Tiêu đề 7. PATIENT COUNSELING.pdf ✅

PHARMD GURU Page 1 PATIENT COUNSELING • Patient counseling is nothing but providing information to patients and their representatives regarding disease, drug therapy, and duration of therapy, side effects, and life style modifications. OUTCOMES OF PATIENT COUNSELING: • Patient recognizes the importance of their wellbeing. • It encourages the patient to establish a working relationship with a pharmacist & foundation for continual interaction and consultation. • Improves the coping strategies to deal with medication side effects and drug interactions. • Motivates the patient to take medicine for improvement of his/her health status. • The patient becomes an informed, efficient and active participant in disease treatment and self-care management. • Develops the ability in patient to take appropriate medication related decision concerning the compliance or adherence to their medication regimen. STAGES IN PATIENT COUNSELING: 1. Introduction. 2. Content. 3. Process. 4. Conclusion. DEFINITIONS, DEVELOPMENT AND SCOPE OF CLINICAL PHARMACY
PHARMD GURU Page 2 Introduction: • Review the patient record prior to counseling. • Conduct an appropriate patient counseling introduction by self and patient. • Explain the purpose of counseling session. • Obtain pertinent initial drug related information. E.g.: drug allergies, and other medications. • 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. • Asses the patient understandings of reason for therapy. • Assess any actual or problems of importance to the patient. Contents: • Discuss the name and indication of the medication. • Explain the dosage regimen including duration of therapy when appropriate. • Assist the patient in developing a plan to incorporate the medication regimen into his/her daily routine. • Explain how long it will take for the drug to show its effect. • Discuss storage and refilling information. • Emphasize the benefits of completing the medication as prescribed. • Discuss the potential side effect. • Discuss how to prevent or manage the side effects of the drug. • Discuss the precautions. • Discuss the significant drug-drug, drug-food, and drug-disease interaction. • Explain precisely what to do if the patient misses the dose. • Explore the potential problems of the patient. Processes: • Use the language the patient can understand. • Use the appropriate counseling aids to support counseling. • Present the fact and order in a logical order. • Use open-ended question.
PHARMD GURU Page 3 • Use both verbal and non-verbal behavior. 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. BARRIERS TO PATIENT COUNSELING: The barriers that come in the way of conducting patient counseling are: 1. Environment: • A busy pharmacy • Lack of privacy • Noise • Physical barrier 2. Patient factors: • Physical disabilities • Comprehensive difficulties • Illiteracy 3. The pharmacist 4. Time