Medication interview forms are structured tools to systematically gather comprehensive medication histories, ensuring all critical details are recorded.
Components of Medication Interview Forms:
Patient Information:
Demographics and medical record number for easy reference.
Current Medications:
Prescription Medications: Name, dosage, route, frequency, and indication.
OTC Medications, Herbal, and Dietary Supplements: Document with similar details.
Past Medications:
Discontinued drugs with reasons for stopping.
Allergies and Adverse Drug Reactions:
Specific allergen, reaction type, severity, and date.
Medication Adherence Assessment:
Missed doses and patient understanding of their regimen.
Lifestyle and Social History:
Alcohol, tobacco, recreational drug use, and dietary habits.
Pharmacy Information:
Preferred pharmacy for coordination.
Additional Notes:
Patient concerns, cultural or religious considerations affecting care.
Benefits:
Ensures completeness, consistency, and efficiency.
Enhances communication among healthcare providers.
Improves patient care through well-informed decisions and personalized plans.
