1/16/2009

Drug refill ( Follow up chronic disease)

As a primary care doctor, I have a lot of chronic disease patients who just come for
refill their medication -- Before I attend family medicine training,I wondered how boring it is to face same disease, say same things many many times. Since I got the holistic view, I learn that there are vairety of human being in same disease.

OPD ONCALL for Drug refills case

Onset
When was it diagnosed?
Progression
How do you feel today?
Drug*
name - What medications are you taking?
compliant - Do you take them regulary?
Side effect -Do you get any problem from using medication?

Controle*
How is your blood sugar/blood pressure recently
Associate symptom
( asking about complication- pain / discharge?)
Do you have any numbness?
Do you have problem with your urination
Lethragic
Do you have any weight change?
Limit activity include Libido!
using open question " Do you have any concern that I don't address?"

Then follow by PAMHUGFOSS SODA

Diet counselling
( eg for DM)
Ask: How’s about your appetiteWhat do you usually have?
Address: Do you think that eating habit may cause problem?Most diabetes patient tired to controle their weight by eating less calories. Have youever thought doing that?
Advise: For better controled your blood sugar, You may considered increase vegetable anddecrease meat and fat.
Assist: We have a professional team to help you deal with it better. Such as giving diet instructions.Feel free to contact me anytime If you are interested to join us

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