Page 49 - COMMUNITY PHARMACY PRACTICE
P. 49
02/04/2024
E Explore 102
N No medication
C Care ENCORE
O Observe
R Refer • Positive points
E Explain • ‘Observe’ section suggests
taking into account
the appearance of the
patient – does he or she look
poorly?
• Negative points
• Sections on ‘No medication’
and ‘Refer’ add little to
the differential diagnosis
process. No social/lifestyle
factors taken into account;
no family history sought
102
103
A Age/appearance? Positive points
S Self or someone else? • Establishes the nature of
M Medicat ion?
problem and if patient
E Ext ra medicines? has suffered from
previous similar
T Time persisting? episodes
H Hist ory?
O Other symptoms? D Negative points
Danger symptoms?
• Exact symptoms and
severity of social/lifestyle
factors not taken into
account;
• no family history sought
103
51
