Paul Cheston Primary Care Pharmacist GP surgeries Community - - PDF document

Paul Cheston Primary Care Pharmacist

 GP surgeries  Community Pharmacies  Pubs  Workplaces  Community Centres

 Main target group 40-75 without pre-existing

cardiovascular disease/ diabetes

 GP surgery –

initially older patient

 S

mokers

 Poor lifestyle  Patients who do not normally see GP

 Near Patient Testing –

Finger Prick

 Measure Total and HDL cholesterol, glucose  Blood Pressure  Height and Weight  Alcohol consumption, smoking status, dietary

advice, exercise audit

 To identify patients who at high risk now or

in the future of cardiovascular disease or diabetes

 Identify  Previously undiagnosed hypertension  Diabetes or impaired glucose tolerance  Hypercholesteraemia  Lifestyle issues  Family History

 Enables discussion of risk with patient

pictorially

 Discussion of absolute and relative risk  Reinforces results and normal values  Enables ‘ What if Discussions’  Allows patients to discuss with peers

 Lifestyle measures  S

top smoking – S UPPORT

 Reduce alcohol –

SATINS

 Exercise –

ACTIVE S EFTON

 Weight Loss –

ACTIVE S EFTON

 Dietary ADVICE –

ACTIVE S EFTON

 Further checks  Hba1c –

Longer term Glucose Regulation

 Renal check –

Check for kidney function

 ECG –

Check for heart damage

 Urine test –

Check for kidney damage

 Anti-hypertensives  S

tatins – Reduce cholesterol (25% reduction risk)

 Anti-diabetic Drugs  Monitor Hba1c

 Use ‘ S

ky Approach’

 Discuss lots of little changes –

Big effect

 Educate and allow patients to make informed

choices

 Never preach

 Reduction in Hba1c  Reduced Weight  Increases sense of Well Being  Control of blood pressure  S

top smoking

 Reduction in cardiovascular risk !

Thank you for listening

 Please feel free to have a Health Check in

any of the breaks