patient consuling.

patient consuling.

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  • PRESENTED BY PRATIKSHA RAMESHGHARAT B PHARM 4th YEAR STUDENT PATIENT COUNSELING
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  Content 1. INTRODUCTION 2. DEFINITIONOF PATIENT COUNSELING 3. OBJECTIVES 4. STEPS INVOLVED IN PATIENT COUNSELING 5. SPECIAL CASES THAT REQUIRE THE PHARMACIST 6. REFERENCES
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  Introduction 1. Patient counselingand communication is a part of pharmaceutical care. Pharmaceutical care is the responsible provision of drug therapy for the purpose of achieving definite outcomes that improves the patient's quality of life. Patient education and chronic disease monitoring are two of the most important functions performed by a pharmacist. 2. It is the responsibility of the pharmacist to educate the patient about the medication, about the adverse drug reaction, drug interaction and problems due to non-compliance. Patient education in relation to pharmacy may be defined as a process that aims at imparting proper drug knowledge, ensuring patient compliance and improved therapeutic benefits.
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  DEFINATION Patient counseling isdefined as providing medication information orally or in written form to the patients or their representatives on directions of use, advice on side effects, precautions, storage, diet and life style modifications.
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  OBJECTIVES • 1 Betterpatient understanding of their Illness and the role of medication in its treatment. • 2 Improve medication adherence. • 3 More effective drug treatment. • 4 Reduced incidence of adverse effects and unnecessary health care cost . • 5 Improved quality of life for the patient. • 6 Better handling strategies to deal with medication related adverse effects. • 7 improved professional rapport between the patient and the pharmacist.
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  Steps Involved inpatients counseling • Following are the step to be followed during patient counselling: • 1)preparing for the session. • 2)opening of the session. • 3)counselling content. • 4)closing the session.
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  Step1:preparing for thesession. 1. Counselling develop upon the knowledge and skills of the counsellor. 2. Pharmacist should know as much possible about the patient treatment details 3. In community pharmacy the source of information include patient and prescription or a record of previous dispensing. 4. If the pharmacist is unfamiliar about drug which is received from the patient, go for drug information reference. 5. Before counselling you have to consider about mental physical status.
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  • STEP2:OPENING FORTHE SESSION: 1. The pharmacist should introduce himself/herself to the patient and treat them by name. 2. It is best to use title such as Mr. , Mrs. Miss , E.g.- hello mr,any name, my name is x and I am your clinical pharmacist. 3. I would like to tell about the medication. 4. Do you have a few minutes to spend with me. 5. Pharmacist gather information from the patient disease, medication. 6. Other information may releavent include previous drug alleries,past medication history,parsonal habits such as diet, smoking, alcohol consumption etc.
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  COUNSELLING CONTENT: 1. Nameand strength of medication. 2. The reason why it has been prescribed, or how it work. 3. Howto take the medication. 4. Expected duration of treatment . 5. Expected benefit of treatment. 6. Possible adverse effect. 7. Possible medication or dietary interaction. 8. Storage recommendation. 9. Minimum duration required to show therapeutic bennifit. 10. What to do if a dose is missed.Special monitoring requirement, for ex-blood test.
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  CLOSING THE SESSION: 1.Before closing the session, it is essential to check patient understanding. 2. This can be achived by feedback question, such as can you remember what is this medication is for? 3. OR how long should you take this medication ? 4. Ask the patient about any dout . 5. Before final closure and if time permits ,summarise the main pioint in logical order.
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  Special cases thatrequire the pharmacist in patient counseling • Patients with HIV and AIDS • Pharmacist play crucial role in management of antiviral therapy as well as in promoting long term adherence, avoiding drug interaction, minimizing toxic effects, simplifying dose regimen, decreasing drug cost and preventing transmission of virus. • Patients with mental illness • promoting adherence • simplifying dose regimen
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  patient with Coronaryheart disease 1. Non–pharmacological measures: It includes education regarding diet, smoking, and exercise and encouraging the patients to maintain a diary on anginal attacks, pain symptoms etc. 2. Pharmacological measures: Nitrates Sublingual administration, sublingual tablets should not be chewed or crushed, use of transdermal patches, do not stand up immediately while using this medication. Aspirin- Encourage the patient to take drug with food. Monitor for abdominal pain, tarry stools, fever, spitting otablets. In case of enteric- coated preparations, ask the patient not to crush or chew the tablets.
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  References 1. MR.Sourabh koseyBy TEXT BOOK of Pharmacy practice Nirali Prakashan ,page no 13.1 to 13.3 2.Hp. Tipnis, N. Kotagale, B. Taksande, Community Pharmacy, second edition, Career Publications.- 3.kG Revikumar, BD Miglani, Textbook of pharmacy practice, Career Publication’s 4.Shruti Gupta et al, Patient counselling: A way to enhance patient compliance. International Journal of Current Research and Review, 03 (5), 2011.
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  Thank You !