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Customer scenarios

Looking for quick results

Jenni, in her 30s, has come to your pharmacy for some advice. She has a wart on her hand that isn't painful, but is slightly embarrassed about how it looks. Through your consultation you discover that she has had the wart for over a year, and has tried treating it with salicylic acid in the past. She doesn't think the salicylic acid helped, but admits she often missed applications as she didn't have the time to apply it daily. Jenni wants it gone quickly as she is leaving on a holiday in the next few weeks.


What recommendation could you offer Jenni?
(Click image to reveal options)

RECOMMEND SHE SEES HER GP

RECOMMEND SHE SEES HER GP - INCORRECT

There is no need to refer her to her GP as there are no causes for concern, for example bleeding or a change in appearance. Warts can be treated over the counter.

RECOMMEND ENDWARTS FREEZE

RECOMMEND ENDWARTS FREEZE - CORRECT

This product provides quick removal of the wart - in just one application, so Jenni will not need to remember to apply the product on a regular basis. The wart should fall off within 2 weeks, in time for her holiday.

RECOMMEND SHE CONTINUES USING SALICYLIC ACID

RECOMMEND SHE CONTINUES USING SALICYLIC ACID - INCORRECT

Jenni wants removal of the wart quickly, and salicylic acid can take over 3 months. She also finds it difficult to apply the product on a daily basis, so her adherence may have contributed to her lack of results in the past.

RECOMMEND ENDWARTS PEN

RECOMMEND ENDWARTS PEN - INCORRECT

This product is a once-weekly application, so Jenni won't need to remember to use it every day; however, it won't work before her holiday as it can take 5 - 15 applications. The EndWarts FREEZE product is well-suited for this customer.

A concerned parent

A concerned mother comes into the pharmacy with her 6-year-old son, Asher. She asks if you can look at her son's foot, so you take them into the consultation room. You identify a verruca on his foot and find out that her son has never had one before but her other two children have. She used salicylic acid to treat them but remembers that the process was long and they complained when she needed to file down the verruca. She thinks he caught it from his swimming classes.


What would you recommend to treat Asher?
(Click image to reveal options)

COVER THE VERRUCA WITH A WATERPROOF PLASTER

COVER THE VERRUCA WITH A WATERPROOF PLASTER - INCORRECT

Even though this is good additional advice to give Asher for when he attends his swimming class, the verruca can also be treated over the counter by either a chemical or physical means.

RECOMMEND HE SEES HIS GP

RECOMMEND HE SEES HIS GP - INCORRECT

He is 6 years old, so is old enough to be treated over the counter.
Referral is not necessary in this situation, but always check with the pharmacist if you are unsure.

RECOMMEND ENDWARTS PEN

RECOMMEND ENDWARTS PEN - CORRECT

The EndWarts Pen provides a painless and precise application of a colourless solution, which can be used on a once-weekly basis. The treatment takes only a few seconds and there is no need to file down the lesion between applications. Advise that it takes an average 5-15 treatments to destroy the verruca. However, warts on children and recently discovered warts are normally easier to remove. EndWarts Freeze is another suitable option.

RECOMMEND ENDWARTS FREEZE

RECOMMEND ENDWARTS FREEZE - CORRECT

EndWarts Freeze is a quick problem solver, normally requiring only one treatment. Asher's mum may be concerned that it will be painful. Using EndWarts Freeze will cause a tingling feeling and the skin may feel sore or irritated for a few hours. However, pain sensitivity is difficult to measure so if Asher's mother knows her son to be very sensitive, EndWarts Pen is a suitable alternative.

Now you have completed this module, proceed to the next screen to test your knowledge and record your learning.

REFERENCES

1. Plantar warts, British Association of Dermatology. Available at http://www.bad.org.uk/for-the-public/patientinformation-leaflets/plantar-warts/?showmore=1&returnlink=http%3a%2f%2fwww.bad.org.uk%2ffor-thepublic%2fpatient-information-leaflets#.XRoJf-tKiUk

2. British Association of Dermatologists' guidelines for the management of cutaneous warts 2014. Available at http://www.bad.org.uk/library-media/documents/Warts_2014.pdf

3. Walczuk et al (2017), Efficacy and Safety of Three Cryotherapy Devices for Wart Treatment: A Randomized, Controlled, Investigator-Blinded, Comparative Study

4. Warts and verrucae - NICE CKS. Available at https://cks.nice.org.uk/warts-and-verrucae#!scenario

5. Plantar warts information leaflet, British Association of Dermatology. Available at http://www.bad.org.uk/shared/getfile.ashx?id=176&itemtype=document

6. Warts and verrucas -NHS Choices. Available at https://www.nhs.uk/conditions/warts-and-verrucas/

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