SureMed by Omnicell adherence packs clearly organise multiple medications in an easy-to-follow format. Box 1 presents a brief description based on one community pharmacy site (for a more detailed account of our observations in community pharmacy see Fudge and Swinglehurst 2021). Here, patients construct a ‘lay pharmacology’ of personally relevant notions of safety, side effects and efficacy which both converge with, and diverge from, conventional biomedical perspectives. She prepares his Do-It-Yourself [DIY] cassette-type MCCA on Sundays at a frequency that depends on the results of Marco’s warfarin monitoring [International Normalised Ratio or INR]. Community Pharmacies are required to supply medicines for whatever duration is specified by your GP.

Our analysis is informed by practice theory 26 27 which conceptualises practices as arrays of embodied human activity and draws attention to assemblages of people, technologies, artefacts and their interconnections in context, including shared practical understandings, ‘know-how’, skills, tacit understandings and dispositions. It gives you the chance to tell your pharmacist about problems you may be having with your medicines and to ask them questions. An alternative to blister packs are pouches of medication doses packaged individually in a roll that you remove one at a time. Marco’s narrative points to the possibility of future decliThey speak to new ways of knowing the phenomenon of polypharmacy as it shapes the lives of patients experiencing complex multimorbidities. I've been using just about every Pharmacy in Letchworth over the years, everyone has had issues, mainly with my prescriptions not being made in time and having to wait for hours to collect them. He lives in an owner-occupied flat on the top floor of a low rise block in a deprived inner city area. Pharmacies should not say they do not do dosette boxes as a blanket rule without any individual assessment.

In England alone, between a third and half of all medicines prescribed for long-term conditions are not taken as recommended. If, for some reason, the person you care for is unwilling to take their medicines, talk to their GP or pharmacist. The object or product is then inserted into the blister, and the cardboard backing, which has been specially printed to give it enhanced adhesive qualities, is fitted onto it. Maintaining his integrity as an active, helpful, independent, good citizen trumps any concerns he has for the integrity of the medicines in the storage conditions provided by his pockets. She explains that she has got it out for me to see, but usually it’s kept ‘out of the way’ in the kitchen.You'll be helping improve medication management, the patient experience, and medication-related patient outcomes. We strive to instil a warm, friendly company culture into an industry that’s becoming more and more automated. His medicines are high priority, kept close to his person and his busy lifestyle need not interrupt his medicines taking—nor vice versa; he can keep religiously to his schedule wherever he happens to be.

Like Marco, Zac has been offered a pharmacy-prepared MCCA and has resisted (‘as long as I have my faculties’). Deblistering is the process by which the staff prepare the medicines for the robot, as it cannot process medicines from their original packs. Diminished hand strength, such as with multiple sclerosis or arthritis, causes accessing medications to be problematic. The Full-Face Seal Blister operates similarly to the one above, only the blister surrounds the cardboard back.I do accumulate a little surplus, but I try not to, not so much, you know, just a little bit so it gives me an extra three or four days, besides what they give me, you know? Our pharmacy dispensing team will organise your prescriptions each month from your GP (depending on your GP surgery. By keeping them under her bed and checking them daily she knows she won’t ‘get to a stage, I’d think Oh My God, I’ve got no tablets’.