GP Notes

Patient presents for the repeat of their medications used to treat chronic pain The patient states they continue to require the prescribed medication due to their pain. They are not requesting increased doses or increased frequency On Examination: The patient does not appear intoxicated with alcohol or opiate medication. GCS 15 Management: 1. Script as printed 2. Patient encouraged to consider a reduction in the dose of their medication should the level of their pain decrease 3. Patient advised to return to this clinic should they have any issues with the medication or pain needs Keywords:  Opiates, Opiate prescription, S8, Chronic Pain,   +opiates

Patient presents requesting assistance with smoking cessation They state they would like to try Champix Discussed smoking, psychological, physical and social aspects of addiction. Discussed how Champix works to block nicotine receptors. Patient needs to look at other aspects of smoking, and how will address these. Tips given, such as picking quit date; throwing out all cigarettes, lighters etc; dealing with stress; telling friends/family about quitting, 4Ds No Hx of depression or suicide attempts - Discussed this risk. Advised patient to self-monitor, and ask family to monitor for neuropsychiatric sx such as change in behaviour, aggression, agitation, depressed mood, suicidal ideation and behaviour. Advised to cease Champix immediately should these sx occur, and present for R/V. Discussed common SEs including nausea, insomnia, headaches. Discussed cost of Champix to medicare/PBS, and authority rules - desire to quit, GP counselling program, one script per 12 month per...

Patient presents for repeat prescription of the antidepressant Patient remained stable on the medication as prescribed Patient stated that mood is well controlled and they have no desire to try and wean down or cease the medication Brief mental state examination The patient is dressed normally and display no obvious psychiatric disorder The patient has a normal affect GCS 15 Management 1. Medication to continue as prescribed 2. Patient to return immediately should they feel their mood is worsening and they need medical help 3. Advised to call QAS if acutely suicidal or they feel they may harm someone else Keywords:  Antidepressants,  +antidepressants