Main menu
How do I conduct an MUR?
1. Introduce yourself.
2. Explain to the patient what the MUR is for e.g. check they are taking the medication ok, if there are any problems, if we can explain or simplify anything, etc.
3. Obtain consent.
4. Inform them that a copy might be sent to the GP but that they can see it first to give permission if they wish to.
5. A copy will be typed up and given the patient as well. It will take a little while to type so suggest they call back for it.
6. Tell the patient you want to talk about their medication one by one.
7. Ask them 'open' questions initially. "Tell me about your aspirin tablet, why do you take it, when do you take it, etc"
8. Identify any problems and note them down.
9. You can discuss problems at the time or at the end depending how you prefer to work.
10. Talk about solutions with the patient. E.g. keeps forgetting medication -
11. Write down any recommendations in the appropriate section and decide if the GP needs to be aware of them.
12. Check if the patient is happy or if they have any other concerns about their medication.
13. The patient may tell you medical problems which are not in the remit of the MUR e.g. my calf keeps swelling up and it keeps me awake, or my big toe keeps going blue. If you do not think it could be a side effect, etc then it is up to you if you want to mention it. In terms of responsibility by noting it down for the GP and requesting they make a GP appt you should be covered. Try not to get drawn into long conversations regarding unconnected matters or you could be stuck for 45minutes instead of 15!
14. Reassure the patient that they can come back at any time and ask more questions if they need to.
15. Thank them for their time and ask when they want to call back for the typed version.