul><ul><li>Yes </li></ul>Cabana Patient
  20. 24. Case history one Results of the second conversation <ul><li>Again I got new information: </li></ul><ul><ul><li>He is not only diabetic but </li></ul></ul><ul><ul><li>He also is hard of hearing </li></ul></ul><ul><li>I revised my decision! </li></ul>
  21. 25. Case history one <ul><li>I simply fulfilled the prescription </li></ul><ul><ul><li>Diamicron </li></ul></ul><ul><li>Gave detailed advise to my customer </li></ul><ul><ul><li>not only verbal </li></ul></ul><ul><ul><li>but also written </li></ul></ul><ul><li>Told him to visit the doctor </li></ul><ul><li>Asked him to come back after a week </li></ul>
  22. 26. Case history one One week later <ul><li>He really came back </li></ul><ul><ul><li>Told me that </li></ul></ul><ul><ul><ul><li>He did not visit the doctor but </li></ul></ul></ul><ul><ul><ul><li>Took his tablets regular l y and </li></ul></ul></ul><ul><ul><ul><li>Checked his blood sugar by himself </li></ul></ul></ul><ul><ul><ul><li>His dizziness became much better </li></ul></ul></ul>
  23. 27. Case history one Reflection <ul><li>Was my approach the best possible one? </li></ul><ul><li>Was there something I could have done better? </li></ul><ul><li>Did I loose sight of something? </li></ul>
  24. 28. Case history one Reflection <ul><li>Remember the first conversation! </li></ul><ul><li>How were my questions? </li></ul><ul><ul><li>The questions were „closed questions“ </li></ul></ul><ul><li>How were the answers of my patient? </li></ul><ul><ul><li>He nearly always answered : yes </li></ul></ul><ul><li>Were these answers logical? </li></ul><ul><ul><li>Yes they were. </li></ul></ul><ul><ul><li>Therefore I could not notice that he was hard of hearing </li></ul></ul>
  25. 29. Case history one Reflection <ul><li>Remember the first conversation! </li></ul><ul><li>I thought I got the right information from the patient (that he suffers from hypertension). </li></ul><ul><li>But I did double check it by monitoring the blood pressure. </li></ul><ul><li>I didn`t bear in mind that there are much more possible reasons for dizziness in this special case. </li></ul><ul><li>I thought I had all necessary information. </li></ul><ul><li>Without having all information I made my 1 th decision. </li></ul>
  26. 30. Case history one Reflection <ul><li>Remember the second conversation </li></ul><ul><li>How were my questions? </li></ul><ul><ul><li>I used open questions </li></ul></ul><ul><li>How were the answers of my patient? </li></ul><ul><ul><li>Again he nearly always answered : yes </li></ul></ul><ul><li>Were these answers logical? </li></ul><ul><ul><li>No they were not. </li></ul></ul><ul><ul><li>So I had the chance to recognise his disability: </li></ul></ul><ul><ul><ul><li>hardness of hearing </li></ul></ul></ul>
  27. 31. Case history one Conclusion <ul><li>Using closed questions makes it very difficult to recognise weather a customer has really got what we wanted to bring forward </li></ul><ul><li>That can lead to severe mistakes </li></ul><ul><li>Therefore: </li></ul><ul><ul><li>Use open questions whenever you can !! </li></ul></ul><ul><ul><li>Bare in mind as many causes as possible!! </li></ul></ul>
  28. 32. Case history two The Patient <ul><li>39 years old </li></ul><ul><li>female </li></ul><ul><li>She hands me over her prescription </li></ul>
  29. 33. Case history two
  30. 34. Case history two Prescription Name Mary Taylor Date of birth: 24.12.19 68 Insurance WGKK RP) Beloc Tbl 50mg 50 St I OP Marcoumar Tbl 3 mg 100 St I OP Diovan Ftbl 80 mg 28 St I OP Sedacoron Tbl 200 mg 50 St I OP Dr. John Helpful Common Practitioner
  31. 35. Case history two Composition: Metoprolol Pharmaceutical form: Tabletts Clinical data: cardiac insufficiency (slight) RR  etc. Dosage Warning notices
  32. 36. Case history two
  33. 37. Case history two Field of application: hypertonia c ardiac insufficiency (slight) Mode of application ; unchewed Dosage : 100-200mg Contraindication : hypotension c ardiac insufficiency (severe) Gravidity and breastfeeding Composition: Metoprolol
  34. 38. Case history two Side effects Interactions Warnings
  35. 39. Case history two
  36. 40. Case history two
  37. 41. Case history two
  38. 42. Case history two Phenprocoumon
  39. 43. Case history two Anticoagulans
  40. 44. Case history two
  41. 45. Case history two Valsartan
  42. 46. Case history two Angiotensin II Receptor Antagonist
  43. 47. Case history two
  44. 48. Case history two
  45. 49. Case history two Amiodaron HCl
  46. 50. Case history two Gravidity : Contra indication!!! 1 year contraception !!!
  47. 51. Case history two Avoid insolation !!!
  48. 52. Case history two Reflection <ul><li>We have information concerning </li></ul><ul><ul><li>4 drugs </li></ul></ul><ul><li>Each of it with </li></ul><ul><ul><li>Effects </li></ul></ul><ul><ul><li>Side effects </li></ul></ul><ul><ul><li>Adverse reactions </li></ul></ul><ul><ul><li>Interactions </li></ul></ul><ul><ul><li>Etc., etc. </li></ul></ul>
  49. 53. Sidestep interactions:
  50. 54. Sidestep interactions: Additive cardiodepressiv effect increased effect of the anticoag. Risk of bleeding
  51. 55. Sidestep interactions (IA): <ul><li>There is nearly no combination of drugs without IA! </li></ul><ul><li>How can we deal with this situation in the pharmacy? </li></ul><ul><li>An IA does not basically mean that a combination is forbidden. </li></ul><ul><li>Check the importance of IA for the individual patient. </li></ul><ul><li>In some cases (severe IA) we should avoid combination s </li></ul><ul><li>In frequent cases we should give detailed advice. </li></ul><ul><li>We should keep in mind that normally GP`s are aware of IA and accept them as the minor problem. </li></ul>
  52. 56. Sidestep interactions (IA): <ul><li>There is nearly no combination of drugs without IA! </li></ul><ul><li>How can we deal with this situation in the pharmacy? </li></ul><ul><li>An IA does not basically mean that a combination is forbidden. </li></ul><ul><li>Check the importance of IA for the individual patient. </li></ul><ul><li>In some cases (severe IA) we should avoid combination </li></ul><ul><li>In frequent cases we should give detailed advice. </li></ul><ul><li>We should keep in mind that normally GP`s are aware of IA and accept them as the minor problem. </li></ul>A good pharmacist never blames the doctor for ignoring an important IA! If necessary we contact the doctor with a proposal on a proper solution!
  53. 57. Case history two Problem <ul><li>The number of information is huge </li></ul><ul><li>We cannot convey more then 3 facts </li></ul>
  54. 58. Case history two Solution <ul><li>We have to check all information and </li></ul><ul><li>Try to find the t h ree most important facts </li></ul>
  55. 59. Case history two Solution <ul><li>For our lady that could be: </li></ul><ul><li>„ Be shure that you take your medicine regularly“ </li></ul><ul><li>„ Beware of glare of the sun! It will burn your skin!“ </li></ul><ul><li>„ Be sure that you use safe contraception!“ </li></ul>
  56. 60. Case history two
  57. 61. Case history three The patient <ul><li>Age: 30 years </li></ul><ul><li>Sex: female </li></ul><ul><li>Her problem: She suffers from vomiting attacs and wanted to have her bloodpressure checked </li></ul>
  58. 62. Case history three The next step <ul><li>I asked my assistant to check the blood pressure </li></ul>
  59. 63. Case history three A problem occured <ul><li>My assistant informed me that she always got an error message on the device </li></ul>
  60. 64. Case history three A problem occured <ul><li>My assistant informed me that she always got an error message on the device </li></ul>
  61. 65. Case history three A problem occured <ul><li>My assistant informed me that she always got an error message on the device </li></ul><ul><li>I tried it myself and got the same result -> „error“ </li></ul>
  62. 66. Case history three A problem occured <ul><li>My assistant informed me that she always got an error message on the device </li></ul><ul><li>I tried it myself and got the same result -> „error“ </li></ul>
  63. 67. Case history three The next step <ul><li>My assistant informed me that she always got an error message on the device </li></ul><ul><li>I tried it myself and got the same result -> „error“ </li></ul><ul><li>Then I made a n acouophonia measurement </li></ul>
  64. 68. Case history three The next step <ul><li>My assistant informed me that she always got an error message on the device </li></ul><ul><li>I tried it myself and got the same result -> „error“ </li></ul><ul><li>Then I made a n acouophonia measurement </li></ul><ul><li>The result I found: </li></ul><ul><li>Diastolic parameter: </li></ul><ul><li>270 mm Hg </li></ul><ul><li>Systolic parameter: </li></ul><ul><ul><li>150 mm Hg </li></ul></ul>
  65. 69. Case history three What could be done ? <ul><li>It is an emergency situation! </li></ul><ul><li>So time is an important factor! </li></ul><ul><li>If you have no chance to get a doctor quickly you could help the patient for example by </li></ul><ul><ul><li>Let her chew a NIFEDIPIN capsule or </li></ul></ul><ul><ul><li>Use a NITRO spray </li></ul></ul><ul><li>Watch the patient carefully </li></ul><ul><li>Try to get a doctor as soon as possible </li></ul>
  66. 70. Case history three My decision <ul><li>I called the ambulance </li></ul><ul><li>I prepared to give her a nitro spray </li></ul><ul><li>Then the ambulance arrived within a few minutes </li></ul><ul><li>The emergency physician told me that my results were right </li></ul><ul><li>She injected a calcium antagonist and brought the patient to the hospital immediately </li></ul>
  67. 71. Case history three Conclusion <ul><li>If my assistant would have told the patient that there is a failure in the device and sent her home she might have passed away </li></ul><ul><li>But my assistant noticed that the ladies skin was extremely pale and </li></ul><ul><li>My assistant was very familiar with the blood pressure unity </li></ul>
  68. 72. Case history three Conclusion <ul><li>Sometimes patient`s problems are not directly drug related </li></ul><ul><li>Never trust a technical device if something looks strange </li></ul><ul><li>Always use your broad knowledge combined with your experience of life </li></ul><ul><li>Be proactive if necessary </li></ul>
  69. 73. Topics <ul><li>Introduction </li></ul><ul><li>Cases </li></ul><ul><li>Can our woo r k influence public health? </li></ul><ul><li>What polls say about our reputation </li></ul><ul><li>Summary </li></ul>
  70. 74. Can our work influence public health? 3 examples <ul><li>Blood pressure under control? </li></ul><ul><li>Disease prevention starts inside your head! </li></ul><ul><li>10 Minutes for my health </li></ul>
  71. 75. Can our work influence public health? 3 examples <ul><li>Blood pressure under control? </li></ul><ul><li>A project of community pharmacists, general practitioners and the City of Villach </li></ul>
  72. 76. Starting position Patients unaware of their hypertonia
  73. 77. Our activities: <ul><li>Measurement of blood pressure </li></ul><ul><li>Supported by </li></ul><ul><li>Regional GP`s and </li></ul><ul><li>City officials </li></ul>
  74. 78. Advantage: <ul><li>Access to the 75 % of hypertonia patients who are not treated </li></ul><ul><li>Drafting of risk profiles </li></ul><ul><li>Targeted prevention campaigns </li></ul><ul><li>„On-medication“ – Study (Adherence) </li></ul><ul><li>Raising awareness of the public </li></ul>
  75. 79. Result: <ul><li>We could satisfy the expectations </li></ul>
  76. 80. Health Promotion - joint initiatives <ul><li>Blood pressure under control? </li></ul><ul><li>A project of community pharmacists, general practitioners and the City of Villach </li></ul><ul><li>Disease prevention starts inside your head! </li></ul><ul><li>A project of the Chamber of Pharmacists and the Chamber of Medical Doctors in Vienna </li></ul>
  77. 81. Starting position <ul><li>More than half of all deaths in Austria result from cardio-vascular diseases </li></ul><ul><li>About 50 % of cardio-vascular diseases are due to risk factors that could be reduced by prevention </li></ul><ul><li>Every Austrian citizen is entitled to an annual medical check-up paid by social insurance </li></ul><ul><li>Only 12 % throughout Austria, in Vienna only 7,9 % made use of this opportunity in 1999 </li></ul>
  78. 82. Aims <ul><li>Motivate patients to make their annual medical check-up </li></ul><ul><li>Raise patient awareness and responsibility </li></ul><ul><li>Early detection of risk factors and hidden diseases </li></ul><ul><li>Early treatment of cardio-vascular diseases </li></ul>
  79. 83. How it worked <ul><li>Pharmacists and GPs promoted </li></ul><ul><li>“quick-check” of weight, blood pressure, blood sugar and cholesterol in pharmacies </li></ul><ul><li>referral to the doctor if results were above / below standard </li></ul><ul><li>referral to the doctor for the regular annual check-up </li></ul>
  80. 84. Results <ul><ul><li>The number of patients who made use of their right to an annual medical check-up increased by 36 % within half a year </li></ul></ul><ul><ul><li>Public awareness of community pharmacist´s health promotion projects increased </li></ul></ul><ul><ul><li>Scientific evaluation by University </li></ul></ul>
  81. 85. Health Promotion - joint initiatives <ul><li>Blood pressure under control? </li></ul><ul><li>A project of community pharmacists, general practitioners and the City of Villach </li></ul><ul><li>Disease prevention starts inside your head! </li></ul><ul><li>A project of the Chamber of Pharmacists and the Chamber of Medical Doctors in Vienna </li></ul><ul><li>10 Minutes for my health Preventing screening campaign in pharmacies </li></ul>
  82. 86. „ 10 minutes for my health“ <ul><li>In 2006 nearly all 1200 pharmacies all over Austria r a n a campaign offering a free health check </li></ul><ul><li>Intensive PR efforts result ed in about 130 media reports in the first month alone </li></ul><ul><li>Some proponents of the Medical Chamber were not really amused about the pharmacy campaign </li></ul><ul><li>Pharmacies became visible in the area of „preventive checks“ </li></ul>
  83. 87. „ 10 minutes for my health“ Measurement of health parameters <ul><li>The preventive screening includes: </li></ul><ul><ul><li>weight, </li></ul></ul><ul><ul><li>abdominal girth, </li></ul></ul><ul><ul><li>blood sugar, </li></ul></ul><ul><ul><li>cholesterol and </li></ul></ul><ul><ul><li>blood pressure </li></ul></ul>
  84. 88. „ 10 minutes for my health“ Results: <ul><li>68.000 persons were checked whereof more than 1/3 were males. </li></ul><ul><li>54 % of the screened persons were referred to a physician due to their alarming health parameters. </li></ul><ul><li>In 2 out of 100 persons manifest diabetes was detected. </li></ul><ul><li>More than half is overweight. </li></ul><ul><li>Every third is suffering from elevated blood pressure. </li></ul>
  85. 89. „ 10 minutes for my health“ <ul><li>After the campaign has finished : </li></ul><ul><li>The screening is continued in community pharmacies </li></ul>
  86. 90. <ul><li>With campaigns like these we proved that our work in community pharmacies is an important contribution to public health </li></ul>Can our wo r k influence public health? Yes!
  87. 91. Topics <ul><li>Introduction </li></ul><ul><li>Cases </li></ul><ul><li>Can our work influence public health? </li></ul><ul><li>What polls say about our reputation </li></ul><ul><li>Summary </li></ul>
  88. 92. What polls say about our reputation <ul><li>Poll by Reader`s Digest 2006 [2005] (2004) </li></ul><ul><li>Question: How much do you trust in the following professions: </li></ul><ul><li>Very much </li></ul><ul><li>Quite a lot </li></ul><ul><li>A little </li></ul><ul><li>Not very much </li></ul><ul><li>Not at all </li></ul>
  89. 93. What polls say about our reputation <ul><li>The table shows the percentage of respondents who trust in the several professions „very much“ and „quite a lot“. </li></ul><ul><li>(In Brakets the results of 200 5 and 2004 ) </li></ul>
  90. 94. What polls say about our reputation Source: Reader`s Digest European Trusted Brands 2005 2006 [2005] (2004) 2006 [2005] (2004) 95 [ 95 ] (95) 97 [ 100 ] (97) Firemen Europe Austria
  91. 95. What polls say about our reputation Source: Reader`s Digest European Trusted Brands 2005 2006 [2005] (2004) 2006 [2005] (2004) 92 [ 90 ] (90) 97 [ 95 ] (90) Pilots (aircraft) 95 [ 95 ] (95) 97 [ 100 ] (97) Firemen Europe Austria
  92. 96. What polls say about our reputation Source: Reader`s Digest European Trusted Brands 2005 2006 [2005] (2004) 2006 [2005] (2004) 92 [ 90 ] (90) 97 [ 95 ] (90) Pilots (aircraft) 95 [ 95 ] (95) 97 [ 100 ] (97) Firemen 89 [ 89 ] (89) 96 [ 96 ] (93) Pharmacists Europe Austria
  93. 97. What polls say about our reputation Source: Reader`s Digest European Trusted Brands 2005 2006 [2005] (2004) 2006 [2005] (2004) 86 [ 88 ] (88) 94 [ 98 ] (93) Nurses 92 [ 90 ] (90) 97 [ 95 ] (90) Pilots (aircraft) 95 [ 95 ] (95) 97 [ 100 ] (97) Firemen 89 [ 89 ] (89) 96 [ 96 ] (93) Pharmacists Europe Austria
  94. 98. What polls say about our reputation Source: Reader`s Digest European Trusted Brands 2005 2006 [2005] (2004) 2006 [2005] (2004) 86 [ 88 ] (88) 94 [ 98 ] (93) Nurses 92 [ 90 ] (90) 97 [ 95 ] (90) Pilots (aircraft) 85 [ 83 ] (83) 91 [ 91 ] (88) Physicians 95 [ 95 ] (95) 97 [ 100 ] (97) Firemen 89 [ 89 ] (89) 96 [ 96 ] (93) Pharmacists Europe Austria
  95. 99. What polls say about our reputation Source: Reader`s Digest European Trusted Brands 2005 2006 [2005] (2004) 2006 [2005] (2004) 86 [ 88 ] (88) 94 [ 98 ] (93) Nurses 92 [ 90 ] (90) 97 [ 95 ] (90) Pilots (aircraft) 7 [ 9 ] (10) 8 [ 12 ] (11) Polititians 85 [ 83 ] (83) 91 [ 91 ] (88) Physicians 95 [ 95 ] (95) 97 [ 100 ] (97) Firemen 89 [ 89 ] (89) 96 [ 96 ] (93) Pharmacists Europe Austria
  96. 100. What polls say about our reputation Source: Reader`s Digest European Trusted Brands 2005 Reputation of community pharmacists is excellent ! 2006 [2005] (2004) 2006 [2005] (2004) 86 [ 88 ] (88) 94 [ 98 ] (93) Nurses 92 [ 90 [ (90) 97 [ 95 ] (90) Pilots (aircraft) 7 [ 9 ] (10) 8 [ 12 ] (11) Polititians 85 [ 83 ] (83) 91 [ 91 ] (88) Physicians 95 [ 95 ] (95) 97 [ 100 ] (97) Firemen 89 [ 89 ] (89) 96 [ 96 ] (93) Pharmacists Europe Austria
  97. 101. Topics <ul><li>Introduction </li></ul><ul><li>Cases </li></ul><ul><li>Can our wo r k influence public health? </li></ul><ul><li>What polls say about our reputation </li></ul><ul><li>Summary </li></ul>
  98. 102. Summary <ul><li>University education is essential for our professional work </li></ul>
  99. 103. Summary <ul><li>University education is essential for our professional work </li></ul><ul><li>Comprehensive knowledge of medicines is very important </li></ul>
  100. 104. Summary <ul><li>University education is essential for our professional work </li></ul><ul><li>Comprehensive knowledge of medicines is very important </li></ul><ul><li>Satisfaction of patients is closely linked on how we conduct the conversation with them </li></ul>
  101. 105. Summary <ul><li>University education is essential for our professional work </li></ul><ul><li>Comprehensive knowledge of medicines is very important </li></ul><ul><li>Satisfaction of patients is closely linked on how we conduct the conversation with them </li></ul><ul><li>Success of pharmacotherapie depends very much on our skills </li></ul>
  102. 106. Summary <ul><li>University education is essential for our professional work </li></ul><ul><li>Comprehensive knowledge of medicines is very important </li></ul><ul><li>Satisfaction of patients is closely linked on how we conduct the conversation with them </li></ul><ul><li>Success of pharmacotherapie depends very much on our skills </li></ul><ul><li>Pharmacists are important in public health projects </li></ul>
  103. 107. Summary <ul><li>University education is essential for our professional work </li></ul><ul><li>Comprehensive knowledge of medicines is very important </li></ul><ul><li>Satisfaction of patients is closely linked on how we conduct the conversation with them </li></ul><ul><li>Success of pharmacotherapie depends very much on our skills </li></ul><ul><li>Pharmacists are important in public health projects </li></ul><ul><li>Polls proof that people all over Europe trust in pharmacists </li></ul>
  104. 108. Summary <ul><li>Use your knowledge! </li></ul><ul><li>Watch your patient! </li></ul><ul><li>Listen to your patient </li></ul><ul><li>Serve your patient like your best friend </li></ul>
  105. 109. Summary <ul><li>Use your knowledge! </li></ul><ul><li>Watch your patient! </li></ul><ul><li>Listen to your patient </li></ul><ul><li>Serve your patient like your best friend </li></ul><ul><li>I wish you that </li></ul><ul><li>You will fall in love with pharmacy </li></ul><ul><li>Your dreams will become true </li></ul>
  106. 110. Your questions please

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