Common use of Medication Clause in Contracts

Medication. Most medications at The ▇▇▇▇▇▇▇ Clinic are prescribed and managed by the primary care provider (PCP). In special cases, the PCP will refer to our psychiatrists and psychiatric ARNP’s for specialized medication evaluation and management. Our psychiatry prescribers focus on medication, while our clinicians focus on behavior and talk therapy. Studies show that the combination of therapy and medication is more effective than medication alone. Medication is much more effective combined with counseling. If you or your child is taking psychiatric medications, it is important that you also see one of our clinicians so that we can work as a team. If you experience changes in your symptoms, it is best to make an appointment to be seen in person rather than addressing your questions over the phone. This allows us enough time to safely and thoroughly assess your situation. In order to make the most out of your psychiatry visit, please arrive 15 minutes early to complete paperwork; make a list of your questions to concerns; Share your expectations and how we can help you; keep track of your symptoms and how they change. If you are starting a new medication and increasing the dosage, please be sure you schedule an appointment with the prescriber to discuss your response to the medication. If you have unexpected or intolerable side effects, call your provider immediately. If you need to refill your medications, contact your pharmacy or send a request through MyChart at least 24–72 business hours in advance. For benzodiazepines and stimulants, you must present in person a hard copy of your prescription from your last appointment; electronic prescriptions/refills are not accepted. If you lose your prescription for a stimulant or a benzodiazepine it cannot be replaced. For acute symptoms, patients are often seen monthly. Once you are stable your follow up care may change to every three months. Psychiatry tends to be a short-term service—we will refer your medication management back to your PCP as soon as is practical.

Medication. Pharmacy will supply you with any new medication that you have commenced whilst you have been in hospital. This will include any pain relief. Please ensure that this is what you have been taking whist in hospital. The nursing staff will check your medication with you. • Keep your wound area clean and dry. A dressing will be applied in the hospital and usually does not need changing. If you have any problems with your wound please contact the ▇▇▇▇ who will arrange a clinic appointment where you wound will be reviewed. • The dressings are water resistant so you may have a quick shower but do not bathe until until your wound is dry and the sutures or staples have been removed, usually two weeks after your surgery. The district nurse at your local practice may phone you to discuss your suitability to visit the treatment room, rather than visit you at home. The nurses on the ▇▇▇▇ will give you a paper copy of the referral; this will include a date your first appointment is required. The nurses on the ▇▇▇▇ should also provide you with any equipment the district nurse will need. • You will be referred to have your clips removed by either a practice nurse or district nurse depending on the type of surgery you have had and your clinical need. • You will have a clinic appointment for review 2-3 weeks after your surgery. Please remember you have undergone major surgery and your recovery can take up to 12 months. It is very important that you follow these guidelines when you return home: • Continue to take the pain relievers or anti-inflammatories as prescribed to you once you go home to enable you to exercise effectively and manage your pain and swelling. It is common for other joints in your operated leg such as your ankle, hip and even your lower back to become a little achy due to the changes in your overall posture. If in doubt, please speak to your physiotherapist for advice, or your contact your GP. • Keep your operated leg elevated whilst sitting, to help reduce the swelling and minimize the amount of time spent in one position. • Make sure that you continue to have short hourly walks. • Gradually try to increase your walking distance. Walk a little and often throughout the day. • Try to walk at least once every hour but be guided by your own limitations • Your Physiotherapist will advise you on how long you need to use your crutches for. They will progress you onto a stick when you ready. Continue to use the stick – in the opposite hand for as long as you continue to have a limp. When you no longer walk with a limp, you can start to wean yourself off your stick, by walking without it for short distances. • It will initially be difficult to carry items if using two crutches. You may be able to slide items along a surface or use an over the body bag to carry items • Wear sensible footwear. • You must continue to do the exercises that you have been taught when you get home. Your operated leg may feel stiff each morning when you wake up. Do not worry about this; the stiffness should wear off, given time. Always exercise to achieve the bend that you had the previous day and then add a little bit more. • Avoid crossing your legs as this may hinder your circulation and could predispose towards DVT.s • Check with the ▇▇▇▇ prior to your discharge, regarding how long you need to continue to wear the compression stockings. Most medications consultants prefer that their patients wear them for up to 2 weeks • post op. Some patients may have to wear them for longer. You need to wear them both night and day (except for up to an hour for washing). You will need assistance from another person to put them on. • Avoid sleeping with a pillow/cushion under your knee as this will cause extra stiffness in your knee and make it more difficult for you to straighten it. • Avoid kneeling on your operated leg until you have seen your doctor. • Do not use lotions on your wound until it has fully healed – YOU MUST KEEP YOUR WOUND DRY. Check for signs of infection. These include redness, swelling, high temperature or pus draining from the wound. Report any of these symptoms immediately to your GP. • If you have been taking asprin as a blood thinning agent, take these as directed on the box. • Observe your calves for any unusual symptoms such as swelling, pain, redness and heat. These symptoms may indicate a DVT. Report any of these symptoms immediately to your G.P. • Most consultants do not allow their patients to drive until 3 months after the operation. Prior to driving for the first time, you need to ensure that you are no longer on strong pain relievers. You should be relatively painfree in your knee. You should also try sitting in your unstarted car and pressing on the appropriate foot pedal firmly to see if that causes any pain. If so, this is too soon for you. You are advised to contact your insurance company after your operation before you start driving. • There are post op restrictions on sporting activities. These include no contact sport for 12 months, no jogging for 6 months, no light sport for 3 months and no swimming for 6 weeks. • A healthy diet and not smoking will help to promote wound healing and overall recovery. Your out-patient appointments are all from the date of surgery. Your follow-up appointment may be carried out by a specialist nurse, registrar or your consultant. Please note that all follow up appointments will take place at the Orange Reception, Blackpool Victoria Hospital. If your appointment is not given on discharge, you should receive it within two weeks. If for any reason you do not receive an appointment through the post, please contact the ▇▇▇▇ that you were on, Monday to Friday, between the hours of 8am and 4pm. Your ▇▇▇▇ physiotherapist will also arrange for you to attend outpatient physiotherapy. The physiotherapy staff will discuss this with you prior to your discharge home. Other useful information can be found at the following websites; ▇▇▇.▇▇▇.▇▇/ ▇▇▇.▇▇▇▇.▇▇▇.▇▇/▇▇▇▇▇▇▇▇ Clinic ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇/ ▇▇▇.▇▇▇▇▇▇▇▇▇▇.▇▇▇.▇▇/ ▇▇▇.▇▇▇▇▇.▇▇▇.▇▇/ ▇▇▇.▇▇▇.▇▇/▇▇▇▇▇▇▇▇▇▇/▇▇▇▇▇▇▇▇▇▇▇▇/▇▇▇-▇▇▇▇▇▇▇-▇▇▇▇▇ ▇▇▇.▇▇▇.▇▇.▇▇▇/▇▇▇▇▇▇▇▇▇ Research is undertaken to add to the existing scientific knowledge on a particular subject. There are prescribed a number of staff within the Trust who conduct Research studies. It is possible that during the course of your treatment you may be asked to take part in a research study, however, you do have the right to refuse, and managed by this will not affect the primary care provider (PCP). In special cases, the PCP will refer to our psychiatrists and psychiatric ARNP’s for specialized medication evaluation and management. Our psychiatry prescribers focus on medication, while our clinicians focus on behavior and talk therapy. Studies show that the combination of therapy and medication is more effective than medication alone. Medication is much more effective combined with counseling. If you or your child is taking psychiatric medications, it is important that you also see one of our clinicians so that we can work as a team. If you experience changes in your symptoms, it is best to make an appointment to be seen in person rather than addressing your questions over the phone. This allows us enough time to safely and thoroughly assess your situation. In order to make the most out of your psychiatry visit, please arrive 15 minutes early to complete paperwork; make a list of your questions to concerns; Share your expectations and how we can help you; keep track of your symptoms and how they change. If you are starting a new medication and increasing the dosage, please be sure you schedule an appointment with the prescriber to discuss your response to the medication. If you have unexpected or intolerable side effects, call your provider immediately. If you need to refill your medications, contact your pharmacy or send a request through MyChart at least 24–72 business hours in advance. For benzodiazepines and stimulants, you must present in person a hard copy of your prescription from your last appointment; electronic prescriptions/refills are not accepted. If you lose your prescription for a stimulant or a benzodiazepine it cannot be replaced. For acute symptoms, patients are often seen monthly. Once you are stable your follow up care may change to every three months. Psychiatry tends to be a short-term service—we will refer your medication management back to your PCP as soon as is practicalreceive.

Medication. Most medications at The ▇▇▇▇▇▇▇ Clinic are prescribed Medications may be indicated when your symptoms require more than psychotherapy. Many complaints may have a biological component and managed by the primary respond well to medication. When an illness markedly impacts your ability to work, maintain interpersonal relationships, or properly care provider (PCP). In special casesfor your basic needs, the PCP will refer to our psychiatrists and psychiatric ARNP’s for specialized medication evaluation and management. Our psychiatry prescribers focus on medication, while our clinicians focus on behavior and talk therapy. Studies show that the combination of therapy and medication is more effective than medication alone. Medication is may offer much more effective combined with counselingneeded relief. If you or your child is taking psychiatric medications, it is important agreed that medications are indicated, I will discuss with you the medication options that are available to treat your current condition. I will present information in language that you also see one of our clinicians so can understand. You will learn how the medication works, its dosage, and frequency, its expected benefits, possible side effects, drug interactions, and any withdrawal effects you may experience if you stop taking the medication abruptly. I use the MAPS database that we can work as a team. If you experience changes in your symptoms, it is best to make an appointment to be seen in person rather than addressing your questions over the phone. This allows us enough time to safely and thoroughly assess your situation. In order to make the most out of your psychiatry visit, please arrive 15 minutes early to complete paperwork; make a provides mea list of your questions all the controlled medications that you are currently taking to concerns; Share your expectations and how we can help you; keep track of your symptoms prescriptions. It is crucial for you to inform me of all medications you take, both over the counter and how they change. If you are starting a new medication and increasing the dosageprescribed as well as any herbs, please or supplements as there may be sure you schedule an appointment interactions with the prescriber medications I prescribe to you. Importantly, your thoughts about medications and personal beliefs and values are a very important part of deciding on medication treatment and I will work with you to come up with a personalized medication regimen that works for you while also giving you expert advice informed by research and standard of practice. By the end of the discussion you will have the information you need to make a rational decision as to which medication is right for you. You may already be receiving psychotherapy from another therapist, and are referred to me for Medication management. In this case I will make a strong effort to coordinate care with your therapist (with your consent, of course).I believe communication between mental health professionals is key to providing effective care. Not everyone is a good candidate for medication therapy. Such therapy requires strict adherence to dosage and frequency, close follow-up, and sometimes regular blood tests. Your ability to adhere to medication treatment will be taken into consideration in making the decision to start such therapy. Overall, I am a strong proponent of holistic and bio-psycho-social philosophy of psychiatric treatment that considers your biological status, genetics, your psychological development, and social issues. Together considering these factors will yield the best chance for success in achieving your goals. The first 2-4 sessions will involve a comprehensive evaluation of your needs. By the end of the evaluation, I will be able to offer some initial impressions of what our work might include. At that point, we will discuss your response to the medicationtreatment goals and create an initial treatment plan. You should evaluate this information and make your own assessment about whether you feel comfortable working with me. If you have unexpected or intolerable side effectsquestions about my procedures, call your provider immediatelywe should discuss them whenever they arise. If your doubts persist, I will be happy to help you need to refill your medications, contact your pharmacy or send set up a request through MyChart at least 24–72 business hours in advance. For benzodiazepines and stimulants, you must present in person a hard copy of your prescription from your last appointment; electronic prescriptions/refills are not accepted. If you lose your prescription meeting with another mental health professional for a stimulant or a benzodiazepine it cannot be replaced. For acute symptoms, patients are often seen monthly. Once you are stable your follow up care may change to every three months. Psychiatry tends to be a short-term service—we will refer your medication management back to your PCP as soon as is practicalsecond opinion.