Jane comes into the pharmacy. She appears unusually tired and complains of recently experiencing sudden feelings of heat throughout her body. Jane is worried because her colleagues, who work in the same office, do not feel the same rise in temperature.

• Alongside her hot flushes, which other signs may Jane experience to suggest she is going through the menopause? What other questions would you ask her?
• Which potential triggers could be a cause of Jane’s hot flushes?
• How might you reassure Jane that this is common occurrence among menopausal women?
• Which questions might you ask Jane to establish whether she should be referred to the pharmacist or her GP?
• What self care tips would you offer to help Jane manage her hot flushes?