MEDICATION THERAPY - · PDF fileShahirah Binti Zainudi Nicholas Leow Chun Wei Selayang Hospital Sibu Hospital Suhadah Binti Ahad

MEDICATION THERAPY ADHERENCE CLINIC :
RESPIRATORY
PHARMACEUTICAL SERVICES DIVISIONMINISTRY OF HEALTH MALAYSIA

MTAC PROTOCOL : RESPIRATORY
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First Edition, 2010Pharmaceutical Services DivisionMinistry of Health, Malaysia
ALL RIGHT RESERVED
No part of this publication may be reproduced, stored or transmittedin any form or by any means whether electronic, mechanical,photocopying, tape recording or others without written permission from the Senior Director of Pharmaceutical Services, Ministry of Health Malaysia.
Perpustakaan Negara Malaysia Cataloguing-in-Publication DataProtocol - Medication Therapy Adherence Clinic : Respiratory

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Preface
Pharmacy practice which was traditionally product centered has now shifted towards patient care.
Pharmaceutical care, which is comprehensive and patient focussed is vital in ensuring that patients
receive rational, safe and effective treatment.
Medication Therapy Adherence Clinic (MTAC) was introduced in 2004 as part of the clinical
pharmacy services in the Ambulatory Clinic System which emphasizes on medication management
to improve on quality, safety and cost-effectiveness of patient care. MTAC is operated by
pharmacists who provide drug therapy monitoring and patients education in improving their ability
to successfully manage disease condition and preventing debilitating symptoms together with
reducing the likelihood of medication errors. The service also includes clinical pharmacokinetic
consultation, laboratory monitoring and dosage adjustment of relevant medications.
This protocol is meant for clinical pharmacists involved in the management of chronic obstructive
respiratory disease (COPD) and asthma as which comprises outlines on the activity and
documentations in handling MTAC Respiratory. The availability of this protocol will enable the
standardization of practice and expansion of MTAC Respiratory services throughout Ministry of
Health (MOH) facilities.
I would like to commend the Clinical Pharmacy Working Committee (Respiratory Subspecialty),
Pharmaceutical Services Division, MOH for their contribution and commitment to the publication of
this protocol.
Thank you
HASNAH BINTI ISMAILDIRECTORPHARMACY PRACTICE AND DEVELOPMENTPHARMACEUTICAL SERVICES DIVISIONMINISTRY OF HEALTH MALAYSIA

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Chow Foong Yan Sui Chee FaiRaja Permaisuri Bainun Hospital, Ipoh Queen Elizabeth Hospital, Kota Kinabalu
Norhayati Mustapha Shaziyah AhmadRaja Perempuan Zainab II Hospital, Sultanah Bahiyah HospitalKota Bharu Alor Setar
Nur Mariana AyubSultanah Aminah HospitalJohor Bahru
Clinical Pharmacy Committee (Respiratory Subspecialty)
Abdol Malek Bin Abd Aziz Lim Yan ChunMelaka Hospital Sultanah Aminah Hospital, Johor Bahru
Shahirah Binti Zainudi Nicholas Leow Chun WeiSelayang Hospital Sibu Hospital
Suhadah Binti Ahad Nurulhayati Binti Abdul JamalMelaka Hospital Sultanah Nur Zahirah Hospital
Kuala Terengganu
Rohaya Binti Sulaiman Sabrina Binti Mohamad SallehTengku Ampuan Afzan Hospital, Kuantan Kuala Lumpur Hospital
Jaya Muneswarao a/l Ramadoo@Devudu Suzana Binti MustafaKulim Hospital Hospital Tg Anis, Pasir Puteh
Chong Meng Fei Siti Hamisah Binti Said Pulau Pinang Hospital Raja Perempuan Zainab II Hospital, Kota Bharu
Jason Thean Chow Hee Wong Hui SheanInstitut Perubatan Respiratori Tuanku Ampuan Najihah HospitalKuala Lumpur Kuala Pilah

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New UserPrevious User
Documentation
Appendix 2 : Inhaler Technique Assessment Workflow
Good
Poor
GoodPoor
Explain function and mechanism
Education and demonstration
Offer to repeat the counselling
Follow up as appropriate
Assess inhaler technique
Assess
Educate and explore to check comprehension of
the patientTechnique?
Technique?
Reinforcement

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NOTES

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MEDICATION THERAPY - · PDF fileShahirah Binti Zainudi Nicholas Leow Chun Wei Selayang Hospital Sibu Hospital Suhadah Binti Ahad