2. Starting the consultation
Starting the consultation
A good starting point is to explain the role of a pharmacist to the patient. This not only helps them understand why you are talking to them – possibly at more length than usual – but also gives them an insight into how and why the pharmacy is a place they can come to for ongoing support without the need for an appointment.
A patient presenting a script for glaucoma medication for the first time may have been diagnosed recently or some time ago. It is sensible to explore their understanding of the condition and treatment. Their knowledge may be extensive or extremely limited, and may not be entirely accurate – so establish what information they have already received and be prepared to fill in any gaps or correct misunderstandings. It is worth the effort, as someone who has a good understanding of their condition is much more likely to comply with measures that have been recommended and therefore have better health outcomes.
Instilling eye drops correctly
- Wash hands and find a comfortable position, which may be standing, sitting in a chair (possibly in front of a mirror) or lying down
- Shake bottle if appropriate
- If standing or sitting, pull down the lower lid of the eye with one hand to create a pocket between the lid and the eye itself, then with the other hand squeeze or tap the bottle so the drop goes into the pocket. Alternatively, make a fist with one hand and place it on the cheek, slightly pulling down the eyelid with the knuckle to create a pocket, then hold the bottle in the other hand, resting it on the fist so it is above the eye, and squeeze or tap the bottle so the drop lands in the pocket. If lying down, balance the bottle on the bridge of the nose, then look upwards and squeeze or tap the bottle to dispense the drop. If it falls into the corner near the nose, turn the head slightly to the side to encourage the drop to run into the eye. If the eye drop doesn’t land where it needs to, repeat the process
- Immediately after putting in the drop, close the eye and press gently on the corner of the eye by the nose for around a minute to block the tear duct and prevent it running into the throat.
Information leaflets on eye drop administration are available from the Moorfields website.