I am currently placed at Riverview Hospital in Coquitlam which only houses Psychiatry patients. The hospital is closing this year and patients are being moved to other locations e.g. UBC, Burnaby Hospital etc. The atmosphere is that of change and getting ready for a new pharmacy.
The patient population I have encountered and will encounter in the future in this setting, does not have much insight into their illness. This makes it difficult for them to understand why they are on certain medications and if it has been helpful for them. Side effects are a big issue in this population and almost every patient is experiencing some sort of side effects, for example EPS, tardive dyskinesia etc.
Tasks performed so far:
Reviewed tapes on movement assessments
Observed pharmacist perform Abnormal Involuntary Movement Scale (AIMS) assessments on three patients
Interviewed two patients in regards to AIMS assessment, Drug Attitude Inventory (DAI) and UKU Side Effect Rating Scale.
Attended Ward rounds
Attended Patient Safety Meeting
Journal Club Presentation
Answered Drug Information Questions
Drug Information Shellfish Allergy
Lorazepam Drug Information
Topics discussed with preceptors: Antipsychotics, Antidepressants, Mood Stabilizers
My goals for the next two weeks:
To see at least two new patients
Analyze and interpret a clozapine level
Educate at least two patients about their medications