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1 John Ireland 16 Stillwater Cove, Melkbosstrand, 7441 Mobile (082) 373 4585 email [email protected] Website: www.positiveimpact4health.com

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John  Ireland  16  Stillwater  Cove,    Melkbosstrand,  7441  Mobile    (082)  373  4585  e-­‐mail  [email protected]  Website:  www.positiveimpact4health.com    

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TABLE  OF  CONTENTS  

WHO  WE  ARE  .............................................................................................................  4  

METHODOLOGY  .........................................................................................................  4  

ANNUAL  CPD  SUBSCRIPTIONS  ....................................................................................  4  

PHARMACISTS  ...........................................................................................................  5  Introduction  to  Continuing  Professional  Development  (CPD)  ............................................................  5  

CLINICAL  TOPICS  ........................................................................................................  5  Chronic  Disease  Management  ............................................................................................................................  5  Pharmaceutical  Management  of  Cardiovascular  Disease  .....................................................................  5  Management  of  Cholesterol  New  ......................................................................................................................  6  Management  of  Diabetes  Type  1  ......................................................................................................................  6  Management  of  Diabetes  Type  2  ......................................................................................................................  6  Management  of  Hypertension  ...........................................................................................................................  7  Myocardial  Infarction  (Part  1)  ..........................................................................................................................  7  Myocardial  Infarction  (Part  2)  ..........................................................................................................................  7  

Infectious  Disease  ....................................................................................................................................................  8  HIV/AIDS  –  Refresher  New  ..................................................................................................................................  8  Antibiotic  Review  New  ..........................................................................................................................................  8  Introduction  to  Antibiotic  Stewardship  .........................................................................................................  9  

Men’s  Health  Toolkit  ..............................................................................................................................................  9  Erectile  Dysfunction  ...............................................................................................................................................  9  Alopecia  .......................................................................................................................................................................  9  Benign  Prostatic  Hyperplasia  ..........................................................................................................................  10  

Women’s  Health  Toolkit  ....................................................................................................................................  10  Endometriosis  .........................................................................................................................................................  10  Lupus  ...........................................................................................................................................................................  10  Menstrual  Abnormalities  ...................................................................................................................................  11  

Dermatology  Toolkit  ...........................................................................................................................................  11  Eczema  and  Psoriasis  ..........................................................................................................................................  11  Acne  .............................................................................................................................................................................  11  

Geriatric  Care  Toolkit  ..........................................................................................................................................  12  Parkinson’s  Disease  ..............................................................................................................................................  12  Falls  in  older  patients  ..........................................................................................................................................  12  Dementia  (Part1)  ..................................................................................................................................................  12  Dementia  (Part2)  ..................................................................................................................................................  13  

Oncology  Toolkit  ...................................................................................................................................................  13  Chemotherapy  Management  of  Side  Effects  ..............................................................................................  13  Lung  and  Bowel  Cancer  ......................................................................................................................................  13  Skin  Cancer  ...............................................................................................................................................................  14  

Mental  Health  .........................................................................................................................................................  14  Bipolar  Depression  New  .....................................................................................................................................  14  Generalised  Anxiety  Disorder  (GAD)  New  ..................................................................................................  14  Pharmaceutical  Management  of  Depression  New  ..................................................................................  15  

NON-­‐CLINICAL  TOPICS  ..............................................................................................  15  Time  Management  Techniques  for  Pharmacists  New  ...........................................................................  15  Building  your  Pharmacy  Brand  New  ............................................................................................................  16  

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Brief  Motivational  Interviewing  .....................................................................................................................  16  Inter-­‐professional  Communication  ................................................................................................................  17  Leadership  Development  ....................................................................................................................................  17  Appraising  Evidence  .............................................................................................................................................  18  Conducting  Literature  Review  .........................................................................................................................  18  Introduction  to  Medicine  Use  Evaluation  ...................................................................................................  18  The  Pharmacy  and  Therapeutics  Committee  ............................................................................................  19  Introduction  to  Pharmacovigilance  ..............................................................................................................  19  Introduction  to  Medicine  Therapy  Management  (MTM)  .....................................................................  19  

PHARMACIST’S  ASSISTANTS  .....................................................................................  20  Introduction  to  Continuing  Professional  Development  (CPD)  ..........................................................  20  

CLINICAL  ..................................................................................................................  20  Diabetes  .....................................................................................................................................................................  20  Pain  Problems  .........................................................................................................................................................  20  Asthma  and  COPD  .................................................................................................................................................  21  Smoking  Cessation  ................................................................................................................................................  21  Insomnia  ....................................................................................................................................................................  21  Migraine  ....................................................................................................................................................................  23  Porphyria  ..................................................................................................................................................................  23  Antibiotics    New  .....................................................................................................................................................  23  The  Immune  System  New  ...................................................................................................................................  24  Mental  Illness  New  ................................................................................................................................................  24  Cardiovascular  Disease  New  ............................................................................................................................  24  Allergies  New  ...........................................................................................................................................................  24  

NON-­‐CLINICAL  ..........................................................................................................  24  Building  Patient  Trust  .........................................................................................................................................  25  Customer  Service  Skills  for  Pharmacist's  Assistants  ..............................................................................  25  Motivational  Support  /  Interviewing  ...........................................................................................................  25  

   

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WHO  WE  ARE  Positive  Impact   is  a  consortium  of  experienced  pharmaceutical  consultants  with  a  background   in   health   systems   strengthening.   All   our   course   developers   are  registered   SAPC   assessors   and   our   CPD   courses   are   fully   aligned   with   the   SA  Pharmacy   Council’s   new   CPD   system,   following   outcomes   based   learning  methodologies.  

METHODOLOGY  Positive  Impact  provides  customised  online  training  and  CPD  workshops  on  a  wide  range   of   clinical   and   pharmaceutical   topics   suitable   for   nurses,   doctors,  pharmacists   and   pharmacist’s   assistants.   Training   topics   for   non-­‐clinical  development  such  as  soft  skills,  managerial  and  leadership  are  also  available.    

Although   all   our   courses   can   be   offered   in   the   traditional   classroom/workshop  setup,   it’s   no   secret   that   we   don't   all   have   time   to   attend   traditional   classroom  training.   We   have   therefore   designed   all   our   courses   so   that   they   are   fully  compatible   with   the   latest   technology   for   Internet   e-­‐learning   management  systems.  This  means  that  our  courses  can  be  viewed  using  anything  from  a  smart  phone  to  a  normal  computer  or  tablet  device.    Toolkits:  

Most  of  our  courses  are  in  “toolkit  format”  making  them  ideal  for  those  who  need  to   complete   their   CPD   activities   quickly.   These   courses   take   approximately   30  minutes   to   complete,   and   include   a   short   presentation,   a   5-­‐-­‐minute   online  quiz/assessment,  certificate,  and  a  CPD  log  sheet  for  each  successfully  completed  course.  

ANNUAL  CPD  SUBSCRIPTIONS  Our  annual  subscription  plan  includes  the  following:  

• Unlimited  choice  of  flexible  self-­‐paced  interactive  online  courses    • Certificate  with  a  suggested  CPD  log  for  entry  on  the  SAPC  website    • We  can  record  your  CPD  activities  with  the  SA  Pharmacy  Council  for  you  

provided  that  we  receive  an  accurately  completed  questionnaire.  • More  than  40  course  topics  with  new  courses  added  monthly  • One  Stop  Shop  -­‐  no  need  to  attend  CPD  courses  anywhere  else-­‐its  all  here!  • Study  at  your  own  pace  from  home  or  workplace  using  a  computer,  

cellphones  or  tablet  device.  • Coverage  of  a  wide  variety  of  pharmaceutical  and  clinical  topics  relevant  to  

the  pharmacy  profession.  • Access  to  our  state  of  the  art  LMS  Learning  management  system  • Internet,  telephonic  and  sms  text  support  for  all  our  courses    

 

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PHARMACISTS  Introduction  to  Continuing  Professional  Development  (CPD)    The  primary  aim  of  the  CPD  process  is  to  improve  the  quality  of  the  services  we  provide  as  a  pharmacist.   This   course  provides  an  overview  of   the  CPD  cycle  of  lifelong   learning   and   explains   how   CPD   differs   from   the   traditional   continuing  education  approach.    Course  Objectives:  By  the  end  of  this  course  participants  should  be  able  to    

• Define  continuing  professional  development  (CPD)    • Describe  each  step  of  the  CPD  cycle  (i.e  Reflection,  Planning,    • Implementation  and  evaluation,    • Using  example  demonstrate  each  step  in  the  CPD  process.    • Explain  the  difference  between  CPD  and  continuing  educa6on  (CE)    

CLINICAL  TOPICS  

Chronic  Disease  Management  

Pharmaceutical  Management  of  Cardiovascular  Disease    The   World   Health   Organization   (WHO)   describes   CVD   as   a   major   cause   of  disability  and  premature  death  throughout  the  world.  CVD  is  often  described  as  a   ‘silent   killer’,   whereby   underlying   atherosclerosis   develops   over   a   period   of  years   remains   asymptomatic   until   it   reaches   an   advanced   stage.  As   a   result   of  the   asymptomatic   progression   of   the   disease,   acute   coronary   and  cerebrovascular   events   often   occur   suddenly   and   result   in   fatalities.    The  complexities   of   CVD   call   for   an   integrated   approach   between   health   care  professionals.  Community  pharmacists   in  particular  are  key  in  the  management  of  CVD  and  minimisation  of  risk  factors,  due  in  part  to  the  high  degree  of  contact  pharmacists  have  with  their  patients.    Course  Objectives:  By  the  end  of  this  course  participants  should  be  able  to:  

• Describe  risk  factors  for  cardiovascular  disease  (CVD)    • Recognise  modifiable   risk   factors  and  how  pharmacists  can   intervene   to  

decrease  cardiovascular  risk    • Discuss  opportunities  to  help  improve  adherence  to  lifestyle  changes  and  

medications  in  patients  with  CVD    • Define   patient   adherence   objectives,   with   regard   to   lifestyle  

modifications  for  patients  with  CVD    • Describe   effective   strategies   to   enhance   patient   adherence   to   and  

persistence  with  CVD  treatment    

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Management  of  Cholesterol  New  Cholesterol  levels   in  SA  are  among  the  highest   in   the  world,  with   two-­‐thirds  of  patients  having  a  total  cholesterol  that  exceeds  recommended  limits.  By  the  end  of  this  course,  participants  should  be  able  to  explain  recommended  cholesterol  levels,  the  mechanism  of  action  of  statins,  therapeutic  alternatives  to  statins  and  common  lifestyle  questions  asked  by  patients.    Course  Objectives:  By  the  end  of  this  course  participants  should  be  able  to  explain:  

• Recommended  cholesterol  levels  • The  mechanism  of  action  of  statins  • Therapeutic  alternatives  to  statins  • Common  lifestyle  questions  asked  by  patients  • Case  studies  

Management  of  Diabetes  Type  1    This  course  provides  an  overview  of  the  management  of  diabetes  Type  1,  patient  groups  for  which  continuous  subcutaneous  insulin  infusion  is  recommended,  and  advice,  which  should  be  given  to  patients  about  insulin.    Course  Objectives:  By  the  end  of  this  course  participants  should  be  able  to  

• The  causes,  diagnosis  and  management  of  type  1  diabetes  • Treatment  aims  for  people  with  type  1  diabetes  • Insulin  types  used  in  the  management  of  type  1  diabetes  • How  pharmacists  can  help  people  manage  their  diabetes  effectively  

Management  of  Diabetes  Type  2    According   to   the   International   Diabetes   Federation   in   2011,   the  estimated  diabetes   prevalence   for   South   Africa   is   6.46%   for   adults   aged   20-­‐79  years  (approximately  1.9  million  of  30  million  adults).    However,  it  must  be  noted  that   in   SA,   50-­‐85%   of   diabetes   sufferers   (especially   in   rural   areas)   remain  undiagnosed.  Type   2   (previously   known   as   Non-­‐Insulin   Dependent   Diabetes  Mellitus)  consists  of  90-­‐95%  of  the  population  who  have  diabetes.  It  is  therefore  essential  that  pharmacists  are  up  to  date  with  the  treatment  of  Type  2  diabetes.      Course  Objectives:  By  the  end  of  this  course  participants  should  be  able  to  describe  

• The  definition  of  Type  2  Diabetes  • The  mechanism  of  action  of  oral  anti-­‐diabetic  medicines  • The  signs  of  hypoglycaemia  • The  meaning  of  HbA1c  • The  side  effects  &  drug  interactions  of  oral  anti-­‐diabetic  medicines  

 

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Management  of  Hypertension    This   course  describes  hypertension  and   includes   information   about   causes,  risk  factors,   diagnosis   and   classification.  Treatment   is   also   discussed,   including  the  drugs   suitable   for  different  patient  groups  and   their   side  effects,  as  well  as  lifestyle  advice  that  pharmacists  can  give.      Course  Objectives:  By  the  end  of  this  course  participants  should  be  able  to  describe:  

• The   main   risk   factors   and   causes   of   hypertension,   its   diagnosis   and  assessment  

• The   clinical   classifications   of   hypertension   and   how   these   affect  management  

• The   stepwise   treatment   of   hypertension,   and   recommended   drugs   for  different  groups  

• Common   cautions   and   antihypertensive   side   effects   pharmacists   must  know  

Myocardial  Infarction  (Part  1)    This  course  provides  an  overview  of   the  management  of  myocardial   infarction,  and   includes   information   about  incidence   and   risk   factors   are   as   well   as  symptoms,  criteria  for  diagnosis  and  the  drugs  used  in  immediate  treatment.    Course  Objectives:  By  the  end  of  this  course  participants  should  be  able  to  describe:  

• The   key   risk   factors   for   myocardial   infarction,   including   ethnicity   and  gender,  and  incidence    

• The  possible  presentations  of  MI  and  how  a  diagnosis  is  confirmed  • The  initial  treatment  and  management  in  secondary  care  

 

Myocardial  Infarction  (Part  2)    This   course   describes   secondary   prevention   in   myocardial   infarction   (MI)   and  includes   information   about   risk   factors   for   a   second  MI,   lifestyle   changes   and  secondary  prevention  treatment  regimens.  The  role  of  the  pharmacist  in  helping  patients  to  understand  and  manage  their  treatments  is  also  discussed.    Course  Objectives:  By  the  end  of  this  course  participants  should  be  able  to  describe:  

• The  risk  of  morbidity  and  mortality  following  a  myocardial  infarction  • The   different   treatment   options   that   may   be   considered   for   secondary  

prevention  of  myocardial  infarction  • The   key   lifestyle   advice   and  medicines   management   tips   you   can   offer  

patients  who  have  experienced  a  myocardial  infarction      

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Infectious  Disease  

HIV/AIDS  –  Refresher  New  Since  the  release  of  the  previous  SA  HIV/AIDS  treatment  guidelines,  the  scale  up  of  antiretroviral  therapy  (ART)  in  Southern  Africa  has  continued  to  grow.  Cohort  studies   from   the   region   show  excellent   clinical  outcomes;  however,  ART   is   still  being   started   late   (in   advanced   disease),   resulting   in   relatively   high   early  mortality   rates.  New  data  on   antiretroviral   (ARV)   tolerability   in   the   region   and  several   new   ARV  medicines   have   become   available.   Although   currently   few   in  number,   some   patients   in   the   region   are   failing   protease   inhibitor   (PI)-­‐based  second-­‐line   regimens.   To   address   this,   this   course   covers   a  brief   review  of   the  latest  guidelines  including  third-­‐line  (or  'salvage')  therapy.    Course  Objectives:  By  the  end  of  this  course  participants  should  be  able  to  explain:  

• HIV  and  Aids  and  the  role  of  the  community  pharmacist   in  antiretroviral  management  

• The  transmission,  disease  progression  and  treatment  of  HIV  • The  side  effects  of  antiretroviral  therapy  (ART)  medicines  and  interactions  • Useful  resources  for  training  and  further  information  on  HIV  and  Aids  

Antibiotic  Review  New  Due   to   the   growing   emergence   of   resistance   the   correct   and   appropriate  prescribing  of  antimicrobials  has  become  increasingly  important  in  recent  years.  It   is   thought   that   antimicrobial   prescribing   has   a   direct   link   to   resistance,   as  choice  and  duration  of  therapy  can  cause  new  strains  to  develop.  It  is  therefore  essential   that   pharmacists   work   with   their   prescribing   colleagues   to   preserve  and   manage   existing   therapies.   This   course   covers   the   major   classes   of  antibiotics,  the  differences  between  antibiotics,  their  mechanisms  of  action,  the  adverse   effects   of   antibiotics   and   the   important   drug   interactions   involving  antibiotics.    Course  Objectives:  By  the  end  of  this  course  participants  should  be  able  to:  

• Name  the  major  classes  of  antibiotics  • Describe  the  differences  between  antibiotics  • Understand  their  mechanisms  of  action  • Describe  the  adverse  effects  of  antibiotics  • Understand  the  important  drug  interactions  involving  antibiotics  

 

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Introduction  to  Antibiotic  Stewardship    Antimicrobial  resistance  is  a  major  public  health  problem  throughout  the  world  and   is   attributed  largely   to   excessive   and   inappropriate   use   of  antimicrobial  agents.    In  addition,  a   sharp  decline   in   the  development  of  new  antibiotics  has  also  limited  antimicrobial  options  for  treatment.  The  purpose  of  this  course  is  to  train   pharmacists   to   identify   interventions   and   strategies   to   improve  antimicrobial  stewardship  activities  in  pharmacy  practice.      Course  Objectives:  After  completion  of  this  module  participants  should  be  able  to:  

• Describe   the   goals   and   components   of   antimicrobial   stewardship  programs.  

• Discuss  recent  trends  in  ASPs  in  health  systems.  • Identify   and   discuss   barriers   to   the   implementation   of   ASPs   in   health  

systems  4.  Develop  strategies  for  overcoming  these  barriers    

Men’s  Health  Toolkit  

Erectile  Dysfunction    This   course   discusses   the   causes,   risk   factors   and  management   of   erectile  dysfunction.   It   also   includes  information   about   the   treatments   available   and  who  they  can  be  prescribed  for.      Course  Objectives:  By  the  end  of  this  course  participants  should  be  able  to  explain:  

• The  link  between  ED  coronary  heart  disease  and  diabetes  • The  causes  of  erectile  dysfunction  • The  diagnosis  of  erectile  dysfunction  • The  management  options  for  erectile  dysfunction  • What  options  remain  if  treatment  fails  

Alopecia    This   course   describes   the   different   types   of   alopecia   and   includes   information  about  male  and  female  pattern  baldness,  telogen  effluvium,  alopecia  areata  and  other   causes   such   as   chemical   and  physical   damage  and   infection.  Advice   that  pharmacists  could  give  to  patients  is  also  discussed.      Course  Objectives:  By  the  end  of  this  course  participants  should  be  able  to  explain:  

• The  different  common  causes  of  hair  loss  in  both  men  and  women  • The  treatments  available  to  help  reduce  alopecia  • The  key  advice  pharmacists  can  offer  sufferers  • Practical  tips  on  how  to  mask  hair  loss  

 

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Benign  Prostatic  Hyperplasia    This   course   describes   the   symptoms   and   diagnosis   of   BPH   and   includes  information   about   treatment   options   such   as   alpha-­‐blockers   and   5-­‐alpha-­‐reductase  inhibitors.  Lifestyle  advice  and  prostate  cancer  are  also  discussed.    Course  Objectives:  By  the  end  of  this  course  participants  should  be  able  to  explain:  

• The  prevalence  of  benign  prostatic  hyperplasia  and  associated  problems    • The  symptoms  and  clinical  assessment  of  patients  with  benign  prostatic  

hyperplasia  • The  latest  treatment  options,  both  on  prescription  and  over  the  counter,  

for  benign  prostatic  hyperplasia    • Red-­‐flag  symptoms  for  prostate  cancer  

Women’s  Health  Toolkit    

Endometriosis    Endometriosis  affects  10  to  15  per  cent  of  all  menstruating  women  aged  25  to  44  years.   The  condition   can   range   from  mild   to   severe  and   can  be  both  physically  and  emotionally  debilitating.  This  course  will  help  pharmacists  answer  common  questions  that  patients  have  about  endometriosis.    Course  Objectives:  By  the  end  of  this  course  participants  should  be  able  to  explain:  

• The  incidence,  prevalence  and  symptoms  of  endometriosis  • How  endometriosis  is  diagnosed  and  pain  is  managed  • The  hormonal  and  surgical  options  available  for  treatment  • The  answers  to  common  questions  on  fertility  

Lupus    Lupus  is  an  autoimmune  rheumatic  condition  and  about  90  per  cent  of  cases  are  in   women.    Pharmacists   can   help   raise   awareness   of   the  condition,   support  patients   with   medicines   and  provide   healthy   lifestyle   interventions   to  help  prevent  cardiovascular  disease.    Course  Objectives:  By  the  end  of  this  course  participants  should  be  able  to  explain:  

• The  pattern  of  disease  in  lupus  and  the  organs  commonly  affected  • The  key  diagnostic  signs  you  should  know  • The  different  treatment  options  considered  in  lupus  • Lifestyle  and  management  advice  pharmacists  can  offer  patients.  

 

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Menstrual  Abnormalities    Menstrual   problems   are   one   of   the   four   most  common   reasons   women   of  reproductive  age  visit   their  GP.  This   course  gives  an  overview  of  the  menstrual  cycle,   examining   the   roles   played  by   the   different   hormones   involved.   It  discusses  menstrual  problems  and  how  pharmacists   can  help   sufferers  manage  their  symptoms.    Course  Objectives:  By  the  end  of  this  course  participants  should  be  able  to  explain:  

• The  changes  caused  during  the  menstrual  cycle  • The  treatments  for  menorrhagia  available  in  the  pharmacy  • The  causes  of  amenorrhoea  • Common  drugs  that  can  interfere  with  the  menstrual  cycle  

Dermatology  Toolkit  

Eczema  and  Psoriasis    This   course   contains   information   for   pharmacists   and   technicians   about   some  forms   of   eczema   and   psoriasis,  with   images   to   aid   identification.   Descriptions,  causes   and   treatments   of   guttate   and   scalp   psoriasis,   infected,   discoid   and  fingertip  eczema  and  superficial  basal  cell  carcinoma  are  included.    Course  Objectives:  By  the  end  of  this  course  participants  should  be  able  to  explain:  

• The  key  features  and  presentation  of  eczema  and  psoriatic  conditions  • The   treatments,   including   both   emollients   and   drug   therapy,   to  

recommend  when  a  patient  presents  with  a  skin  condition  • When  to  suspect  a  lesion  may  be  a  basal  cell  carcinoma  • Signs  of  infection  in  eczematous  lesions.  

Acne    This  short  course  contains   information  for  pharmacists  about  acne   including   its  causes  and  a  description  of  the  types  of  lesions  that  sufferers  may  have.  How  the  severity   of   acne   is   assessed   and   the   treatments   available   are   also   discussed,  along  with  advice  that  pharmacists  can  give  to  patients.    Course  Objectives:  By  the  end  of  this  course  participants  should  be  able  to  explain:  

• The  incidence,  symptoms  and  causes  of  acne  vulgaris  • Conditions  that  present  with  similar  symptoms  • Treatment  options,  including  side  effects  and  contraindications    • Self-­‐care  and  lifestyle  advice  for  acne  patients  

 

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Geriatric  Care  Toolkit  

Parkinson’s  Disease    This   course   discusses   the   progressive   neurodegenerative   condition   Parkinson’s  disease.   It   includes   information   about   the   motor,   neuropsychiatric   and  autonomic  symptoms  as  well  as  diagnosis,  drug  treatment  and  management.    Course  Objectives:  By  the  end  of  this  course  participants  should  be  able  to  explain:  

• The  incidence  of  Parkinson’s  disease  • The  motor,  neuropsychiatric  and  autonomic  symptoms  • The  drug  treatment  and  management  of  Parkinson’s  disease  • The  specialist  help  and  surgical  options  available  to  patients  

Falls  in  older  patients    This  course  discusses  the  prevention  of  falls  in  the  elderly,  including  causes  and  risk   factors   such   as   motor   problems,   sensory   impairment   and   medication.  Information  about  the  pharmacist’s  role  in  the  management  of  those  at  risk  and  advice  for  patients  and  carers  is  also  included.    Course  Objectives:  By  the  end  of  this  course  participants  should  be  able  to  explain:  

• The  incidence  of  falls  and  their  effects,  including  common  fractures  • The   causes   of   falls   in   older   people,   including   motor,   sensory   and  

neurological  problems  • The  drugs  that  increase  the  risk  of  falls  in  older  patients  • The  steps  pharmacists  can  take  to  minimise  falls  risk  

Dementia  (Part1)    This   course   describes   the   causes,   symptoms   and   diagnosis   of   dementia.  Information   about   different   types   of   dementia   such   as   Alzheimer’s   disease,  dementia   with   Lewy   bodies   and   vascular   dementia   is   included   as   well   as   the  pharmacist’s  role  in  identifying  patients.    Course  Objectives:  By  the  end  of  this  course  participants  should  be  able  to  explain:  

• The  incidence  of  dementia  and  its  key  clinical  features  • The  different  types  of  dementia  and  their  causes  • How  Alzheimer’s  disease  is  diagnosed  and  its  typical  progression  • The  role  of  the  pharmacist  

 

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Dementia  (Part2)    This   course   describes   the   pharmacological   management   of   dementia   and  includes  information  about  drugs  that  improve  cognitive  function  such  as  AChEIs  and  memantine.      Course  Objectives:  By  the  end  of  this  course  participants  should  be  able  to  explain:  

• How  drug  therapy  can  improve  cognitive  function  in  dementia  • The  possible  behavioural   and  psychological   symptoms  of  dementia,   and  

the  key  treatment  and  management  options  • How  to  put  your  knowledge   into  practice  with  a   case   study   focusing  on  

dementia    

Oncology  Toolkit  

Chemotherapy  Management  of  Side  Effects    This  course  discusses   the  management  of   side  effects  of  anticancer   treatments  and   the   advice  that   pharmacists   can   give   to   patients.   It   includes  information  about   fatigue,   gastro-­‐intestinal  problems,   skin   toxicity,   alopecia   and   eye  problems  as  well  as  OTC  and  herbal  medicine  interactions.    Course  Objectives:  By  the  end  of  this  course  participants  should  be  able  to  explain:  

• The  typical  management  of  patients  receiving  anticancer  therapy  • Advice  on  managing  side  effects  • Which   OTC   medicines   should   be   avoided   in   patients   receiving  

chemotherapy  • The  key  counselling  points  you  should  cover  to  help  support  patients.  

Lung  and  Bowel  Cancer    This  course  helps  pharmacists  recognise  symptoms  of  lung  and  bowel  cancer.  It  contains  information  about  symptoms  and  risk  factors,  and  about    screening  for  bowel  cancer.    Course  Objectives:  By  the  end  of  this  course  participants  should  be  able  to  explain:  

• The  signs  of  lung  cancer  all  pharmacists  must  know  • When  to  refer  patients,  and  the  tests  GPs  may  order  • The  risk  factors  for  bowel  cancer  and  the  importance  of  screening  • How  to  keep  a  symptom  diary  to  identify  changes  in  bowel  habit.  

 

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Skin  Cancer    This   course   provides   information   about   skin   cancer  and   includes   images   for  identification.   It  describes  the  causes,  appearance  and  treatments   for  basal  cell  carcinoma,   malignant   melanoma,   squamous   cell  carcinoma,   Bowen’s   disease  and  seborrhoeic  and  actinic  keratoses.    Course  Objectives:  By  the  end  of  this  short  course  participants  should  be  able  to  explain:  

• The  visual  appearance  of  different  skin  cancers  and  other  lesions  • How  to  assess  a  mole  that  has  changed  appearance  • When  to  refer  skin  lesions  for  further  treatment  • What  medical  and  surgical  options  are  available  for  skin  cancers  

Mental  Health  

Bipolar  Depression  New  Bipolar   disorder,   or   manic   depression,   causes  severe   mood   swings,   usually  lasting   several  weeks  or  months.   These   involve   intense   depression   and  despair  interspersed  with  feelings  of  extreme  happiness  and  elation.      Course  Objectives:  By  the  end  of  this  course  participants  should  be  able  to  explain:  

• The  classification  of  bipolar  disorder  • The  symptoms  of  mania  and  depression  • The  main  comorbidities?  • The  treatment,  monitoring,  the  challenges  bipolar  • The  role  of  the  pharmacist  in  helping  patients  with  bipolar  disorder  

Generalised  Anxiety  Disorder  (GAD)  New  This   course   describes   generalised  anxiety   disorder   (GAD)   and   contains  useful  information   for   pharmacists   about  how   they   can   spot   at-­‐risk   patients  and  provide  support  and  advice.      Course  Objectives:  By  the  end  of  this  course  participants  should  be  able  to  explain:  

• Causes,  signs  and  symptoms  of  GAD  • Pharmacists'   role   in   recognizing   and   referring   patients   who   may   have  

GAD  • Management,   including  psychological   and  pharmacological   treatment  of  

GAD  • Support  and  information  for  patients  

 

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Pharmaceutical  Management  of  Depression  New  Worldwide,  more   than  150  million  people   suffer   from  depression  and  nearly  1  million   commit   suicide   every   year.   Recent   World   Health   Organization   (WHO)  data   from   60   countries   worldwide   show   that   depression   is   associated   with   a  larger   decrement   in   health   than   the   chronic   diseases   angina,   arthritis,   asthma  and  diabetes.      Course  Objectives:  By  the  end  of  this  course  participants  should  be  able  to:  

• Recognise   opportunities   to   help   improve   medication   adherence   in  patients  with  depressive  disorders.  

• Describe   reasons   for   non-­‐adherence,   including   intentional   and   non-­‐intentional   non-­‐adherence   and   how   pharmacists   can   influence   patient  behaviour.  

• Describe   the   common   challenges   affecting   patient   adherence   and  persistence  with  psychotropic  medications.  

• Identify  drug-­‐drug  interactions  and  advise  on  management  or  appropriate  changes  to  pharmacotherapy.  

• Explain   prescribing   requirements   for   special   populations:   older   persons,  patients  with  multiple  morbidities,  extensive  and  poor  metabolisers.  

NON-­‐CLINICAL  TOPICS  

Time  Management  Techniques  for  Pharmacists  New  As   pharmacy   practice   continues   to   evolve,   pharmacists   will   need   to   make  changes  in  job  design  to  help  optimize  time  management  in  pharmacy  settings.    After   job   redesign,   stressors  may   still   be  present,   and   there  will   be  a  need   for  pharmacists  to  effectively  manage  their  time  within  those  situations.      Course  Objectives:  After  completing  this  course,  the  pharmacist  should  be  able  to:    

• Summarize   the   pharmacists’   workload   challenges   as   they   fulfill   their  professional  responsibilities.    

• Identify  work  habits  that  can  make  pharmacists  more  productive.    • Develop  a  plan  for  increasing  personal  efficiency.    • Evaluate   technologies   to   determine   the   extent   to   which   they   can   save  

time.    • Explain  strategies  for  appropriate  delegation.    • Identify  ways  to  manage  information  overload.    

   

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Building  your  Pharmacy  Brand  New  You  may  not  be  aware  of  it,  but  your  pharmacy  is  already  a  brand  and  the  people  who  know  your  pharmacy  have  a  gut  feeling  about  your  brand.  This  gut  feeling  is  the  "brand".        Course  Objectives:  By  the  end  of  this  course  participants  should  be  able  to:  

• Your  pharmacy  as  a  brand  and  why  it's  important  • The  branding  cycle  • Factors  to  consider  when  developing  a  branding  strategy  • The  brand  experience  and  how  to  deliver  it  

 Communication  skills  New  It   is   self   evident   that   written   and   spoken   communication   skills   are   of   crucial  importance   in   business   (and   personal)   life.   Managers   in   particular   must   be  effective   communicators,   good   at   getting   their   message   across   to,   and   at  drawing  the  best  out  of,  people.  Communication  skills  in  all  forms,  including  non-­‐verbal   communication,   need   to   be   worked   at   and   improved   to   ensure   you  understand  people  and  they  understand  you.    Course  Objectives:  By  the  end  of  this  course  participants  should  be  able  to  describe:  

• Communication  as  a  business  requirement:  establish  proper  systems  and  ensure  use  of  them  

• Communication  with  customers  and  how  complaints  should  be  handled    • Communicate  with  poor  performers  to  improve  their  contribution  and  in  

appraisals  be  truthful,  helpful  and  tactful  • Help  others  to  improve  their  communication  skill  • Assess  their  own  communication  skills  and  strive  to  improve  them  

Brief  Motivational  Interviewing    Pharmacists   have   unique   opportunities   to   enhance   patient   care   by   working  with  patients  to  modify  behaviours  related  to  chronic  disease  management.  This  course   is   aimed   to  improve   the   pharmacist's   counselling   skills   through   brief  motivational   interviewing.    Learn   new   skills   to   improve   adherence   to   chronic  treatment  through  the  use  of  this  unique  communication  style.        Course  Objectives:  By  the  end  of  this  course  participants  should  be  able  to:  

• Provide  a  definition  for  Motivational  Interviewing?  • Understand  the  clinical  principles  of  Motivational  Interviewing  • Demonstrate  the  skills  of  Motivational  Interviewing  • Explain  the  structure  of  Motivational  Interviewing  • Avoid  Motivational  Interviewing  pitfalls  • Integrate  Motivational  Interviewing  into  pharmacy  practice  

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Inter-­‐professional  Communication    Healthcare   provision   increasingly   involves   multiple   professions  with   different  levels   of   education   and   training.  Given  the   structure  of   the  modem  healthcare  system,   effective  and   efficient   communication   is   a   vital   component   of  satisfactory  patient   care.   Coupled   with   the   pressures   of   today's   managed  care  environment,   poor   communication   significantly   increases   the   likelihood  of  mistakes  occurring   in   the  delivery  of  pharmaceutical  care.  This  course  provides  the   framework   for   improving   inter-­‐professional  communication   skills,   with   a  specific  focus  on  the  relationship  between  pharmacists  and  physicians.    Course  Objectives:  

By  the  end  of  this  short  course  participants  should  be  able  to:  • Explain  why   interprofessional  communication   is  of  critical   importance  to  

provision  of  healthcare  • Describe   the   stages   of   the   pharmacist/physician   relationship   and   the  

factors  that  drive  development  of  relationships  • List   potential   barriers   to   improvement   of   communications   between  

pharmacists   and   other   healthcare   professionals,   and   identify   areas   for  improvement  

• Employ   accepted   techniques   that   provide   structure   for   appropriate  communication  with  other  health  care  professionals  

Leadership  Development    This  course  is  aimed  to  increase  the  pharmacist's  awareness  and  understanding  of  the  components  of  leadership  and  how  to  apply  this  knowledge  to  improve  his/her  organization's  efficiency.      Course  Objectives:  

By  the  end  of  this  short  course  participants  should  be  able  to:  • Relate  why  leadership  skills  are  important  to  pharmacists  • Describe  the  characteristics  of  good  leaders  • Identify  the  commandments  for  successful  leadership  • Discuss  the  styles  of  leadership  and  the  factors  affecting  leadership  style  • Explain  the  ingredients  for  good  leadership  and  suggest  ways  to  improve  

leadership    

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Appraising  Evidence    This   course   contains   guidance   for   pharmacists   on   evaluating   evidence   about  medicines.  It  includes  information  about  evidence  available,  how  to  access  it,  as  well  as  advice  about  appraising  clinical  trials.    Course  Objectives:  By  the  end  of  this  course  participants  should  be  able  to  :

• Find  reliable  sources  of  drug  information  • Find  free-­‐to-­‐access  and  paid-­‐for  resources  • Use  local  medical  information  services  • Present  answers  to  questions  

Conducting  Literature  Review    This  course  discusses  how  pharmacists  can  review  available  information  in  order  to   provide   answers   to   enquiries   from   patients   and   other   health   care  professionals.   It   includes   information  about  reliable  resources  as  well  as  advice  about  how  to  present  the  answers  found.    Course  Objectives:  By  the  end  of  this  course  participants  should  be  able  to  :  

• Find  reliable  sources  of  drug  information  • Find  free-­‐to-­‐access  and  paid-­‐for  resources  • Use  local  medical  information  services  • Present  answers  to  questions  

Introduction  to  Medicine  Use  Evaluation    Medicine  Use  Evaluation  (MUE)  programs  play  a  key  role  in  helping  health  care  systems   understand,   interpret,   evaluate   and   improve   the   prescribing,  administration  and  use  of  medicines.      Course  Objectives:  By  the  end  of  this  course  participants  should  be  able  to:    

• Explain  the  concept  of  medicine  use  evaluation  (MUE)  • Demonstrate  the  process  for  implementing  and  performing  an  MUE  • Discuss   the   use   of   an   MUE   program   for   improving   prescribing   and  

dispensing  practice  • Prepare  criteria  and  threshold  values  for  an  MUE  • Develop  an  MUE  tool.  • Analyse  the  results  of  an  MUE.  • Demonstrate  the  use  of  intervention  strategies  to  improve  medicine  use.  

 

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The  Pharmacy  and  Therapeutics  Committee    Key  features  of  this  course   include  the  practical  aspects  of  running  a  Pharmacy  and   Therapeutics   Committee   (PTC)   The   PTC   is   an   essential   component   of   a  health   care   organisation’s   medicine   selection,   use,   and   distribution   program.  This   committee   has   many   different   functions   that   contribute   to   the   goal   of  improving  medicine  selection  and  rational  use  of  medicines      Course  Objectives:  By  the  end  of  this  course  participants  should  be  able  to:  

• Provide  an  overview  of  the  functions  of  a  PTC  • Explain  formulary  management  and  standard  treatment  guidelines  • Assess  and  manage  medicine  safety  • Evaluate  evidence  for  medicine  safety  and  efficacy  • Evaluate  medicine  costs  • Identify  and  understand  medicine  use  problems  • Explain  the  concept  of  medicine  use  evaluation  • Implement  strategies  to  improve  rational  use  of  medicine  

 

Introduction  to  Pharmacovigilance    This  course  is  aimed  to  promote  a  culture  of  medicine  safety  awareness  amongst  health  care  workers,  facilitate  the  development  of  ADR  reporting  systems,  and  to  provide  the  necessary  clinical  knowledge  and  tools  to  identify,  diagnose,  manage  and  report  adverse  medicine  reactions  (ADR’s)  in  all  facets  of  healthcare  delivery  services  where  medicines  are  used.      Course  Objectives:  By  the  end  of  this  course  participants  should  be  able  to:  

• Increase   awareness   and   understanding   of   adverse   drug   reactions   as   an  important  and  potentially  preventable  cause  of  disease  

• Promote  safe  use  of  medicines  • Promote  reporting  of  adverse  medicine  reactions  • Enable  effective  use  of  safety  monitoring  systems  • Provide   guidance   on  where   information   relating   to   drug   safety  may   be  

obtained.  

Introduction  to  Medicine  Therapy  Management  (MTM)    The   purpose   of   this   course   is   aimed   to   introduce   a   common  understanding   of  what  MTM  involves  and  to  improve  collaboration  among  pharmacists  &  doctors.      Course  Objectives:  By  the  end  of  this  course  participants  will  be  able  to  describe  

• The  basic  framework  for  MTM  services  &  Medicine  Therapy  Review  • Comprehensive  personal  medicine  record  • Appropriate  interventions,  referrals,  documentation  and  record  keeping.    

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PHARMACIST’S  ASSISTANTS  Introduction  to  Continuing  Professional  Development  (CPD)  The   primary   aim   of   the   CPD   process   is   to   improve   the   quality   of   the   services   we  provide  as  pharmacists  assistants.  This  course  provides  an  overview  of  the  CPD  cycle  of   lifelong   learning,  how   to  complete  a  CPD  activity  and  how  CPD  differs   from  the  traditional  continuing  education  approach.    

Course  Objectives:  By  the  end  of  this  course  participants  should  be  able  to  

• Define  continuing  professional  development  (CPD)  • Describe   the  CPD  cycle  using  examples   to  demonstrate  each  step   in   the  

process  • Explain  the  difference  between  CPD  and  continuing  education  (CE)  • Begin   the   SAPC   CPD   cycle   of   planning   and   recording   their   own   CPD  

activities.    

CLINICAL  

Diabetes    Diabetes  mellitus   is   a   lifelong   health  condition   that  causes   a   person’s   blood   sugar  level  to   become  too   high.  Cases   of   diabetes  are   on   the   rise   worldwide  with  significant  consequences   for  people’s   health   and  increased   demands   on  healthcare  services.      Course  Objectives:  By  the  end  of  this  course  participants  should  be  able  to  describe:  

• The  signs  that  might  indicate  a  person  has  diabetes  • When  to  refer  a  patient  to  the  pharmacist.                              • The  difference  between  type  1  and  type  2  diabetes  • How   lifestyle   recommendations   you   suggest   could   help   diabetic   patients  

manage  their  condition  

Pain  Problems    Treating  someone  for  pain  isn’t  always  as  simple  as  selling  a  pack  of  painkillers.  This  activity  will  cover  4  common  situations  encountered  by  pharmacist’s  assistants.  This  course   aims   to   help   pharmacist’s   assistants   feel   confident   in   making  recommendations  for  patients  who  suffer  from  pain.          

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Course  Objectives:  By  the  end  of  this  course  participants  should  be  able  to  explain:  

• How   to   manage   cases   of   shin   splints   and   the   advice   you   can   offer   your  patients  

• The  first-­‐line  choice  for  pain  management  in  pregnancy,  and  which  drugs  to  avoid    

• How  to  treat,  medication-­‐overuse  headaches,  and  • Why  “gastroprotection”  is  required  in  some  patients  taking  NSAIDs  

Asthma  and  COPD  This  short  course  contains  information  for  pharmacist’s  assistants  about  asthma  and  COPD  including  their  causes,  symptoms  and  management.  The  course  aims  to  help  pharmacy  staff   feel  confident   in  dealing  with  patients  who  have  asthma  and  COPD  along  with  advice  that  can  be  given  to  patients.      Course  Objectives:  By  the  end  of  this  course  participants  should  be  able  to  explain:  

• The  causes  and  symptoms  of  asthma  and  COPD  • The  usual  management  of  these  conditions  • What  patients  with  asthma  or  COPD  can  do  to  keep  themselves  as  healthy  as  

possible  • Good  inhaler  technique  

Smoking  Cessation  This   short   course   looks   at   the   damage   smoking   does   and  how  pharmacy   staff   can  help   customers   realise   the   benefits   of   quitting,   the   types   of  nicotine  replacement  therapy  that  are  available  and  who  they  are  most  suitable  for,  including  advice  and  support  that  can  be  given  to  customers  who  wish  to  quit.    Course  Objectives:  By  the  end  of  this  course  participants  should  be  able  to  explain:  

• The  benefits  of  quitting  smoking  • The   types   of   nicotine   replacement   therapy   available   and   who   they   are  

suitable  for  • Advice  and  support  you  can  give  to  customers  who  wish  to  quit  

Insomnia  This   short   course   contains   information   for   pharmacist’s   assistants   about   insomnia,  its   causes,   symptoms   and   management.   The   course   aims   to   help   pharmacist’s  assistants   feel   confident   in   making   over   the   counter   and   non-­‐drug   treatment  recommendations   for  patients  who  suffer   from   insomnia  along  with  non-­‐medicinal  advice  that  can  be  given  to  patients.        

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Course  Objectives:  By  the  end  of  this  course  participants  should  be  able  to  explain:  

• What  insomnia  is,  who  it  affects  and  how  to  spot  this  condition  • The  treatments  available  to  support  people  with  insomnia  • Self-­‐help   treatments   that   can   be   recommended   to   help   patients   with  

insomnia  • When  to  refer  patients  with  insomnia  to  a  pharmacist  

 

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Migraine  This   course   contains   information   for   pharmacist’s   assistants   about   migraine,   its  triggers,   symptoms   and   management.   The   course   aims   to   help   pharmacist’s  assistants  feel  confident  in  making  recommendations  for  patients  with  migraine.        By  the  end  of  this  course  participants  should  be  able  to  explain:  

• what  a  migraine  is  and  how  to  distinguish  it  from  an  ordinary  headache  • the   over-­‐the-­‐counter   medicines   that   are   available   for   the   treatment   of  

migraines  • the  steps  patients  can  take  to  help  prevent  migraines  

Porphyria  South  Africa  has  the  highest  prevalence  of  porphyria  in  the  world,  the  consequence  of  a  founder  effect,  which  has  led  to  one  form  of  porphyria,  variegate  porphyria  (VP),  becoming  uniquely  and  locally  common.  Geoffrey  Dean,  a  physician  working  in  Port  Elizabeth  in  the  1950s,  identified  a  large  number  of  families  of  Dutch  descent  in  the  Eastern  Cape  with  a  disorder,  apparently  inherited,  which  manifested  as  skin  disease  and   an   alarming   tendency   to   develop   a   severe   and   sometimes   fatal   crisis,  characterised  by  abdominal  pain,  red  urine  and  paralysis,  particularly  in  response  to  medication  such  as  barbiturates.    By   the   end   of   this   course   participants   should   be   able   to   answer   the   following  questions:  

• What  is  porphyria?  • What  types  of  porphyria  are  there?  • How  common  is  porphyria?  • What  are  the  causes  of  porphyria?  • How  porphyria  is  diagnosed,  its  symptoms  and  treatment.  • Where  to  get  help?  

Antibiotics    New  This  course  describes  how  antibiotics  work,  when  different  antibiotics  are  used,  how  patients  should  be  advised  and  what  the  pharmacist's  assistant  should  know  about  antibiotic  resistance.    By  the  end  of  this  course  participants  should  be  able  to  explain:  

• How  antibiotics  work  and  when  different  antibiotics  are  used  • The  antibiotics  most  commonly  used  in  community  pharmacy,    • How  you  should  advise  patients  on  the  topic  of  antibiotics.  • What  you  should  know  about  antibiotic  resistance  and  allergies  

 

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The  Immune  System  New  This  course  provides  the  pharmacists  assistant  with  an  essential  guide  to  the  body's  defence   system,   how   the   immune   system   fights   against   microbes   and   how  previously  encountered  microorganisms  are  remembered.    By  the  end  of  this  course  participants  should  be  able  to  explain:  

• The  body's  defences  against  microbes  • How  the  immune  system  works  against  microbes  that  breach  these  defences  • How  previously  encountered  microorganisms  are  remembered  

Mental  Illness  New  The  World  Health  Organisation   (WHO)   has   described  Mental  Health   as   "a   state   of  wellbeing  in  which  the  individual  realises  his  or  her  own  abilities,  can  cope  with  the  normal  stresses  of  life,  can  work  productively,  and  is  able  to  make  a  contribution  to  his  or  her  community.  One  in  four  people  experience  a  mental  health  problem  in  any  given  year.  Despite  the  fact  that  mental  health  problems  are  very  common,  stigma  and  discrimination  is  still  common,  and  there  are  a  lot  of  myths  about  what  different  diagnoses  mean.      By  the  end  of  this  course  participants  should  be  able  to  explain:  

• The  most  commonly  diagnosed  mental  health  conditions  • Common  behaviours  associated  with  mental  health  problems  • How  mental  health  problems  are  treated  • How  you  can  help  patients  with  mental  health  problems  and  identify  those  at  

risk.  

Cardiovascular  Disease  New  Between  1997  and  2004,  195  people  died  per  day  because  of  some  form  of  heart  and  blood  vessel  disease  (CVD)  in  SA.  Premature  deaths  caused  by  heart  and  blood  vessel  diseases  (CVD)  in  people  of  working  age  (35-­‐64  years)  are  expected  to  increase  by  41%  between  2000  and  2030.    

Allergies  New  South  Africa  is  one  of  the  top  countries  in  the  world  for  rates  of  allergies,  and  the  number  of  people  affected  is  rapidly  increasing  at  5  per  cent  each  year.  Half  of  these  new  cases  are  in  children.    

NON-­‐CLINICAL  

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Building  Patient  Trust    At  a  time  when  patients  are  increasingly  aware  of  their  rights  as  consumers,  and  are  encouraged   to   actively  participate   in   healthcare   decisions,   the   issue   of   trust   has  never   been   more   relevant.  This   course   discusses   common   scenarios   faced   by  pharmacist's   assistants   that   may   test   the   trust   placed   in   them   by   patients,   and  suggests  how  best  to  approach  these  issues.      By  the  end  of  this  course  participants  should  be  able  to  explain:  

• The  importance  of  trust  between  patients  and  pharmacy  staff.  • How  to  handle  common  scenarios  that  may  test  customer  or  patient  trust.  • The  communication  skills  necessary  to  impart  information  as  fully  as  possible  

Customer  Service  Skills  for  Pharmacist's  Assistants    The   goal   of   this   course   is   to   provide   pharmacist’s   assistants   with   a   few   ideas,  considerations   and   tips   on   how   to   be   more   involved   and   how   to   be   leaders   in  enhancing  customer  service.      By  the  end  of  the  course  participants  should  be  able  to    

• Identify  opportunities  and  suggest  measures  to  provide  enhanced  customer  service    

• Describe  customer   service   improvements   for   typical  day-­‐to-­‐day   interactions  and  situations  

• Improvements  in  dispensary  operations  and  processes  (over  which  they  have  control).  

 

Motivational  Support  /  Interviewing  Most   often   we   know  what’s   good   for   us,  but   actually   doing   it   is   a   completely  different   thing.  By   providing  motivational   support   that   is   tailored   to  the   individual,  pharmacist’s  assistants  can  help  motivate  people  to  change  their  health  behaviour  in  terms  of  smoking,  diet  and  exercise.      By  the  end  of  this  course  participants  should  be  able  to  explain:  

• What  motivates  people  to  change  their  health  behaviour  • Judging  how  much  a  person  wants  to  change  their  behaviour  • The  stages  of  change  model    • Change  talk