The last activity challenged you to consider the word ‘compliance’ and deliberate the potential power connotations associated with the words you may use and how verbal and non-verbal interaction with patients may influence how you are ultimately perceived by patients. This is inextricably linked to why patients do or do not take prescribed treatments, although it is not simply about you as clinician; non-adherence is multi-factorial and is a regularly researched issue. It is expensive in terms of both human cost (poor health outcomes for patients) and in economic terms.

Look at the following example of a documented drug history

Drug history

Click to view a more complete example of the above drug history.

Medical Notes
Drug Hx:
Aspirin dispersible tabs 75mg daily
Atorvastatin caps 40mg daily
Ramipril caps 5mg daily
Salbutamol inhaler 100 micrograms 1-2 metered doses prn
Co-codamol caplets 8/500 2 qds prn

Allergies: Penicillin – Rash all over body DHx checked against own drugs and with carer and patient

Practice taking drug histories when you’re out on placement and try ‘prescribing’ by writing a mock prescription based on the history you’ve taken. Can you complete each medication satisfactorily? Do you need more information? Keep practicing and it will become second nature.

Copyright eBook 2019, University of Leeds, Leeds Institute of Medical Education.