#WePHoz - Wednesday 5th October 2016 8pm (E. Australia Standard Time) Delivering COPD screening services in community pharmacy

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Hosted by WePharmerOZ using #WePHoz

This chat is guest hosted by @AarondsouzaD @pharmerfour @Lungfoundation

Greetings Aussie pharmacists, international friends and welcome to the #WePhOz community!

@WePharmerOz next Tweet chat is all about "Delivering COPD screening services in community pharmacy" in conjunction with the @LungFoundation Australia to explore the opportunities, resources and experience available to benefit consumers in our communities.

The chat is taking place using the hashtag #wephoz on Wednesday 5th of October @ 8pm (EST). So hear are some initial questions to get you thinking:

- Lets explore the incidence of lung disease in Australia, where are the opportunities for community pharmacists intervention?

- Screening services, what are some examples, experiences and success stories?

- education and training necessary for pharmacist and staff to promote and facilitate screening service (and where this is available)

- business opportunities or viability options in relation to running service in community pharmacies, and what is in place for ongoing provision?


We have some experienced guest hosts joining us for this chat to help answer some of our questions, including community pharmacists and also representatives from the Lung Foundation. They are:

- Aaron D'Souza (@AaronDsouzaD); Community Pharmacist/Owner & educator for pharmacists in COPD screening

- Jarrod McMaugh (@pharmerfour); Community Pharmacist/Owner with over 10 years experience delivering COPD screening service

- Lung Foundation Australia (@LungFoundation); the only national charity dedicated to supporting anyone with a lung disease in Australia


@Wepharmeroz was inspired by @WePharmacists (UK), to create an alternate platform for all pharmacists in Australia to communicate, collaborate and to share experiences, resources and information to create an online sense of community unlike any other space. This is all facilitate by the hashtag #wephoz.






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 #WePHoz transcript

 
@WePharmerOZ
05 October 2016 20:00
Welcome to our #wephoz tweet chat! Let’s start by seeing who’s out there - and don’t forget to use the hashtag! #wephoz
@pguthreyRx
05 October 2016 20:00
@WePharmerOZ I'm here in chilly Canberra! #wephoz
@KennyPharmPhD
05 October 2016 20:00
Hello @WePharmerOZ! #wephoz
@AarondsouzaD
05 October 2016 20:00
#wephoz Great to be part of the #COPD screening in pharmacy twitter forum
@WePharmerOZ
05 October 2016 20:01
Let’s start by introducing our guest hosts for this evening! @AarondsouzaD @pharmerfour & @Lungfoundation #wephoz welcome guys!
@sar_sinclair
05 October 2016 20:01
Hi Team, Sarah here, Bachelorette is all done, you have my full attention! #wephoz
@WePharmerOZ
05 October 2016 20:01
@CapitalChemUC Welcome #wephoz
@sdturner7
05 October 2016 20:02
Intern pharmacist here, working in community pharmacy north-brisbane. Looking forward to tonight’s chat! #wephoz
@WePharmerOZ
05 October 2016 20:02
We also have @Jjoypowell representative from @Lungfoundation - thanks for joining Judy! #wephoz
@pharmerfour
05 October 2016 20:02
#wephoz thankyou - it's interesting being on the "guest" side of the chat. This is one of my passions so should be… https://twitter.com/i/web/status/783608221655109632
@Jjoypowell
05 October 2016 20:02
looking forward to the chat from Brisbane #wephoz
@DRugby56
05 October 2016 20:02
Hi #wephoz looking forward to chat, I'm in Coffs Harbour in my motel room ??????
@sdturner7
05 October 2016 20:02
RT @DRugby56: Hi #wephoz looking forward to chat, I'm in Coffs Harbour in my motel room ??????
@WePharmerOZ
05 October 2016 20:03
RT @DRugby56: Hi #wephoz looking forward to chat, I'm in Coffs Harbour in my motel room ??????
@ArnavChug
05 October 2016 20:03
G'day guys, Intern Pharmacist here from Geelong! #wephoz
@WePharmerOZ
05 October 2016 20:03
@AarondsouzaD welcome Aaron thanks for joining! #wephoz
@WePharmerOZ
05 October 2016 20:03
RT @sdturner7: Intern pharmacist here, working in community pharmacy north-brisbane. Looking forward to tonight’s chat! #wephoz
@WePharmerOZ
05 October 2016 20:03
@NAPSA_President welcome Shefali! first #wephoz chat??
@sdturner7
05 October 2016 20:03
RT @ArnavChug: G'day guys, Intern Pharmacist here from Geelong! #wephoz
@WePharmerOZ
05 October 2016 20:03
RT @ArnavChug: G'day guys, Intern Pharmacist here from Geelong! #wephoz
@WePharmerOZ
05 October 2016 20:04
Welcome back Sarah #wephoz https://twitter.com/sar_sinclair/status/783607953584553984
@sdturner7
05 October 2016 20:04
RT @AarondsouzaD: #wephoz Great to be part of the #COPD screening in pharmacy twitter forum
@WePharmerOZ
05 October 2016 20:04
RT @AarondsouzaD: #wephoz Great to be part of the #COPD screening in pharmacy twitter forum
@shefali_parekh1
05 October 2016 20:04
@WePharmerOZ yes! Very excited to join the party #wephoz
@Philip_Smith007
05 October 2016 20:04
#wephoz Hunter Valley tuning in. Was this on my CPE plan?
@sdturner7
05 October 2016 20:04
RT @Jjoypowell: looking forward to the chat from Brisbane #wephoz
@WePharmerOZ
05 October 2016 20:04
RT @Jjoypowell: looking forward to the chat from Brisbane #wephoz
@sdturner7
05 October 2016 20:04
RT @pguthreyRx: @WePharmerOZ I'm here in chilly Canberra! #wephoz
@WePharmerOZ
05 October 2016 20:04
RT @pguthreyRx: @WePharmerOZ I'm here in chilly Canberra! #wephoz
@WePharmerOZ
05 October 2016 20:05
We have our FIRST question coming in about a minute! If you’re out there, please introduce yourselves & don’t forget #wephoz #WePhOz !
@CapitalChemUC
05 October 2016 20:05
No. North of LBG. #wephoz https://twitter.com/pguthreyRx/status/783608764087750656
@WePharmerOZ
05 October 2016 20:05
@Philip_Smith007 Welcome Philip! Community pharmacist? #wephoz
@pharmerfour
05 October 2016 20:05
You can add it in, but this isn't accredited / group 1 only with reflection #wephoz https://twitter.com/philip_smith007/status/783608803388329984
@Chris_Camp6ell
05 October 2016 20:05
#WEPHOZ Chris here, pharmacist from Brisbane. Looking forward to seeing how we can help our patients breathe easier.
@HMKnowles
05 October 2016 20:06
Hi all, I'm a final year pharmacy student.. joining tonight from canberra #wephoz
@CapitalChemUC
05 October 2016 20:06
Was just adding it to mine #wephoz https://twitter.com/Philip_Smith007/status/783608803388329984
@WePharmerOZ
05 October 2016 20:07
our legendary guest host from last chats - welcome back chris! #wephoz https://twitter.com/Chris_Camp6ell/status/783609148483080192
@pguthreyRx
05 October 2016 20:07
@HMKnowles Are you on placement? #wephoz
@pharmerfour
05 October 2016 20:07
@WePharmerOZ #wephoz necessary is an interesting term.... but COPD is debilitating. Early detection = slower decline
@sdturner7
05 October 2016 20:07
RT @pharmerfour: @WePharmerOZ #wephoz necessary is an interesting term.... but COPD is debilitating. Early detection = slower decline
@WePharmerOZ
05 October 2016 20:07
RT @pharmerfour: @WePharmerOZ #wephoz necessary is an interesting term.... but COPD is debilitating. Early detection = slower decline
@MattScott410
05 October 2016 20:07
Hello all! #wephoz @WePharmerOZ
@M_Kay_Dunkley
05 October 2016 20:07
Hi Kay here from cold Melbourne #wephoz
@AarondsouzaD
05 October 2016 20:07
#WePHoz As with all initiatives in community pharmacy the question of "necessity" comes down to whether it's right for your community.
@KennyPharmPhD
05 October 2016 20:08
@M_Kay_Dunkley it's freezing in tassie too! Brrr #wephoz
@pguthreyRx
05 October 2016 20:08
@WePharmerOZ I'd love to hear other community #pharmacist thoughts on this. Necessary? Data for most locations would say yes. #wephoz
@WePharmerOZ
05 October 2016 20:08
@AarondsouzaD interesting point Aaron - @Jjoypowell what type of incidence is COPD in Oz #wephoz
@sar_sinclair
05 October 2016 20:09
@pguthreyRx @HMKnowles Hannah if we knew that we could have done this over a wine or two (and the Bachelorette!) #wephoz
@pguthreyRx
05 October 2016 20:09
@HMKnowles Where will you be next year? Enjoy unseasonably cool weather and quieter Floridade. TB suggests a hospital internship? #wephoz
@KennyPharmPhD
05 October 2016 20:09
@pguthreyRx @WePharmerOZ I think 'appropriate' and 'identified need' vs 'necessity' #wephoz
@DRugby56
05 October 2016 20:09
Early detection + Optimal treatment / preventing exacerbations = slower decline #wephoz https://twitter.com/pharmerfour/status/783609575232512000
@sdturner7
05 October 2016 20:10
RT @DRugby56: Early detection + Optimal treatment / preventing exacerbations = slower decline #wephoz https://twitter.com/pharmerfour/status/783609575232512000
@WePharmerOZ
05 October 2016 20:10
RT @DRugby56: Early detection + Optimal treatment / preventing exacerbations = slower decline #wephoz https://twitter.com/pharmerfour/status/783609575232512000
@CapitalChemUC
05 October 2016 20:10
Have just spent 3 weeks with a LOT of older Americans and I was amazed at the amount of COPD-sounding cough, #wephoz https://twitter.com/WePharmerOZ/status/783609853746950145
@Jjoypowell
05 October 2016 20:10
1 in 7 people over 40 years of age have COPD. that's a lot of people coming into community pharmacy #wephoz
@ArnavChug
05 October 2016 20:10
COPD is the second leading cause of hospital admissions in Australia, pharmacists very accessible, definitely necessary #wephoz
@AarondsouzaD
05 October 2016 20:10
#WePHoz Looking at the prevalence of COPD with 7.5% over 40 suffering symptoms affecting daily life & 1/2 not knowing they have it!
@sar_sinclair
05 October 2016 20:10
@WePharmerOZ I think it is something we're seeing an increase in, & times have changed, it can be harder to "pick" ie. less smokers! #wephoz
@WePharmerOZ
05 October 2016 20:10
great stats Aaron #wephoz https://twitter.com/AarondsouzaD/status/783610324490391552
@KrystiRigby
05 October 2016 20:11
Lets get the tweet started! Krysti here in Flooded Forbes :) #wephoz
@pharmerfour
05 October 2016 20:11
@KennyPharmPhD @pguthreyRx @WePharmerOZ #wephoz well said. Definitely the case
@WePharmerOZ
05 October 2016 20:11
RT @Jjoypowell: 1 in 7 people over 40 years of age have COPD. that's a lot of people coming into community pharmacy #wephoz
@WePharmerOZ
05 October 2016 20:11
and think of pharmacy demographic! #wephoz https://t.co/dPmodUmKJ1
@Luke_Vrankovich
05 October 2016 20:11
RT @Jjoypowell: 1 in 7 people over 40 years of age have COPD. that's a lot of people coming into community pharmacy #wephoz
@WePharmerOZ
05 October 2016 20:12
@KrystiRigby Welcome Krysti! #wephoz
@WePharmerOZ
05 October 2016 20:12
#wephoz https://twitter.com/Jjoypowell/status/783610740951224321
@CapitalChemUC
05 October 2016 20:12
But 30 years ago smokers have COPD today because of activity 30 years ago #wephoz https://twitter.com/sar_sinclair/status/783610380404658176
@pguthreyRx
05 October 2016 20:12
@AarondsouzaD This is huge! Think how many customers a day your #pharmacy serves>40yrs!How many of them could be undiagnosed! #COPD #wephoz
@sdturner7
05 October 2016 20:12
I learnt today 14% of australians still smoke #wephoz https://twitter.com/Jjoypowell/status/783610740951224321
@pharmerfour
05 October 2016 20:13
@Jjoypowell #wephoz with every smoker we have an opportunity to assist and stop the progression
@CapitalChemUC
05 October 2016 20:13
Swimming good for COPD #wephoz https://twitter.com/KrystiRigby/status/783610459249217536
@WePharmerOZ
05 October 2016 20:13
So question to everyone now - where does this place community pharmacy?! #wephoz
@sar_sinclair
05 October 2016 20:13
@Jjoypowell @WePharmerOZ peak of COPD in those who did smoke? #wephoz
@pharmerfour
05 October 2016 20:14
@sar_sinclair @WePharmerOZ #wephoz fewer smokers but for those from previous decades the damage is done. Identifying in ex-smokers important
@sdturner7
05 October 2016 20:14
RT @pharmerfour: @Jjoypowell #wephoz with every smoker we have an opportunity to assist and stop the progression
@KennyPharmPhD
05 October 2016 20:14
@sdturner7 @Jjoypowell @sar_sinclair @WePharmerOZ Tassie is higher than the national average for smoking #wephoz
@AarondsouzaD
05 October 2016 20:14
@sar_sinclair #WePHoz No doubt Sarah - smoking rates are declining, smoking is a factor in COPD susceptibility as well as Chronic Asthma.
@Jjoypowell
05 October 2016 20:14
@sdturner7 some populations are more vulnerable - aboriginal populations have higher smoking rates#wephoz
@WePharmerOZ
05 October 2016 20:15
what are the other risk factors Aaron?? #wephoz https://twitter.com/AarondsouzaD/status/783611352556277761
@pguthreyRx
05 October 2016 20:15
@Jjoypowell @sar_sinclair @WePharmerOZ Demonstrates importance of asking re smoking history,not just #smoking status when #screening #wephoz
@sar_sinclair
05 October 2016 20:15
@KennyPharmPhD @sdturner7 @Jjoypowell @WePharmerOZ interesting, I wonder how resources will be rationalised down the track #wephoz
@pharmerfour
05 October 2016 20:15
@pguthreyRx @AarondsouzaD approaching statistics for undiagnosed diabetes. Important to be mindful of those at risk #wephoz
@WePharmerOZ
05 October 2016 20:15
@pguthreyRx @Jjoypowell @sar_sinclair well said! #wephoz
@WePharmerOZ
05 October 2016 20:15
#wephoz https://twitter.com/NAPSA_President/status/783611604709416960
@WePharmerOZ
05 October 2016 20:16
RT @pharmerfour: @pguthreyRx @AarondsouzaD approaching statistics for undiagnosed diabetes. Important to be mindful of those at risk #wephoz
@pharmerfour
05 October 2016 20:16
@sdturner7 @Jjoypowell @sar_sinclair @WePharmerOZ #wephoz - that's not the number I would have predicted
@DRugby56
05 October 2016 20:16
lots of opportunity for community pharmacists for supporting pts with COPD, fluticasone+salmeterol in top 10 PBS drugs @ $177M #wephoz
@CapitalChemUC
05 October 2016 20:16
Occupational exposure would have to be the up and coming risk? #wephoz https://twitter.com/WePharmerOZ/status/783611501365956609
@pguthreyRx
05 October 2016 20:16
@CapitalChemUC Important to think about #stagesofchange + Diclemente model... can't advance too fast #motivationalinterviewing #5As #wephoz
@KrystiRigby
05 October 2016 20:16
@pharmerfour @sar_sinclair @WePharmerOZ There is a bit of lag time from ex-smokers and developing COPD later in life #wephoz
@KennyPharmPhD
05 October 2016 20:16
@sar_sinclair @sdturner7 @Jjoypowell @WePharmerOZ could you elaborate? #wephoz
@WePharmerOZ
05 October 2016 20:17
RT @CapitalChemUC: Occupational exposure would have to be the up and coming risk? #wephoz https://twitter.com/WePharmerOZ/status/783611501365956609
@pharmerfour
05 October 2016 20:17
@WePharmerOZ #wephoz right in the thick of it. How many times do people try to quit? How many patients are seeing you for stubborn cough?
@WePharmerOZ
05 October 2016 20:17
So in pharmacy - how do you identify people to screen? Let’s think non-smokers here? or is smoking the crux? #wephoz
@pguthreyRx
05 October 2016 20:17
@NAPSA_President @WePharmerOZ So true. As student, reflect on interactions you see@placements. How can #pharmacist contribute more? #wephoz
@ArnavChug
05 October 2016 20:17
RT @CapitalChemUC: Occupational exposure would have to be the up and coming risk? #wephoz https://t.co/IbfbgDyZ9d
@sar_sinclair
05 October 2016 20:17
@KennyPharmPhD @sdturner7 @Jjoypowell @WePharmerOZ sorry! Expenditure on copd/health services based on stats like that #wephoz
@AarondsouzaD
05 October 2016 20:18
@WePharmerOZ #WePHoz A question for a question-how many asthma sufferers do you see a day?That places us as the screening forefront
@HMKnowles
05 October 2016 20:18
@WePharmerOZ And to continue to help with progress (information + motivation) #wephoz
@sdturner7
05 October 2016 20:18
RT @AarondsouzaD: @WePharmerOZ #WePHoz A question for a question-how many asthma sufferers do you see a day?That places us as the screenin…
@WePharmerOZ
05 October 2016 20:18
RT @AarondsouzaD: @WePharmerOZ #WePHoz A question for a question-how many asthma sufferers do you see a day?That places us as the screenin…
@Chris_Camp6ell
05 October 2016 20:18
@AarondsouzaD @pharmerfour #WEPHOZ all treatments (expect quitting smoking) require Script, any tips on how best to work in with prescriber?
@pharmerfour
05 October 2016 20:18
@AarondsouzaD @sar_sinclair #wephoz chronic asthma as a cause often overlooked. Importance of educating patients with asthma.
@WePharmerOZ
05 October 2016 20:18
RT @Chris_Camp6ell: @AarondsouzaD @pharmerfour #WEPHOZ all treatments (expect quitting smoking) require Script, any tips on how best to wor…
@pguthreyRx
05 October 2016 20:18
@CapitalChemUC Particularly in industrial areas, and in polluted cities. Some individuals are more vulnerable than others #wephoz
@DRugby56
05 October 2016 20:19
@WePharmerOZ patients with chronic cough = start the conversation #wephoz
@WePharmerOZ
05 October 2016 20:19
So the demand is HIGH - and screening essential for at-risk population. Who here #wephoz has experienced #COPD screening in pharmacy?
@ArnavChug
05 October 2016 20:19
@AarondsouzaD a question for a question for a question? How many COPD sufferers get misdiagnosed as asthma sufferers #wephoz
@WePharmerOZ
05 October 2016 20:19
I guess that’s QUESTION 2! #wephoz :) https://twitter.com/WePharmerOZ/status/783612601611673600
@Chris_Camp6ell
05 October 2016 20:20
@AarondsouzaD @WePharmerOZ #WEPHOZ what does "screening" involve? How long does it take?
@sdturner7
05 October 2016 20:20
RT @ArnavChug: @AarondsouzaD a question for a question for a question? How many COPD sufferers get misdiagnosed as asthma sufferers #wephoz
@pguthreyRx
05 October 2016 20:20
@DRugby56 huge opportunity for interventions 2 support ^ efficacy through adherence&technique.#Pharmacist best placed to support #wephoz
@AarondsouzaD
05 October 2016 20:20
@Chris_Camp6ell @pharmerfour #WePHoz Awareness. Discussion. Collaboration. Show them your capabilities. Do a test with them. Make it real.
@pharmerfour
05 October 2016 20:20
#wephoz and yet this treatment should not be first line in COPD - only for exacerbations. WISDOM and TORCH guiding… https://twitter.com/i/web/status/783612864288264192
@KennyPharmPhD
05 October 2016 20:20
@sar_sinclair @sdturner7 @Jjoypowell @WePharmerOZ ah! Good point. I think it'll just be a case of more anti-smoking 'campaigns' #wephoz
@ArnavChug
05 October 2016 20:20
RT @DRugby56: @WePharmerOZ patients with chronic cough = start the conversation #wephoz
@WePharmerOZ
05 October 2016 20:21
Stole the word’s right out of my mouth! @AarondsouzaD @pharmerfour care to elaborate on the process? #wephoz https://twitter.com/Chris_Camp6ell/status/783612696583286784
@DRugby56
05 October 2016 20:21
@ArnavChug @AarondsouzaD some with have ACOS (asthma COPD overlap syndrome) #wephoz
@CapitalChemUC
05 October 2016 20:21
Reinforce importance of adherence to prevent exacerbations. Not just on bad days. Every day. #wephoz https://twitter.com/pguthreyRx/status/783612742787661824
@pharmerfour
05 October 2016 20:21
@CapitalChemUC @WePharmerOZ #wephoz relatively increasing due to fall in smoking rates. Farmers, miners, cabinet makers... etc
@HMKnowles
05 October 2016 20:21
@pguthreyRx @NAPSA_President my exp is that it depends on phm and staffing levels.. most pcist want to help - not all have time #wephoz
@sar_sinclair
05 October 2016 20:22
@DRugby56 also check out Champix, over 300,000 PBS Rx in past 12 months, not incl private Rx. People wanting to quit! #wephoz
@pharmerfour
05 October 2016 20:22
@sar_sinclair @KennyPharmPhD @sdturner7 @Jjoypowell @WePharmerOZ will increase due to increased use and development of treatments #wephoz
@sdturner7
05 October 2016 20:22
RT @AarondsouzaD: @Chris_Camp6ell @pharmerfour #WePHoz Awareness. Discussion. Collaboration. Show them your capabilities. Do a test with…
@WePharmerOZ
05 October 2016 20:22
RT @AarondsouzaD: @Chris_Camp6ell @pharmerfour #WePHoz Awareness. Discussion. Collaboration. Show them your capabilities. Do a test with…
@WePharmerOZ
05 October 2016 20:23
Remember the #wephoz hashtag everyone :)
@pguthreyRx
05 October 2016 20:23
@pharmerfour @sdturner7 @Jjoypowell @sar_sinclair @WePharmerOZ Some demographics +++ e.g.low income,indigenous,GLBTI, mental health #wephoz
@WePharmerOZ
05 October 2016 20:23
Don’t forget to #wephoz @Jjoypowell :) https://twitter.com/Jjoypowell/status/783613301510971392
@CapitalChemUC
05 October 2016 20:23
Then join #capitalchemist where we set up stores to have that! #blatantplug #wephoz https://twitter.com/HMKnowles/status/783613148393635840
@pharmerfour
05 October 2016 20:23
@Chris_Camp6ell @AarondsouzaD referral pathways important. If you develop a screening service, referral essential #wephoz
@WePharmerOZ
05 October 2016 20:23
@CapitalChemUC do you have any screening success stories to share? #wephoz
@pharmerfour
05 October 2016 20:24
@WePharmerOZ #wephoz coming in 10 years now....
@WePharmerOZ
05 October 2016 20:24
did you find local GP’s who were motivated in COPD or just the dr next door? #wephoz ? https://twitter.com/pharmerfour/status/783613551118127106
@shefali_parekh1
05 October 2016 20:24
@WePharmerOZ back to basics. Check inhaler technique to reduce mis-treatment #wephoz
@pharmerfour
05 October 2016 20:24
@ArnavChug @AarondsouzaD #wephoz - and how many have both - a hard-to-categorise demographic.
@WePharmerOZ
05 October 2016 20:24
Congrats @pharmerfour - what are some success stories? #wephoz https://twitter.com/pharmerfour/status/783613713563521026
@M_Kay_Dunkley
05 October 2016 20:24
I was involved in RADICALS study as a pharmacist doing COPD screening in GP#wephoz
@Chris_Camp6ell
05 October 2016 20:25
@pharmerfour @AarondsouzaD #WEPHOZ have you seen many patients return with treatments from your screening programs?
@pguthreyRx
05 October 2016 20:25
@HMKnowles @NAPSA_President How we engage & short interventions can be most powerful. Think engaging questions & concise advice! #wephoz
@KennyPharmPhD
05 October 2016 20:25
@WePharmerOZ I remember when I was a student...a pt with COPD wasn't on Spiriva. Check DRPs! #wephoz
@DRugby56
05 October 2016 20:25
@CapitalChemUC @HMKnowles @pguthreyRx @NAPSA_President how do you involve pts GP in your service? Do you use #MyHealthRecord #wephoz
@pharmerfour
05 October 2016 20:25
#wephoz depends on the model. Counselling, piko, spirometer... each has a place & usefulness https://twitter.com/chris_camp6ell/status/783612696583286784
@WePharmerOZ
05 October 2016 20:25
@Chris_Camp6ell @pharmerfour @AarondsouzaD great question #wephoz https://twitter.com/Chris_Camp6ell/status/783614024793468928
@WePharmerOZ
05 October 2016 20:26
@pharmerfour @AarondsouzaD #wephoz https://twitter.com/DRugby56/status/783614127344267264
@WePharmerOZ
05 October 2016 20:26
#wephoz :) https://twitter.com/AarondsouzaD/status/783614011392655361
@M_Kay_Dunkley
05 October 2016 20:26
RADICALS screens smokers and ex-smokers for COPD. Difficult to recruit adequate numbers. #wephoz
@WePharmerOZ
05 October 2016 20:26
#wephoz : https://twitter.com/AarondsouzaD/status/783613703342071809
@pharmerfour
05 October 2016 20:27
#wephoz effective screening will take 30 minutes minimum. Spirometer takes the longest, but the most useful data is… https://twitter.com/i/web/status/783614543129747456
@AarondsouzaD
05 October 2016 20:27
@Chris_Camp6ell @pharmerfour #WePHoz Yes. Spiriva initiated on 3 patients
@WePharmerOZ
05 October 2016 20:27
what screening tool do you use/find most effective? Pico or does anyone actually have spirometry in store? #wephoz
@WePharmerOZ
05 October 2016 20:27
#wephoz: https://twitter.com/NAPSA_President/status/783612763520180225
@WePharmerOZ
05 October 2016 20:28
#wephoz :)) https://twitter.com/HMKnowles/status/783614538839044096
@pharmerfour
05 October 2016 20:28
#wephoz and address bad advice. Ever seen tiotropium prescribed PRN? Not appropriate. https://twitter.com/capitalchemuc/status/783613042567188480
@Chris_Camp6ell
05 October 2016 20:28
@pharmerfour @AarondsouzaD @WePharmerOZ #WEPHOZ how do you get your spiro results to the GP? Do you need to demonstrate any training quals?
@pguthreyRx
05 October 2016 20:28
@AarondsouzaD @Chris_Camp6ell @pharmerfour PiKO-6 #COPD screening test: While symptoms alone warrant attention,numbers prompt action #wephoz
@WePharmerOZ
05 October 2016 20:28
don’t forget to #wephoz ;) #wephoz #wephoz https://t.co/dFM8nfhwei
@pharmerfour
05 October 2016 20:29
@WePharmerOZ @Chris_Camp6ell @AarondsouzaD #wephoz both. once the service is available &a you communicate effectively, GPs appreciate it.
@M_Kay_Dunkley
05 October 2016 20:29
#wephoz Difficult to get good results from spirometry sometimes therefore need to allow adequate time. Need to repeat test at least 3 times.
@WePharmerOZ
05 October 2016 20:29
@NAPSA_President remember the #wephoz https://twitter.com/NAPSA_President/status/783614944495345664
@Chris_Camp6ell
05 October 2016 20:29
@pharmerfour @AarondsouzaD @WePharmerOZ #wephoz am guessing you are charging for the more "intensive" screening?
@DRugby56
05 October 2016 20:29
@WePharmerOZ very few pharmacists skilled to interpret spirometry, stick to screening Piko-6 & history #wephoz
@WePharmerOZ
05 October 2016 20:29
interesting! #wephoz https://twitter.com/Jjoypowell/status/783615046819586049
@WePharmerOZ
05 October 2016 20:29
@Jjoypowell great! #wephoz https://twitter.com/Jjoypowell/status/783615046819586049
@pguthreyRx
05 October 2016 20:30
@pharmerfour Yikes! Can't say I've seen that! #wephoz
@CapitalChemUC
05 October 2016 20:30
PRN Spiriva? Never happens in ACT. #sarcasm #wephoz https://t.co/9gdwtw58BP
@AarondsouzaD
05 October 2016 20:30
@WePharmerOZ #WePHoz Piko-6 has been shown in trials to be effective as a screening tool.At the cost it has less barriers to implementation
@pharmerfour
05 October 2016 20:30
#wephoz getting regular referrals from GPs is satisfying. Motivation for smoking cessation is also great. But COPD… https://t.co/G6MrgA0fAC
@shefali_parekh1
05 October 2016 20:30
@pguthreyRx @HMKnowles also having a non-judgemental approach is key to keep the pt engaged #wephoz
@sdturner7
05 October 2016 20:30
RT @AarondsouzaD: @WePharmerOZ #WePHoz Piko-6 has been shown in trials to be effective as a screening tool.At the cost it has less barriers…
@WePharmerOZ
05 October 2016 20:30
RT @AarondsouzaD: @WePharmerOZ #WePHoz Piko-6 has been shown in trials to be effective as a screening tool.At the cost it has less barriers…
@Chris_Camp6ell
05 October 2016 20:30
@AarondsouzaD @pharmerfour #wephoz that's great. Well done.
@M_Kay_Dunkley
05 October 2016 20:30
@DRugby56 @WePharmerOZ Training takes 2 days therefore not hard to train pharmacists #wephoz
@pguthreyRx
05 October 2016 20:31
@HMKnowles @WePharmerOZ With all the new devices on the market, its something that should be in all community #pharmacist #CPD Plan #wephoz
@pharmerfour
05 October 2016 20:31
#wephoz hundreds... especially as LAMA/LABA combinations came out & I could show a need to step up treatment. https://twitter.com/chris_camp6ell/status/783614024793468928
@sar_sinclair
05 October 2016 20:32
Seen it, fixed it! Win for the patient #wephoz @CapitalChemUC
@AarondsouzaD
05 October 2016 20:32
@DRugby56 @WePharmerOZ #WePHoz also allows for GP follow up with http://Spirometry.Gives the patient a sense of continuity of care
@pharmerfour
05 October 2016 20:32
@pguthreyRx @HMKnowles @NAPSA_President #wephoz leverage goodwill & relationships. Don't nag, but maintain the conversation over time
@WePharmerOZ
05 October 2016 20:32
absolutely! #wephoz https://twitter.com/pguthreyRx/status/783615546604478464
@CapitalChemUC
05 October 2016 20:32
And instant clinical intervention! #WEPHOZ https://twitter.com/sar_sinclair/status/783615729165742080
@pguthreyRx
05 October 2016 20:32
@NAPSA_President @HMKnowles Yes! Patient's don't need your judgement, they need support... they already will feel judged by others #wephoz
@Chris_Camp6ell
05 October 2016 20:33
@DRugby56 @WePharmerOZ #wephoz @pharmerfour do you think with the right training/credentialing this could change Debbie?
@WePharmerOZ
05 October 2016 20:33
So NEXT QUESTION - What education/training is recommended for pharmacists wanting to implement a service? #wephoz https://t.co/D2hidh88SL
@pguthreyRx
05 October 2016 20:33
@pharmerfour Do you have any concise phrasing to pick up adherence issues vs inadequate doses? #wephoz
@WePharmerOZ
05 October 2016 20:33
@Chris_Camp6ell @DRugby56 @pharmerfour and what training exactly is required?? #wephoz
@pharmerfour
05 October 2016 20:34
#wephoz not everyone will have heard of this yet Kay. Would you like to elaborate? https://twitter.com/m_kay_dunkley/status/783614361885560833
@WePharmerOZ
05 October 2016 20:34
Good question @pguthreyRx #wephoz https://twitter.com/pguthreyRx/status/783616101007499264
@DRugby56
05 October 2016 20:34
@pguthreyRx @NAPSA_President @HMKnowles yes, build relationship #trust #respect #loyalty #wephoz
@M_Kay_Dunkley
05 October 2016 20:34
@pguthreyRx @NAPSA_President @HMKnowles The smokers I saw in RADICALS often had lots of social issues which made it hard to quit #wephoz
@sar_sinclair
05 October 2016 20:34
Indeed, One with far more weight than some interventions I've seen recorded #wephoz @CapitalChemUC
@sdturner7
05 October 2016 20:34
RT @WePharmerOZ: So NEXT QUESTION - What education/training is recommended for pharmacists wanting to implement a service? #wephoz https://…
@WePharmerOZ
05 October 2016 20:34
RT @WePharmerOZ: So NEXT QUESTION - What education/training is recommended for pharmacists wanting to implement a service? #wephoz https://…
@WePharmerOZ
05 October 2016 20:34
#wephoz :))) https://twitter.com/NAPSA_President/status/783616388678062080
@WePharmerOZ
05 October 2016 20:34
@Jjoypowell what resources does the @Lungfoundation have for pharmacists #wephoz
@pharmerfour
05 October 2016 20:35
#wephoz spirometry requires further training - the Alfred has an excellent course for anyone interested. DO NOT DO… https://twitter.com/i/web/status/783616527627018240
@pguthreyRx
05 October 2016 20:35
@M_Kay_Dunkley @NAPSA_President @HMKnowles RADICALS? Should I be familiar with this acronym? #wephoz
@Chris_Camp6ell
05 October 2016 20:35
@pguthreyRx @HMKnowles @WePharmerOZ #wephoz agree!! Have seen more dramas with the respimat than I have with the handihaler!
@WePharmerOZ
05 October 2016 20:35
5-10mins? That's quick #wephoz https://twitter.com/Jjoypowell/status/783616498480754688
@AarondsouzaD
05 October 2016 20:35
@WePharmerOZ #WePHoz The LFA @Lungfoundation training for pharmacists is excellent
@ArnavChug
05 October 2016 20:35
@WePharmerOZ Lung Foundation COPD Pharmacy Training and Support Program #wephoz
@sar_sinclair
05 October 2016 20:35
I think one thing missing is often an implementation plan and proper project plan to do the service properly! #wephoz @WePharmerOZ
@shefali_parekh1
05 October 2016 20:35
@DRugby56 @pguthreyRx @HMKnowles we should be friendly neighbourhood pharmacists, not scary authoritative figures #wephoz
@WePharmerOZ
05 October 2016 20:36
I hope no one disagrees with you there - training essential! #wephoz https://t.co/hpxvwg8hBX
@KennyPharmPhD
05 October 2016 20:36
@Chris_Camp6ell @pguthreyRx @HMKnowles @WePharmerOZ interesting! I wonder why #wephoz
@DRugby56
05 October 2016 20:36
@Chris_Camp6ell @WePharmerOZ @pharmerfour spirometry is diagnostic & $$$ equipment, stick to screening, adherence, device technique #wephoz
@pharmerfour
05 October 2016 20:36
@Chris_Camp6ell @AarondsouzaD @WePharmerOZ #wephoz - I only do spirometry, but yes it is more time consuming Therefore costs more.
@Chris_Camp6ell
05 October 2016 20:36
@pharmerfour @AarondsouzaD #wephoz so glad you get to close the loop. Shows how critical the screening and follow up is.
@shefali_parekh1
05 October 2016 20:36
@pguthreyRx @M_Kay_Dunkley @HMKnowles also not sure of this term haha #wephoz
@M_Kay_Dunkley
05 October 2016 20:36
@pharmerfour #wephoz RADICALS mutlicentre study GP practice with pharmacist screening for COPD + interventions such as pulmonary rehab & HMR
@CapitalChemUC
05 October 2016 20:36
NOT TO MENTION confirmation of correct technique on many new devices #wephoz Clinical intervention likely https://t.co/Ckl3o4ZsgL
@sdturner7
05 October 2016 20:36
I’ve done this training - excellent resource #wephoz even just for updating knowledge (Y) https://t.co/gKShBtdRpF
@ArnavChug
05 October 2016 20:37
focuses on Risk assessment and screening, Disease State Management and Planning a COPD Service, all important domains #wephoz
@WePharmerOZ
05 October 2016 20:37
RT @pharmerfour: @Chris_Camp6ell @AarondsouzaD @WePharmerOZ #wephoz - I only do spirometry, but yes it is more time consuming Therefore cos…
@HMKnowles
05 October 2016 20:37
@pharmerfour thanks for the info!!! #wephoz
@pguthreyRx
05 October 2016 20:37
@pharmerfour Wise words! It's easily stuffed up unless skilled. PiKO6 a much more manageable device for initial service introduction #wephoz
@sar_sinclair
05 October 2016 20:37
Not hard, good practice and good for patient records to have it recorded in Guildcare #wephoz @CapitalChemUC
@sdturner7
05 October 2016 20:37
What do you charge Jarrod #wephoz https://twitter.com/pharmerfour/status/783616836633886720
@Chris_Camp6ell
05 October 2016 20:38
@WePharmerOZ @DRugby56 @pharmerfour #wephoz Alfred offer a great 2 day spirometry course. Jarrod do you know of others?
@WePharmerOZ
05 October 2016 20:38
Thanks for the link @Jjoypowell #wephoz https://twitter.com/Jjoypowell/status/783617250506878977
@WePharmerOZ
05 October 2016 20:38
I believe this is the link #wephoz http://lungfoundation.com.au/health-professionals/training-and-education/copd-pharmacy-training-and-support-program/ (Y) https://twitter.com/Jjoypowell/status/783617250506878977
@WePharmerOZ
05 October 2016 20:38
@pharmerfour #wephoz ;) https://twitter.com/pharmerfour/status/783617219552882689
@AarondsouzaD
05 October 2016 20:38
@pharmerfour #wephoz Agreed! Not just the pharmacist. Share with the schedules team. My interns and students helped a lot
@sdturner7
05 October 2016 20:38
RT @Chris_Camp6ell: @WePharmerOZ @DRugby56 @pharmerfour #wephoz Alfred offer a great 2 day spirometry course. Jarrod do you know of others?
@WePharmerOZ
05 October 2016 20:38
RT @Chris_Camp6ell: @WePharmerOZ @DRugby56 @pharmerfour #wephoz Alfred offer a great 2 day spirometry course. Jarrod do you know of others?
@DRugby56
05 October 2016 20:39
@Chris_Camp6ell @pguthreyRx @HMKnowles @WePharmerOZ are all pharmacists loading and priming Respiratory? #wephoz
@pguthreyRx
05 October 2016 20:39
@sar_sinclair @CapitalChemUC Theres a function 2 save common intervention in #GuildCare useful for inhaler technique @MedicineInfoAU #wephoz
@WePharmerOZ
05 October 2016 20:39
I see! #wephoz https://twitter.com/pharmerfour/status/783617483634712576
@pharmerfour
05 October 2016 20:39
@CapitalChemUC #wephoz - doesn't happen once they've been through my dispensary either. Patient and GP consulted and educated.
@sdturner7
05 October 2016 20:39
@AarondsouzaD @pharmerfour I believe @Lungfoundation has done trainings at @NAPSAcongress in past @NAPSA_President @NAPSA_Rx #wephoz
@WePharmerOZ
05 October 2016 20:40
Is guild care the go-to for most of you screening in store? @pharmerfour @AarondsouzaD @CapitalChemUC #wephoz https://twitter.com/pguthreyRx/status/783617586730643456
@WePharmerOZ
05 October 2016 20:40
Do you have a link to that @Jjoypowell ? Side note, remember the #wephoz :) https://twitter.com/Jjoypowell/status/783617450621317120
@shefali_parekh1
05 October 2016 20:41
@sdturner7 @AarondsouzaD @pharmerfour @Lungfoundation @NAPSAcongress @NAPSA_Rx and we can continue to do do! Training is key #wephoz
@pharmerfour
05 October 2016 20:41
@Chris_Camp6ell @AarondsouzaD #wephoz and great collaboration. GPs very much respect your knowledge when you demonstrate it.
@M_Kay_Dunkley
05 October 2016 20:42
@pguthreyRx @NAPSA_President @HMKnowles #wephoz pharmacists working with GPs but practice based rather than community based.
@pguthreyRx
05 October 2016 20:42
@WePharmerOZ Also online training for #pharmacy designed by @Lungfoundation with expert clinical review.. including some people in #wephoz
@pharmerfour
05 October 2016 20:42
@CapitalChemUC @sar_sinclair #wephoz I address technique on all patients in all presentations. Bad habits breed like wildfire
@ArnavChug
05 October 2016 20:43
RT @pharmerfour: @Chris_Camp6ell @AarondsouzaD #wephoz and great collaboration. GPs very much respect your knowledge when you demonstrate i…
@WePharmerOZ
05 October 2016 20:43
We’re coming toward the last 15 minutes of the chat. Let’s discuss viability and service provision! what are the essentials?? #wephoz
@sar_sinclair
05 October 2016 20:43
Absolutely - all in one place, I can see what and when an ITC or screen has last been done #wephoz
@M_Kay_Dunkley
05 October 2016 20:43
@WePharmerOZ #wephoz Pharmacists have the skills but for follow-up need close liaison with GPs for prescribing meds.
@AarondsouzaD
05 October 2016 20:43
@WePharmerOZ @pharmerfour @CapitalChemUC #wephoz Yes
@WePharmerOZ
05 October 2016 20:44
@pharmerfour @pharmerfour @CapitalChemUC what is important to consider to ensure a viable and continued service in store!? #wephoz
@pharmerfour
05 October 2016 20:44
@pguthreyRx #wephoz and still respect the PIKO - it can be done poorly too. It's not foolproof.
@pguthreyRx
05 October 2016 20:44
@WePharmerOZ @pharmerfour @AarondsouzaD @CapitalChemUC No other online system I've seen offers effective clinical notes capacity. #wephoz
@sdturner7
05 October 2016 20:44
RT @M_Kay_Dunkley: @WePharmerOZ #wephoz Pharmacists have the skills but for follow-up need close liaison with GPs for prescribing meds.
@WePharmerOZ
05 October 2016 20:44
RT @M_Kay_Dunkley: @WePharmerOZ #wephoz Pharmacists have the skills but for follow-up need close liaison with GPs for prescribing meds.
@CapitalChemUC
05 October 2016 20:44
Must be viable as a stand alone service with a REALISTIC hourly rate reflecting professional contribution #wephoz https://twitter.com/WePharmerOZ/status/783618550749507584
@M_Kay_Dunkley
05 October 2016 20:44
@WePharmerOZ #wephoz what is being charged for this service in the community?
@DRugby56
05 October 2016 20:44
@CapitalChemUC @sar_sinclair only takes 2-3 months to 'un-learn' device technique, need to regularly check in pharmacy #wephoz
@ArnavChug
05 October 2016 20:44
Pharmacist and staff training, and everyone being on the same page pre-implementation is key to a good service #wephoz
@WePharmerOZ
05 October 2016 20:44
RT @DRugby56: @CapitalChemUC @sar_sinclair only takes 2-3 months to 'un-learn' device technique, need to regularly check in pharmacy #wephoz
@Chris_Camp6ell
05 October 2016 20:44
@pharmerfour @AarondsouzaD #wephoz is this where you are recording screening & results including patients returning on treatment?
@pharmerfour
05 October 2016 20:44
@sdturner7 @Chris_Camp6ell @AarondsouzaD @WePharmerOZ #wephoz - generally about $30.... but I've paid off my spirometer. With a new one....
@WePharmerOZ
05 October 2016 20:44
What are some of the greatest challenges in keeping a service like this going? #wephoz https://twitter.com/WePharmerOZ/status/783618550749507584
@sar_sinclair
05 October 2016 20:45
@DRugby56 @CapitalChemUC agreed! And records in a repository such as guildcare can help track technique improvements #wephoz
@pguthreyRx
05 October 2016 20:45
@sar_sinclair With access at dispense and in #consultationroom and prof. services counter, its the only way I can offer to customer #wephoz
@sdturner7
05 October 2016 20:45
Needs a champion to own the service in store and train staff am I right @AarondsouzaD ? #wephoz https://twitter.com/ArnavChug/status/783618940014473216
@HMKnowles
05 October 2016 20:46
@M_Kay_Dunkley @WePharmerOZ A diabetes talk I went to spoke about developing referral criteria and networks.. could translate 2 COPD #wephoz
@M_Kay_Dunkley
05 October 2016 20:46
@pharmerfour @pguthreyRx #wephoz patients need to practice as well, may not get accurate results on first blow.
@Jjoypowell
05 October 2016 20:46
Guildcare has a COPD screening module #wephoz
@pharmerfour
05 October 2016 20:46
#wephoz this CPE is essential for any pharmacist contemplating a COPD screening service. Worth the investment. https://twitter.com/wepharmeroz/status/783617386725257216
@WePharmerOZ
05 October 2016 20:46
how do you market the service? #wephoz https://twitter.com/CapitalChemUC/status/783618857130860544
@ArnavChug
05 October 2016 20:46
@WePharmerOZ lack of follow up or a document trail, pt could get lost easily #wephoz
@sdturner7
05 October 2016 20:46
RT @Jjoypowell: Guildcare has a COPD screening module #wephoz
@WePharmerOZ
05 October 2016 20:46
RT @Jjoypowell: Guildcare has a COPD screening module #wephoz
@KennyPharmPhD
05 October 2016 20:47
@ArnavChug side note. Perhaps there's a need for change-management-type CPD event @PSA_National #wephoz
@AarondsouzaD
05 October 2016 20:47
@WePharmerOZ @pharmerfour @CapitalChemUC #wephoz https://t.co/nAuPJuIk4l
@pguthreyRx
05 October 2016 20:47
@ArnavChug Essential. For non-clinical staff, this could be at a staff meeting. Needs to be more for #pharmacists #wephoz
@sar_sinclair
05 October 2016 20:47
@Andrewpatto75 nothing like the 5 P Pentagon to get you warmed up #WePharmerOZ #wephoz
@M_Kay_Dunkley
05 October 2016 20:47
@pharmerfour #wephoz Yes training takes 2 days and then lots of practice.
@WePharmerOZ
05 October 2016 20:47
we need to frame this on the summary page! #wephoz https://twitter.com/AarondsouzaD/status/783619541871923200
@sdturner7
05 October 2016 20:47
RT @pharmerfour: #wephoz this CPE is essential for any pharmacist contemplating a COPD screening service. Worth the investment. https://t.c…
@WePharmerOZ
05 October 2016 20:47
RT @pharmerfour: #wephoz this CPE is essential for any pharmacist contemplating a COPD screening service. Worth the investment. https://t.c…
@pharmerfour
05 October 2016 20:48
@AarondsouzaD #wephoz always @AHPRA registered. If it's not done by an AHPRA registered professional it's not on.
@ArnavChug
05 October 2016 20:48
Referral criteria is crucial #wephoz https://twitter.com/HMKnowles/status/783619240926453760
@WePharmerOZ
05 October 2016 20:48
record everything - for yours and patients sake! #wephoz https://twitter.com/ArnavChug/status/783619411059933184
@sdturner7
05 October 2016 20:48
RT @AarondsouzaD: @WePharmerOZ @pharmerfour @CapitalChemUC #wephoz https://t.co/nAuPJuIk4l
@WePharmerOZ
05 October 2016 20:48
RT @AarondsouzaD: @WePharmerOZ @pharmerfour @CapitalChemUC #wephoz https://t.co/nAuPJuIk4l
@WePharmerOZ
05 October 2016 20:49
#wephoz . https://twitter.com/pharmerfour/status/783619152825028608
@HMKnowles
05 October 2016 20:49
Gr8 summary of implementing COPD Screening in comm pharmacy #wephoz https://twitter.com/AarondsouzaD/status/783619541871923200
@ArnavChug
05 October 2016 20:49
@KennyPharmPhD @PSA_National would be very handy #wephoz
@sdturner7
05 October 2016 20:49
RT @WePharmerOZ: What are some of the greatest challenges in keeping a service like this going? #wephoz https://twitter.com/WePharmerOZ/status/783618550749507584
@WePharmerOZ
05 October 2016 20:49
RT @WePharmerOZ: What are some of the greatest challenges in keeping a service like this going? #wephoz https://twitter.com/WePharmerOZ/status/783618550749507584
@AarondsouzaD
05 October 2016 20:49
@sdturner7 #wephoz ABSOLUTELY!
@pharmerfour
05 October 2016 20:49
@WePharmerOZ #wephoz I record that a service has happened there, but I have proprietary software.
@pguthreyRx
05 October 2016 20:49
@Jjoypowell And ready to go at any moment in GuildCare subscribed #pharmacy. @Lungfoundation can give pointers 4 setting up service #wephoz
@DRugby56
05 October 2016 20:49
@ArnavChug @WePharmerOZ upload results #COPDscreening to #MyHealthRecord #wephoz
@sar_sinclair
05 October 2016 20:49
@Andrewpatto75 #wephoz chat looking at COPD services in pharmacy, worth jumping in! Service delivery and model a big component!
@pharmerfour
05 October 2016 20:50
@sdturner7 @AarondsouzaD @ArnavChug #wephoz with every service.
@pguthreyRx
05 October 2016 20:50
@WePharmerOZ If it isn't written down, it didn't happen. Can't offer #pharmacy care without ongoing records. #wephoz
@WePharmerOZ
05 October 2016 20:50
@sar_sinclair @Andrewpatto75 Better jump in quick. 10mins till it ends #wephoz
@Chris_Camp6ell
05 October 2016 20:50
@Jjoypowell #wephoz do you have any data of outcomes from screening using GuildCare?
@pharmerfour
05 October 2016 20:50
@ArnavChug @WePharmerOZ #wephoz - makes doing the screening pointless.
@pguthreyRx
05 October 2016 20:51
@AarondsouzaD @sdturner7 Aaron is a prime example of that. A champion breathes energy & sustainability into the service #wephoz
@Philip_Smith007
05 October 2016 20:51
@DRugby56 @CapitalChemUC @sar_sinclair muscle memory! #wephoz
@WePharmerOZ
05 October 2016 20:51
So let’s hear some take home points - What have you all learned about #COPD screening tonight?!? #wephoz
@ArnavChug
05 October 2016 20:51
@pguthreyRx exactly, they could act as very effective flaggers at the first point of call #wephoz
@sdturner7
05 October 2016 20:51
RT @WePharmerOZ: So let’s hear some take home points - What have you all learned about #COPD screening tonight?!? #wephoz
@WePharmerOZ
05 October 2016 20:51
RT @WePharmerOZ: So let’s hear some take home points - What have you all learned about #COPD screening tonight?!? #wephoz
@sdturner7
05 October 2016 20:52
Anyone thinking about where to start with CPE @Lungfoundation would be great place to start! #wephoz http://lungfoundation.com.au/health-professionals/training-and-education/copd-pharmacy-training-and-support-program/
@WePharmerOZ
05 October 2016 20:52
RT @sdturner7: Anyone thinking about where to start with CPE @Lungfoundation would be great place to start! #wephoz http://lungfoundation.com.au/health-professionals/training-and-education/copd-pharmacy-training-and-support-program/
@WePharmerOZ
05 October 2016 20:53
#wephoz .. https://twitter.com/pharmerfour/status/783620914961264640
@sar_sinclair
05 October 2016 20:53
Record everything, have a plan, follow up and collaboration will other providers #wephoz
@pguthreyRx
05 October 2016 20:53
RT @sdturner7: Anyone thinking about where to start with CPE @Lungfoundation would be great place to start! #wephoz http://lungfoundation.com.au/health-professionals/training-and-education/copd-pharmacy-training-and-support-program/
@WePharmerOZ
05 October 2016 20:53
@AarondsouzaD @pharmerfour what are your take home points for those at home? #wephoz
@M_Kay_Dunkley
05 October 2016 20:53
@WePharmerOZ #wephoz Training essential. Need to enable follow-up with GP. Need commitment and enthusiasm. Good marketing and flexibility.
@WePharmerOZ
05 October 2016 20:53
Great points Sarah! #wephoz https://twitter.com/sar_sinclair/status/783621043936120832
@pguthreyRx
05 October 2016 20:54
@ArnavChug Any cough that has lasted >3 weeks needs a pharmacist, not a cough syrup! Great red flag #wephoz
@AarondsouzaD
05 October 2016 20:54
#wephoz In 4 weeks my team completed 40 screenings - we had 4 patients identified, referred and followed up.
@ArnavChug
05 October 2016 20:54
Believe and get your staff to believe in the service, document, build relationships but don't nag them #wephoz
@WePharmerOZ
05 October 2016 20:54
multidisciplinary communication - a key point highlighted in almost all #wephoz chats so far! thanks Kay! #wephoz https://twitter.com/M_Kay_Dunkley/status/783621197820891136
@WePharmerOZ
05 October 2016 20:54
RT @pguthreyRx: @ArnavChug Any cough that has lasted >3 weeks needs a pharmacist, not a cough syrup! Great red flag #wephoz
@HMKnowles
05 October 2016 20:54
@WePharmerOZ 1. training (all staff) via the alfred or lung foundation 2. COPD Risk factors - chronic asthma often overlooked #wephoz
@pguthreyRx
05 October 2016 20:55
@WePharmerOZ That we should have scheduled 2 hours for this chat! Has been wonderfully stimulating. Lots of interest in opportunity #wephoz
@sar_sinclair
05 October 2016 20:55
@WePharmerOZ aaawww thanks #goldstar #focussed #roseceremonydone #wephoz
@WePharmerOZ
05 October 2016 20:55
Build your team - find a champion to lead the service. Thanks @ArnavChug #wephoz https://twitter.com/ArnavChug/status/783621404805607424
@WePharmerOZ
05 October 2016 20:55
Quote of the night? #wephoz https://twitter.com/pguthreyRx/status/783621515904323585
@pharmerfour
05 October 2016 20:55
@WePharmerOZ #wephoz my take home is that every smoker should be screened. Have the discussion. Use the Lung Age Calculator to motivate Quit
@AarondsouzaD
05 October 2016 20:55
@WePharmerOZ @pharmerfour #wephoz 1) Complete training 2) Implement checklist (I can provide one) 3) Excite team 4) Do a few!! 5) Review
@Chris_Camp6ell
05 October 2016 20:55
#wephoz @pharmerfour @AarondsouzaD what happens after you screen? Any follow up over the patient journey other than technique?
@GilbertYeates
05 October 2016 20:55
RT @sar_sinclair: Record everything, have a plan, follow up and collaboration will other providers #wephoz
@WePharmerOZ
05 October 2016 20:55
Thanks for joining @pguthreyRx ! What are your take home points #wephoz ? https://twitter.com/pguthreyRx/status/783621515904323585
@ArnavChug
05 October 2016 20:56
RT @pguthreyRx: @ArnavChug Any cough that has lasted >3 weeks needs a pharmacist, not a cough syrup! Great red flag #wephoz
@WePharmerOZ
05 October 2016 20:56
RT @AarondsouzaD: @WePharmerOZ @pharmerfour #wephoz 1) Complete training 2) Implement checklist (I can provide one) 3) Excite team 4) Do a…
@pguthreyRx
05 October 2016 20:56
@AarondsouzaD A massive intervention rate for any screening program! Data suggests av. #pharmacy has ~75 undiagnosed #COPD pts #wephoz
@AarondsouzaD
05 October 2016 20:56
@WePharmerOZ @pharmerfour #wephoz https://t.co/rK1qbpxSGY
@pharmerfour
05 October 2016 20:56
@HMKnowles @WePharmerOZ #wephoz Lung Foundation training first, then follow up with The Alfred for spirometry. Amazing course.
@WePharmerOZ
05 October 2016 20:57
RT @AarondsouzaD: @WePharmerOZ @pharmerfour #wephoz https://t.co/rK1qbpxSGY
@ArnavChug
05 October 2016 20:57
RT @pharmerfour: @WePharmerOZ #wephoz my take home is that every smoker should be screened. Have the discussion. Use the Lung Age Calculato…
@Jjoypowell
05 October 2016 20:57
practice on family, friends and colleagues to get skills up #wephoz
@sar_sinclair
05 October 2016 20:57
#5 Part of any good project and business plan! #wephoz @WePharmerOZ @AarondsouzaD @pharmerfour
@M_Kay_Dunkley
05 October 2016 20:57
@Chris_Camp6ell @pharmerfour @AarondsouzaD #wephoz repeat testing to ensure medication regimen is appropriate, pulmonary rehab, reg exercise
@pguthreyRx
05 October 2016 20:58
@pharmerfour @WePharmerOZ Lung Age Calculator a great tool. Be aware of limitations so as not to give false comfort in OK result #wephoz
@pharmerfour
05 October 2016 20:58
@Chris_Camp6ell @AarondsouzaD #wephoz lots. Repeat spirometry to motivate compliance and quitting. Monitor technique and side effects
@shefali_parekh1
05 October 2016 20:58
@WePharmerOZ thanks for the chat!Pharmacists have huge potential for COPD prevention and treatment, we just have to use it ???? #wephoz
@HMKnowles
05 October 2016 20:58
@AarondsouzaD @WePharmerOZ @pharmerfour Thanks for your time and expertise #wephoz
@pguthreyRx
05 October 2016 20:58
RT @AarondsouzaD: @WePharmerOZ @pharmerfour #wephoz https://t.co/rK1qbpxSGY
@WePharmerOZ
05 October 2016 20:59
We agree thanks to our guest hosts tonight! hope you all enjoy the chat! #wephoz https://t.co/JQnlLojMND
@pharmerfour
05 October 2016 20:59
@Jjoypowell #wephoz and use th nose peg! It makes a difference
@M_Kay_Dunkley
05 October 2016 20:59
@pharmerfour @Chris_Camp6ell @AarondsouzaD #wephoz Also encourage exercise & pulmonary rehab.
@WePharmerOZ
05 October 2016 20:59
THAT’S ALL FOLKS! Be sure to look out for our next #wephoz chat via the hashtag or follow @WePharmerOZ have a good night! #wephoz
@AarondsouzaD
05 October 2016 20:59
@Chris_Camp6ell @pharmerfour #wephoz the importance of recording - disp profile,in GC. Ask them to come back. Offer them other services




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