Staff Discussion Record

Staff Discussion Date and Time: 1 November 2024 at 10:30 AM Participants: Dr. Sarah Jenkins (GP), Nurse Practitioner Emma Davies, Practice Manager Mark Thompson Topic/Purpose: Review of patient Mrs. Eleanor Vance (DOB 12/03/1955) regarding her recent fall and new medication regimen, and coordination of home care services. Discussion Summary: Discussion centred on Mrs. Vance's recent fall at home, which resulted in a minor wrist sprain. She is now on a new anticoagulant (Apixaban) and concerns were raised about medication adherence and fall risk assessment. Nurse Davies updated on the initial home visit and noted some difficulty Mrs. Vance had with opening blister packs. Dr. Jenkins emphasised the importance of follow-up on INR levels given the new medication. Mark Thompson highlighted capacity issues with current district nurse services for daily medication prompting. Decisions Made: 1. Prescribe a pill dispenser for Mrs. Vance to assist with medication organisation. 2. Nurse Davies to schedule a follow-up home visit within 3 days to assess medication adherence and provide fall prevention education. 3. Refer Mrs. Vance to the occupational therapy team for a home environment assessment to mitigate fall risks. 4. Practice Manager to explore options for a private home care agency to provide daily medication prompting, given the immediate need. Action Items: - Dr. Jenkins: Generate prescription for pill dispenser and submit OT referral. - Nurse Davies: Schedule follow-up home visit and document fall prevention education provided. - Mark Thompson: Research and contact private home care agencies, report back on findings by end of week. Additional Notes: Mrs. Vance's daughter, Mrs. Helen Smith, was contacted and made aware of the care plan. She expressed gratitude for the coordinated approach and will assist with setting up the pill dispenser.