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Consider BOTH at home and in-hospital medications

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Consideration if patient appears to be non-reliable historians

1. List categories of medications

“Can you list all your current prescription medications?”
“Do you take any non-prescription medications?” (painkillers, antacids, laxatives, sleep aids, etc.)
“Any herbal remedies, vitamins, or supplements?”
“Do you use puffers, creams, eye/ear drops, or injections?”

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2. Medication Signature

Question	Example
Name	“What’s it called?”
Dose	“How much do you take at a time?”
Route	“Do you swallow it, inhale it, apply it on skin?”
Frequency	“How often do you take it?”
Timing	“At what time of day?”
Indication	“What is it for?”
Duration	“How long have you been taking it?”
Prescriber	“Who prescribed it?”
Recent Changes	“Any dose changes or new meds recently?”
Effects	“Is it helping?
A/E	” Any side effects? ” → Screening. Can leave to Q4 = More Details
Adherence	“Have you ever missed a dose? Taken more/less that prescribed?”

3. Factors Affecting Adherence (AAAA)

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Assemble (Packaging)
- Bottle/dosette/blister packs
Access
- Where (Pharmacy/other sources)/Who (self/family/delivery)/How (financial coverage)
Assistance (management)
- Fully dependent/Directly observed/Periodically checked/Fully independent
Appreciation (understanding)

4. Allergies & Adverse Drug Reactions

“Any allergies to medications?”
“Ever had a bad reaction to a medication?
“ Can you describe what happened?”