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Patient counselling

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Patient Counselling is needed for
Better patient understanding to their illness and role of medication.
Improve medication adherence.
Improve dosage regimen adherence.
More effective Drug treatment.
Reduce incidence of adverse drug effect and unnecessary healthcare cost.
ADR reporting.
Improve quality of life for patient.
Raising image of Pharmacist & its profession.

Veröffentlicht in: Gesundheitswesen
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Patient counselling

  1. 1. Sujit Trimbak Karpe Principal, Sojar college of Pharmacy, khandvi
  2. 2. What is patient counselling?  Two way process.  Exchange of information.  Vital information about medicine.  Verbal and /or written
  3. 3. What is patient counselling?  Individual and/or in groups  Personally as well as telephonically.  Achievement of therapeutic goals  Further design ,select, implement, evaluate & modify health interventions.
  4. 4. Objective of patient counselling  Better patient understanding to their illness and role of medication.  Improve medication adherence.  Improve dosage regimen adherence.  More effective Drug treatment.
  5. 5. Objective of patient counselling  Reduce incidence of adverse drug effect and unnecessary healthcare cost.  ADR reporting.  Improve quality of life for patient.  Raising image of Pharmacist & its profession.
  6. 6. PPR 2015 guidelines on patient counselling  Only registered pharmacist are involved in counselling.  Facilities are provided for confidential conversation and patient confidentiality is maintained.  Patient information leaflets are provided.  Proper documentation is made.
  7. 7. PPR 2015 guidelines on patient counselling  Unnecessary counselling should be avoided.  In every consultation benefit to the patient is of foremost.  All registered pharmacists engaged in the case should be frank with the patient and his attendants.  Utmost punctuality should be observed by a registered pharmacist in making themselves available for counselling.
  8. 8. Patient counselling  Provide counselling to engage in direct consultation with the patient or his/her representative.  Remember, the right patient taking the right drug at the right dose at the right time, BUT in the wrong way can still compromise drug effectiveness and patient safety.
  9. 9. Steps in Patient counselling The structure of the counseling session is divided into four groups:  Introduction of the session.  Content of the session.  Process followed.  Conclusion of the session.
  10. 10.  Review the patient record prior to counselling.  Explain the purpose of counselling session.  Conduct an appropriate patient counselling introduction by self and patient.  Obtain pertinent initial drug related information. E.g.: drug allergies, and other medications. Patient counselling - Introduction
  11. 11.  Warn the patient about taking other medications including OTC drugs, herbals, or botanical drugs and alcohol which could inhibit or interact into the prescribed medication.  Determines whether the patient has any other medical conditions that could influence the effects of their drug or enhance the likelihood of an ADR.  Asses the patient understandings of reason for therapy. Patient counselling - Introduction
  12. 12. Patient counselling - Content  Patient counselling should include information on who, what, where, when and how
  13. 13. Patient counselling - Content
  14. 14. Patient counselling - Content
  15. 15. Patient counselling- Summary
  16. 16. Patient counselling- Process • Provide accurate information. • Use language that the patient is likely to understand. • Use the appropriate counselling aids to support counselling. • Present the fact and order in a logical order. • Maintain control & direction of the counseling session. • Analyze for additional information.
  17. 17. Patient counselling- Process • Use open‐ended question. • Display effective non‐verbal behaviors.
  18. 18. Patient counselling- Conclusion • Verify the patient understanding via feedback. • Summaries by acknowledging or emphasizing key points of information. • Provide an opportunity for final concerns or questions. • Help the patient to plan, follow up and next consecutive steps.
  19. 19. Communicative skills for effective counselling Communicative skills are subdivided into two types 1. Verbal communication 2. Non verbal communication
  20. 20. Verbal communication • Language • Tone • Volume • Speed
  21. 21. Verbal communication • A key component of interactive communication is using open‐ended questions. • Open‐ended questions are questions that start with who, what, where, when, how and why
  22. 22. Non verbal communication • Body Language • Proximity • Eye contact • Facial expression
  23. 23. Non verbal communication Appropriate Non verbal cues
  24. 24. Non verbal communication Distracting Non verbal cues
  25. 25. Barrier of effective communication  Environmental barrier  Semantics  Negative attitude  Time barrier
  26. 26. Barrier of effective communication  Environmental barrier • lack of privacy and furniture between patient and pharmacist • It comes under physical barrier
  27. 27. Barrier of effective communication  Semantics • relate to meaning word or symbol in interpersonal communication. • Word or symbol can have multiple meaning, therefore effective patient communication required to use word carefully.
  28. 28. Barrier of effective communication  Negative attitude • lack of confidence. • Pharmacist should strive to improve their talking skill through practice.
  29. 29. Barrier of effective communication  Time barrier • Time barrier is very common when it comes to pharmacist and patient. • Time are often excuses not to counsel though it often does not take very long time.
  30. 30. Patient counseling - a growing need in chronic illness Drug counseling points in Hypertension
  31. 31. Patient counseling - a growing need in chronic illness Drug counseling points in Diabetes
  32. 32. Patient counseling - a growing need in chronic illness Drug counseling points in coronary heart disease
  33. 33. Patient counseling - a growing need in chronic illness Drug counseling points in Asthma
  34. 34. Patient counseling - a growing need in chronic illness Drug counseling points in Epilepsy
  35. 35. Patient counseling - a growing need in chronic illness Drug counseling points in Dyslipidemia
  36. 36. Patient counseling - a growing need in chronic illness Drug counseling points for use of antibiotics Antibiotic Resistance Pharmacist Role Over prescription of drug Only prescribe and dispense antibiotics when they are truly needed Patient not finishing their treatment Prescribe right antibiotic at right dose for right duration Poor infection control in hospital and clinics Test to confirm whether the antibiotic is needed and which one Lack of hygiene and poor sanitation Prevent infection by proper hygiene and sanitation Lack of new antibiotics being developed Keep your patients vaccination up to date
  37. 37. conclusion • Pharmacists, being active members of the healthcare team can play an important role in providing patient counseling so as to improve patient compliance and hence the therapeutic outcomes and quality of life.
  38. 38. conclusion • Patient counseling by pharmacists also enables the doctors to spend more time on examination and diagnosis the patients as the counseling part is taken care of by the pharmacist. • It also helps in many ways to improve the quality of healthcare system with better patient care and therapeutic outcomes.

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