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