pharmd4me@510 said:
I'm sorry. I didn't make my post clear enough. I meant to say the patient has serious health problems, but western medications can help control it. The patient quits because he doesn't believe it can help him and on top of that, he doesn't like the side effects. Would this change anything?
I'd still not "do" anything. A patient relationship must be an active one with you or any provider.
Now...to clarify some more....did the pt offer this information to you directly (not thru a tech, other pharmacist, the daughter, etc...) If so, was it done in a frustrated manner as a way of asking you a question or perhaps as a goodbye, it was good to know you, but I'm off to my herbalist from now on.
Also.....if the information was offered to you....did you have a dialog? What does he perceive the medication should be doing which its not? What side effects is he experiencing which are unpleasant? Has he spoken with his physician?
If this information was DIRECTLY to me....I would educate him on what his expectations of the medication are & if they coincide with what the medication can actually do. I'd do the same with the side effects. Then...knowing what the medication related problems are, I'd offer to contact the prescriber to help find something which will perhaps be more suitable.
However, there may be nothing to offer. Medications are great, but they don't solve all problems & they all come with a negative. Remember also, this kind of frustration may not be about what the pt says it is - it could be frustration with insurance reimbursement of his medication or office visits, poor provider relations, the realization he now has a chronic illness - lots of things.
It can also be a reflection of culture alone. You can't fight what Grandma says has always worked. You'll gain nothing by saying Grandma is wrong. You can only be a supportive place for information & a place the pt can come to talk, even if you no longer dispense his medication.
That's just me.......others might have equally valid & different opinions.