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OTC Exercise outcome: Recommend medications advanced feedback

Recommend medications advanced feedback

The advanced mode is designed around the idea of treatment groups. A treatment group is a group of equivalent medications that could be used to treat the patient in the given circumstances. For example, a treatment group could be made up of equivalent cough medicines to treat a cough.

Treatment groups have feedback fields that are displayed based on what the student chooses. If the student recommends a medication set in the treatment group, correct feedback is displayed. Otherwise incorrect feedback is displayed for not treating that condition.

Treatment group types

There are two types of treatment groups, Required Treatment Groups and Supplementary Treatment Groups.

Required Treatment Groups are groups of medicines that should be recommended to treat the patient properly.

For example, for a cold, cough medicines should be a required treatment group.

Supplementary Treatment Groups are extra treatments that the patient could receive but aren’t strictly necessary for a good result. A supplementary treatment group could be made for a range of decongestants to go along with the cough medication.

The difference between the required and supplementary treatment groups is the feedback context. If the student does not recommend a medication from a required group that should be considered failure to treat the patient correctly. Supplementary groups aren’t required, so feedback should suggest that the patient could be given medicines for additional treatment.

Supplementary groups can be used to flesh out the exercise with more detail and are completely optional when creating an advanced mode scenario.

At least one required treatment group must exist with recommend medications selected. Any number of treatment groups may exist in an exercise.

To add a treatment group, click the add treatment group button.

This will open up the Create treatment product group panel.

At the top are the options for the treatment group, followed by the beneficial medications for the group, the harmful medications and the feedback fields for the group.

Treatment group names are used to describe what the treatment group is treating. These names are not shown to students at any point and are used to identify groups in the exercise designer only.

For example, ‘Cough Medicines’ could be used for the cough medicines required treatment group and ‘Decongestants’ used for the supplementary group.

Description is to describe to the student what the products should be trying to treat. The description is displayed below the feedback given to the patient. For example, ‘The patient’s cough could be treated using some of the following medicines.”

The Beneficial Medications in a treatment group are medications that will be benefit the patient or are the ‘correct’ medications. So long as the student selects one of these medications, the correct feedback will be displayed for this treatment group.

Harmful medications is optional and are used to select medications that could potentially harm the patient if they were recommended. If the student selects a harmful medication, appropriate feedback is displayed. This feedback is displayed even if the student selects a beneficial medication for the treatment group, as the harm outweighs the benefit.

For example, if the patient had an allergy to certain types of cough medicines, they would go in the harmful medications group. If the student recommended one of those medications, then the appropriate feedback would be displayed.

Each set of medications is managed by clicking the Manage Harmful or Beneficial Medications button which will display the OTC Management Screen.

Unlike other medication selection screens in MyDispense, the OTC Management Screen allows multiple medications to be selected at once.

To select a medication, click on the medication row in the table. Any medication you select will persist through searches and appears with a yellow highlight on the row.

If you want to see the contents of your current selection, use the ‘selected’ search option.

Note: If you have any other search options selected, they will still be matched even with the selection search option enabled. Remember to clear your other search options first.

If you want to add medications in bulk from a category, select the desired category from the category search drop down menu. Once selected click the add category medications button.

Clicking the button will add medications in that category to the medication selection by highlighting all medications in that category. A notice will appear at the top of the screen with the number of medications added to the selection.

Once a category of medications has been added to the selection, they can be de-selected by clicking the rows of the undesired medications. To more easily facilitate this, use the selected search filter.

When selecting medications, there are a few rules. A medication that has been selected as beneficial in one treatment group cannot be added as harmful in another and vice versa. Medications be selected in other groups, but they must match the selection in the other group. For example, a beneficial medication selected in one group can be selected as a beneficial medication in another group.

Medications that break these rules will not appear in medication selection screen where the rule is broken. They cannot be selected by the category add button either.

Once the desired medications have been selected, click the update medications button at the bottom of the management screen. The treatment group screen will be updated with the selected medications.

After selecting Beneficial medications from the group, a ‘preferred’ medication out of the selection can be set for the group.

The preferred medication indicates that there is a medication in the group that is most suited for the task at hand, either by the patient’s request or some other factor.

To set a preferred beneficial medication, click the preferred checkbox next to the medication in the beneficial medication list.

Selected medications can be removed from the group by clicking on the remove button next to the medication.

Each treatment group has its own set of feedback fields. They are Medication Instructions, Beneficial Feedback, Harmful Feedback (if harmful medications have been set) and Did not select any medications feedback.

Medication instructions (counselling)
The Medication instructions appear in the counselling feedback section only if the student selects a beneficial medication from this group.

The medication instructions have been moved inside the treatment groups because the student may not recommend medications from each treatment group in an exercise.

Thus, only treatment groups that have had a beneficial medication recommended by the student will have their counselling feedback displayed, rather than displaying instructions for medications that have not been recommended properly.

Preferred medication feedback
Preferred medication feedback is displayed when the student recommends the preferred medication set in the beneficial medications list. The feedback should describe why selecting this medication over the others is a good choice for treating the patient.

If a preferred medication is not selected, this feedback field will not appear.

Beneficial medication feedback
Beneficial medication feedback is displayed when the student recommends a beneficial medication from the treatment group. The feedback should explain the reason why these medications will help the patient.

Harmful medication feedback
Harmful medication feedback is displayed if the student recommends a medication from the harmful medications list. If a harmful medication is selected, this feedback will be displayed even if the preferred or beneficial medications have been selected from the treatment group.

Student did not recommend a harmful or beneficial medication
The did not recommend field is catch all feedback that is displayed if the student does not recommend any of the beneficial/harmful medications set in the treatment group. The context of this feedback should be different based on whether the treatment group is required or supplemental.

If the treatment group is required, the feedback should inform the student that they failed to treat one of the primary conditions of the patient.

If the treatment group is supplementary, then the feedback should tell the student that further treatment is a possibility if they use some of these medications.

Once the feedback has been set, create the treatment group by clicking the create group button at the bottom of the screen.

The new treatment group will appear underneath the add treatment group button. The group display is in the following format: <name> <Number of beneficial medications> B <number of harmful medications> H <group required or optional>.

Clicking the edit button will open the treatment group screen where you can edit everything in the treatment group. Clicking delete will immediately delete the treatment group from the exercise.

Underneath the treatment group section there are two feedback fields, patient counselling and wrong outcome feedback. The patient counselling field should cover the general reasons for why the patient should take the medication. Anything specific to the medications in each treatment group should be set in the medications instructions field inside the treatment group.

Wrong outcome feedback is displayed when the student decides to not recommend any medications instead of recommending medications. The field should be used to explain that the student should have recommended treatment. The feedback screen for an incorrect outcome will not display any medications that they should have recommended.

After completing the feedback section validate the exercise to check for errors and publish the exercise. Click here to learn more about fixing errors.

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