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Medication Review

INDIVIDUAL AND GROUP THERAPY

Medication Review

Medicines can be helpful, but they can also become complicated—particularly when several treatments, prescribers, health conditions or supplements are involved.

At Pop’In Health & Recovery, our nurse practitioners provide structured medication reviews that consider the whole person, not just a list of prescriptions. We look at your health concerns, treatment goals, current medicines, previous experiences, side effects, monitoring needs, daily routines and the practical factors that may affect safe treatment.

The purpose of a Medication Review is to help ensure that your current treatment remains appropriate, understandable and as safe and effective as possible.

What Is a Medication Review?

A Medication Review is a clinical consultation focused on understanding:

  • What medicines and supplements you currently use

  • Why each treatment was started

  • Whether the treatment is helping

  • Whether you are experiencing side effects

  • Whether any treatments may interact

  • Whether monitoring or follow-up is required

  • Whether doses or timing remain appropriate

  • Whether treatments are being duplicated

  • Whether you have concerns about continuing treatment

  • Whether another prescriber or health professional should be involved

The consultation may also include discussion of treatments used in the past, why they were stopped and what happened while you were taking them.

A Medication Review does not automatically mean that treatment will be changed. In some cases, the safest recommendation may be to continue the current plan, gather further information, arrange monitoring or consult the original prescriber.

Who May Benefit From a Medication Review?

A Medication Review may be helpful if you:

  • Take several medicines

  • See more than one prescriber

  • Have recently left hospital

  • Have started or stopped treatment

  • Are experiencing possible side effects

  • Are unsure why a medicine was prescribed

  • Feel that a treatment is no longer helping

  • Have difficulty remembering doses

  • Have concerns about interactions

  • Use vitamins, herbal products or supplements

  • Have had changes in your health

  • Have experienced unexplained symptoms

  • Have concerns about weight, sleep, mood or energy changes

  • Have difficulty obtaining continuity of care

  • Are preparing for an appointment with a GP or specialist

  • Have not had your medicines reviewed recently

  • Want to better understand your treatment plan

You do not need to wait until there is a problem. A review can also be used to confirm that your current treatment remains appropriate.

What We Review

Our nurse practitioners may review:

  • Prescription medicines

  • Over-the-counter medicines

  • Vitamins and supplements

  • Herbal products

  • Inhalers

  • Creams and topical treatments

  • Patches

  • Injections already prescribed by another practitioner

  • As-needed treatments

  • Medicines that have recently been stopped

  • Previous treatments that caused side effects

  • Medicines prescribed by different services

  • Hospital discharge medicines

  • Pharmacy-packed medicines

  • Treatments purchased online or from another country

Please provide complete and accurate information. Even products that seem minor can be relevant to safety, interactions and clinical decision-making.

A Whole-Person Approach

Medication safety is influenced by more than the medicine itself.

Our nurse practitioners may consider:

  • Your current health conditions

  • Mental-health history

  • Allergies and adverse reactions

  • Kidney and liver health

  • Pregnancy or breastfeeding

  • Age-related changes

  • Sleep

  • Nutrition and hydration

  • Alcohol, tobacco and other substance use

  • Memory and concentration

  • Disability and communication needs

  • Mobility and dexterity

  • Your ability to open packaging or organise doses

  • Cost and access

  • Pharmacy availability

  • Transport

  • Cultural preferences

  • Your daily routine

  • Your treatment goals

  • Previous experiences with healthcare

The aim is to develop a plan that is clinically appropriate and practical for your everyday life.

What Happens During the Consultation?

Our nurse practitioners will begin by discussing your current concerns and what you hope to understand or improve.

They may ask about:

  • Your current medicines and supplements

  • When and how you take them

  • Why each treatment was started

  • Who prescribed each medicine

  • How long you have used it

  • Whether it is helping

  • Possible side effects

  • Missed or changed doses

  • Previous treatments

  • Allergies and adverse reactions

  • Recent hospital admissions

  • Current health conditions

  • Recent pathology or investigations

  • Your regular GP, specialists and pharmacy

  • Any concerns about dependence, withdrawal or stopping treatment

  • Practical difficulties following the treatment plan

Our nurse practitioners may review available medical records, medication lists, pharmacy information, discharge summaries, specialist correspondence and investigation results.

Where the available information is incomplete, additional records or communication with another treating practitioner may be required before a safe decision can be made.

Understanding Effectiveness

A Medication Review considers whether each treatment is still achieving its intended purpose.

Our nurse practitioners may explore:

  • What symptoms the medicine was intended to treat

  • Whether symptoms have improved

  • Whether the benefit has continued

  • Whether the treatment is still needed

  • Whether your diagnosis or health situation has changed

  • Whether there are safer or more suitable options

  • Whether the treatment plan remains consistent with your goals

  • Whether further assessment is required

Not all symptoms can be explained by medicines. Other health conditions, stress, sleep, nutrition, mental health and lifestyle factors may also need to be considered.

Reviewing Side Effects and Safety

Possible side effects may be mild, significant, temporary or difficult to distinguish from the underlying health condition.

A review may consider concerns such as:

  • Fatigue

  • Dizziness

  • Nausea

  • Digestive changes

  • Sleep disturbance

  • Changes in appetite

  • Changes in weight

  • Headaches

  • Reduced concentration

  • Mood changes

  • Sexual-health concerns

  • Skin reactions

  • Swelling

  • Falls or balance concerns

  • Changes in blood pressure

  • Withdrawal symptoms

  • Other unexpected changes

Further examination, monitoring, pathology or referral may be required to understand whether a symptom is related to treatment.

Do not stop prescribed treatment suddenly unless advised by an appropriately qualified health practitioner or emergency service.

Interactions and Duplication

Using multiple medicines, supplements or prescribers can increase the risk of interactions or unintended duplication.

Our nurse practitioners may review whether:

  • Two treatments have similar effects

  • One treatment may increase the side effects of another

  • A supplement may interact with a prescribed medicine

  • A medicine may affect an existing health condition

  • Different prescribers have incomplete information

  • A hospital discharge list differs from your usual medicines

  • A treatment requires additional monitoring

  • Timing or administration affects safety or effectiveness

Where appropriate, your nominated GP, pharmacist, specialist or other prescriber may be contacted with your consent.

Monitoring and Investigations

Some treatments require regular monitoring to assess safety and effectiveness.

Where clinically appropriate and eligible, our nurse practitioners may request or review:

  • Blood tests

  • Blood pressure

  • Heart rate

  • Weight or other clinical measurements

  • Relevant imaging

  • Previous investigation results

  • Treatment-response information

  • Mental-health symptoms

  • Side effects

  • Adherence and missed doses

  • Other clinically relevant monitoring

The type and frequency of monitoring will depend on your health, treatment and individual risks.

Our nurse practitioners are responsible for reviewing investigations they initiate and arranging appropriate follow-up.

Possible Outcomes of a Medication Review

Following the assessment, the outcome may include:

  • Confirmation that the current treatment remains appropriate

  • Clearer information about why each medicine is used

  • Advice about timing or administration

  • A monitoring plan

  • Further investigations

  • Follow-up consultation

  • Communication with your regular GP

  • Communication with a specialist or pharmacist

  • Referral to another health professional

  • Review of possible side effects

  • Correction of an inaccurate medication list

  • Identification of possible duplication or interaction

  • A gradual treatment-change plan where appropriate

  • Continuation, adjustment or cessation of treatment where clinically appropriate and within scope

  • Recommendation that the original prescriber remain responsible for the treatment

Not every treatment can be safely altered during a single appointment.

Prescribing and Treatment Changes

Our nurse practitioners may prescribe, continue, adjust or cease treatment within their authorised scope where this is supported by an appropriate clinical assessment.

However, booking a Medication Review does not guarantee:

  • A new prescription

  • Continuation of an existing medicine

  • A change in dose

  • Replacement of lost or damaged medicine

  • Early supply

  • Renewal of treatment started elsewhere

  • A particular medicine or treatment

  • A change requested by another person

  • A prescription without adequate records

  • Immediate treatment changes during the first appointment

The consultation fee covers the practitioner’s time, assessment, professional advice and care—not a prescription outcome.

Continuing Treatment Started Elsewhere

Our nurse practitioners may review treatment started by another practitioner, but continuation is not automatic.

Before taking responsibility for ongoing prescribing or monitoring, they may require:

  • A current medication list

  • Relevant medical records

  • The original diagnosis

  • Previous treatment history

  • Specialist letters

  • Recent pathology or investigation results

  • Monitoring information

  • Pharmacy records

  • Communication with the original prescriber

  • Confirmation that follow-up arrangements are safe and appropriate

Some treatments require ongoing management by a GP, specialist or the practitioner who originally initiated them.

Where this applies, our nurse practitioners will explain the limitation and help identify an appropriate pathway.

Higher-Risk and Closely Monitored Medicines

Some medicines require additional caution, verification and monitoring because of their clinical risks or regulatory requirements.

A review involving these treatments may require:

  • Confirmation of your diagnosis and treatment history

  • Records from your regular GP or specialist

  • Pharmacy information

  • Recent monitoring results

  • Review of previous treatment response

  • Communication with another prescriber

  • Confirmation of safe follow-up arrangements

  • An in-person assessment

  • Referral back to the original prescriber or specialist

Treatment will not be commenced or continued solely because it has been requested or previously prescribed.

All decisions remain subject to clinical assessment, professional obligations and applicable prescribing requirements.

Medicines, Supplements and Herbal Products

Please tell your nurse practitioner about all products you use, including:

  • Vitamins

  • Minerals

  • Protein or sports supplements

  • Sleep products

  • Herbal preparations

  • Traditional medicines

  • Products purchased online

  • Over-the-counter pain or allergy products

  • Weight-management supplements

  • Products recommended by family, friends or social media

The review may consider:

  • Available evidence

  • Possible side effects

  • Interactions with prescribed medicines

  • Quality and reliability of product information

  • Whether the product is necessary

  • Whether additional monitoring is needed

  • Whether the product should be discussed with another practitioner

A Medication Review does not guarantee that any supplement or product will be recommended.

Working With Your GP, Pharmacist and Specialists

Medication care is often safest when the people involved in your treatment have access to consistent information.

With your informed consent, our nurse practitioners may communicate with:

  • Your regular GP or general practice

  • Your pharmacist

  • Medical specialists

  • Hospital teams

  • Mental-health practitioners

  • Allied-health professionals

  • Community nursing services

  • Other relevant healthcare providers

Communication may include:

  • Updated medication lists

  • Identified side effects

  • Monitoring requirements

  • Investigation results

  • Treatment recommendations

  • Referral information

  • Follow-up responsibilities

  • Safety concerns

We strongly encourage patients to maintain a relationship with a regular GP or general practice, particularly when managing complex or long-term health conditions.

Your Pharmacy Is an Important Part of Your Care

Pharmacists can provide important information about:

  • Dispensing history

  • Dose administration

  • Packaging

  • Storage

  • Possible interactions

  • Missed doses

  • Medicine availability

  • General medicine information

  • Home Medicines Review pathways where applicable

Our nurse practitioners may recommend speaking with your pharmacist or may request permission to communicate with them.

Pop’In Health & Recovery does not operate as a pharmacy and does not dispense medicines.

Connected Clinical and Recovery Support

Some people understand their treatment plan but still need practical support to follow it consistently.

With your informed consent, our recovery and capacity-building services may assist with:

  • Preparing a current medication list

  • Organising questions before appointments

  • Creating reminders

  • Developing routines

  • Attending agreed appointments

  • Communicating practical barriers

  • Organising follow-up appointments

  • Understanding agreed instructions

  • Tracking concerns to discuss with the clinical team

  • Connecting with pharmacies or support services

Recovery and support staff do not prescribe, recommend doses, change treatment instructions or make independent medication decisions.

Medication-related clinical decisions remain the responsibility of the nurse practitioner or other authorised prescriber.

You can access a Medication Review without using any recovery, coaching or NDIS service.

Telehealth and Face-to-Face Medication Reviews

Telehealth May Be Suitable For

  • Reviewing a medication list

  • Discussing effectiveness and side effects

  • Reviewing treatment history

  • Discussing previous results

  • Follow-up after a recent change

  • Reviewing supplements

  • Preparing a monitoring plan

  • Communicating with other providers

  • Clarifying treatment instructions

  • General medication education

An In-Person Assessment May Be Required For

  • Concerns requiring physical examination

  • Significant or rapidly worsening symptoms

  • Treatments requiring clinical observations

  • Situations where identity or records cannot be adequately verified

  • Higher-risk treatment decisions

  • Concerns about severe side effects

  • Situations where telehealth does not provide enough information

  • Treatment requiring examination equipment or procedures

Our nurse practitioners will advise when an in-person assessment, GP review, pharmacist consultation, urgent-care service or emergency department is more appropriate.

What a Medication Review Cannot Guarantee

A Medication Review does not guarantee:

  • A prescription

  • Continuation of current treatment

  • A dose increase or decrease

  • A requested medicine

  • Replacement of lost or damaged medicine

  • Early supply

  • Approval of treatment recommended online or by another person

  • Immediate changes during the first appointment

  • A pathology or imaging request

  • A referral to a requested provider

  • Resolution of every medication concern in one consultation

  • A particular clinical outcome

All clinical decisions are based on your assessment, available records, safety, professional standards and the practitioner’s authorised scope.

Services Not Provided Through a Medication Review

A Medication Review does not provide:

  • Emergency medical care

  • A 24-hour medication advice service

  • Pharmacy dispensing

  • Medicine delivery

  • Guaranteed or on-demand prescriptions

  • Anonymous prescribing

  • Prescribing without an appropriate clinical assessment

  • Automatic continuation of treatment started elsewhere

  • Changes to another practitioner’s instructions without appropriate review

  • Specialist management where specialist care is required

  • Medico-legal opinions

  • Independent medical examinations

  • Advice outside the practitioner’s professional scope

Where your needs fall outside the service, we will explain the limitation and recommend an appropriate pathway where possible.

When to Seek Immediate Help

Pop’In Health & Recovery is not an emergency or 24-hour crisis service.

Call 000 or attend the nearest emergency department if you or another person is experiencing:

  • Severe difficulty breathing

  • Swelling of the face, tongue or throat

  • A serious allergic reaction

  • Chest pain

  • Loss of consciousness

  • Seizure

  • Severe confusion

  • Suspected overdose

  • Severe bleeding

  • Immediate risk of suicide or serious self-harm

  • Any rapidly worsening or life-threatening symptoms

For urgent concerns about possible poisoning or overdose, seek immediate professional assistance rather than waiting for an online appointment.

Do not use the online booking or referral form for emergency medication advice.

Preparing for Your Medication Review

Please have the following available where possible:

  • Photo identification

  • Medicare details, where relevant

  • All current medicine packets or clear photographs

  • A current medication list

  • Vitamins, supplements and herbal-product details

  • Allergy information

  • Your regular GP or general-practice details

  • Your preferred pharmacy

  • Specialist details

  • Hospital discharge summaries

  • Relevant pathology or imaging results

  • Previous treatment records

  • Information about recent medicine changes

  • A list of side effects or concerns

  • Dates of missed or changed doses

  • Questions you would like answered

It may also help to note:

  • What time you take each medicine

  • Whether you take it with food

  • Treatments you use only when needed

  • Medicines you have recently stopped

  • Any difficulties obtaining or remembering treatment

For telehealth appointments, please also provide:

  • Your current physical location

  • A reliable telephone number

  • An emergency contact

  • A private and safe place for the consultation

Providing complete and accurate information supports safer clinical decision-making.

Frequently Asked Questions

Do I need a GP referral?

A GP referral is not required for most nurse practitioner Medication Reviews.

However, we strongly encourage you to maintain a relationship with a regular GP or general practice for continuity of care.

Can I discuss more than one medicine?

Yes. A Medication Review can include all current medicines, supplements and relevant previous treatments.

Complex medication histories may require a longer consultation or follow-up.

Should I bring my medicine packets?

Yes. Bringing the original packaging, pharmacy list or clear photographs can help confirm names, strengths and instructions.

Can a nurse practitioner prescribe medication?

Our endorsed nurse practitioners may prescribe within their authorised scope where supported by an appropriate clinical assessment.

Prescribing is not guaranteed.

Can my current prescriptions be renewed?

Possibly, but renewal is not automatic.

Our nurse practitioners must determine whether continuing treatment is clinically appropriate and may require records, monitoring or communication with the original prescriber.

Can the dose be changed?

A dose may only be changed where this is clinically appropriate and within the nurse practitioner’s scope.

Further assessment, records or monitoring may be required.

Can treatment be stopped?

Our nurse practitioners may discuss whether a treatment remains necessary.

Some medicines should not be stopped suddenly. Where a change is appropriate, a gradual and monitored plan may be required.

Can you review medicine prescribed by a specialist?

Yes, but the specialist may need to remain responsible for treatment decisions or ongoing monitoring.

Relevant records and communication with the specialist may be required.

Can you replace medicine that was lost or damaged?

Replacement is not guaranteed.

The nurse practitioner must consider the medicine, circumstances, available records, safety and prescribing requirements.

Can you prescribe early supplies?

An early supply is not guaranteed and may not be appropriate.

Additional verification or communication with your pharmacy or existing prescriber may be required.

Can you review supplements and herbal products?

Yes. Vitamins, supplements and herbal products can be reviewed alongside your health conditions and prescribed medicines.

The review may focus on evidence, safety, side effects and interactions.

Can a nurse practitioner request blood tests?

Where clinically appropriate and eligible, our nurse practitioners may request relevant pathology or other investigations.

They are also responsible for reviewing investigations they initiate and arranging follow-up.

Can you contact my pharmacy?

Yes, with your consent and where communication is relevant to your care.

Can I have a Medication Review by telehealth?

Many Medication Reviews can begin by telehealth.

An in-person assessment may be required where examination, observations or additional verification are needed.

Is a prescription guaranteed when I book?

No.

The appointment is for assessment, professional advice and care. Any prescribing decision depends on clinical appropriateness, available information and the practitioner’s authorised scope.

What happens if my treatment is outside the clinic’s scope?

Our nurse practitioners will explain the limitation and, where possible, recommend an appropriate GP, specialist, pharmacist, urgent-care or emergency pathway.

Book a Medication Review

Book a Medication Review when you would like help understanding your current treatment, assessing effectiveness or side effects, reviewing interactions, confirming monitoring needs or coordinating medication-related care.

The first consultation will focus on your health history, current medicines, concerns, treatment goals and the information required for safe decision-making.

A follow-up consultation may be required where:

  • Records are incomplete

  • Further investigations are needed

  • Another prescriber must be contacted

  • Treatment is complex

  • Changes require monitoring

  • Several medicines or health conditions are involved

Important Booking Notice

Booking and paying for a Medication Review covers the practitioner’s time, assessment, professional advice and care.

It does not guarantee:

  • A prescription

  • Continuation of existing treatment

  • A particular medicine

  • A dose change

  • Early supply

  • Replacement medicine

  • A referral

  • An investigation

  • A requested treatment outcome

All clinical decisions are made independently and according to available information, professional standards, clinical safety and the practitioner’s authorised scope.

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HOW COUNSELLING FITS INTO YOUR NDIS PLAN

Counselling services can be funded under the NDIS, typically within the Capacity Building – Improved Daily Living category. These supports aim to enhance your ability to manage daily tasks, improve interpersonal relationships, and increase community participation.

To include counselling in your NDIS plan:

Set Relevant Goals: Ensure your plan outlines goals related to mental health, emotional well-being, or daily living skills.

Discuss with Your Planner: Talk to your NDIS planner or support coordinator about incorporating counselling services that align with your objectives.

For more detailed information on accessing mental health supports through the NDIS, you can refer to the official NDIS guidelines .

HOW WE DELIVER SUPPORT

Recovery Oriented Services WA

Telehealth (Zoom, Skype, etc.)

Great for remote or regional participants, or anyone who prefers online sessions.

NDIS Services in Regional WA

Mobile/In-Home Support

We come to you, whether at home or in the community — in line with NDIS guidelines.

ROS

In-Clinic Appointments

Face-to-face sessions in a calm, professional setting.

WHY CHOOSE ROS?

We’re not just service providers — we’re people who get it.
At ROS, we combine professional expertise with lived experience to support you in a way that feels real, relatable, and empowering. We know recovery isn’t linear, and we meet you where you’re at, without judgement.

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