AETCOM PH5.

1
Communicate with the patient with respect empathy and ethics on all
aspects of drug use ( introducing Insulin to a TYPE II DIABETIC patient)
SYNOPSIS OF THE SKILL LEARNT
1. Patient was greeted and offered a humble welcome
with good body language

2. Basic principles of Medical professional Ethics &

communication Etiquette were followed.

3. Need for insulin therapy is clearly eloborated in

patient’s own native language.

4. Complex medical terminologies were avoided. Simple

language is used to explain why to use, when to
use, how to use aspects of insulin injection
SYNOPSIS OF THE SKILL
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5. Knowledge about Adverse effect especially
hypoglycemia imparted & informations about
immediate home remedy for hypoglycemia
correction was also given.

6. Patient was shown demonstration about the usage of

insulin injection . Patient encouraged to use it on
his/her own.
SYNOPSIS OF THE SKILL
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7. Instructions about rotation of site of administration,
buying appropriate Insulin syringe, safe disposal
techinque are given.

8. Instruction about cost differences in choosing insulin

syringes Vs insulin pens. Their Pros & cons explained

9. Advice given to avoid herbal concoctions which may

interact with action of insulin & cause hypoglycemia
SYNOPSIS OF THE SKILL LEARNT
10. At the end, instructions were again given as salient
points .Patient was made sure that he leaves the
OPD with adequate knowledge about medication
use

11. Patient was again greeted when he leaves doctor’s

cabin
AETCOM PH 5.2
Communicate with patient regarding optimal use and storage of
medicine
SYNOPSIS OF THE SKILL LEARNT
1. Patient was greeted and offered a humble welcome

2. Basic principles of medical professional ethics &

communication etiquette were followed.

3. SALIENT POINTS regarding proper storage of

medicine to be given

4. All drugs to be stored according to the conditions

prescribed on the label
.
SYNOPSIS OF THE SKILL
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5. Store in cool and dry place, protect from heat and
light , protect from direct sun light and keep in dry
place at a temperature not exceeding 25 to 30
degree celsius.
6. Keep the bottle tightly closed
7. After reconstitution of dry syrups, to be kept in
refridgerator to maintain the efficacy of the drug.
8. Medicines should be kept out of reach of children
9. Patient was made sure that he leaves the OPD with
adequate knowledge about medication use
10. Patient was again greeted with gesture when he
leaves doctor’s cabin
AETCOM PH 5.3
Motivate patient with chronic diseases to adhere to the prescribed
management by the health care provider
SYNOPSIS OF THE SKILL LEARNT
1. Patient was greeted and offered a humble welcome

2. Basic principles of medical professional ethics &

communication etiquette were followed.

3. Need for medication therapy is clearly elaborated

in patient’s own native language.

4. Complex medical terminologies were avoided. Simple

language is used to explain why to use, when to
use, how to use aspects of tablets prescribed.
.
SYNOPSIS OF THE SKILL
LEARNT
5. Knowledge about Adverse effects especially
hypoglycemia imparted & informations about
immediate home remedy for hypoglycemia
correction was also given.
SYNOPSIS OF THE SKILL
LEARNT
6. Instruction about quality & cost differences in
choosing between brand and generic drugs given.
Patient’s rights about choosing the drug is
eloborated.

7.At the end, instructions were again given as salient

points
SYNOPSIS OF THE SKILL LEARNT
8. Patient was made sure that he leaves the OPD with adequate
knowledge about medication use

9. Patient was again greeted when he leaves doctor’s cabin

AETCOM PH5.4
Explain to the patient about relationship between cost of the treatment
and patient compliance ( patient with bronchial asthma treated with
inhalational corticosteroid therapy )
SYNOPSIS OF THE SKILL LEARNT
1. Patient was greeted and offered a humble welcome
with hand gesture & good body language

2. Basic principles of medical professional ethics &

communication etiquette were followed.

3. Need for Inhalational steroid therapy is clearly

elaborated in patient’s own native language.

4. Complex medical terminologies were avoided. Simple

language is used to explain why to use, when to use,
how to use inhalational steroid through an inhaler.
.
SYNOPSIS OF THE SKILL
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5. Patient was clearly explained about different dosage
forms available in market . Rotahaler vs Metered dose
Inhaler vs revolizer. The cost differences , pros and cons
of each dosage form where clearly explained.
6. Patient was explained about how cost differences impact
compliance in taking the medicine in long term. Need
for long term continuous therapy is also gently insisted
stating the complications in a non threatening manner,
if treatment is discontinued.
6.At the end, instructions were again given as salient points
7. Doubts raised by patient was explained in respectful,
non- threatening, non judgemental and empathetic
manner.
SYNOPSIS OF THE SKILL LEARNT
8. Patient was made sure that he leaves the OPD with adequate
knowledge about medication use

9. Patient was again greeted with gesture when he leaves doctor’s

cabin
AETCOM PH5.5
Demonstrate an understanding in the caution in prescribing drugs
which produce dependence
 SYNOPSIS OF THE SKILL
LEARNT
1. Addiction is a primary, chronic disease of brain
reward, motivation, memory, and related circuitry.
Dysfunction in these circuits leads to characteristic
biological, psychological, social, and spiritual
manifestations.

This is reflected in an individual pathologically pursuing

reward or relief by substance use and other
behaviors."
SYNOPSIS OF THE SKILL LEARNT
DRUG DEPENDANCE
Drug dependance is a chronic, progressive disease characterized by
significant impairment that is directly associated with persistent and
excessive use of a psychoactive substance.
 SYNOPSIS OF THE SKILL
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• Appropriate opioid analgesic prescribing: This involves
providing pain control while minimizing toxicity, use
disorder, or the risk of use disorder and implementing
safeguards to reduce drug diversion.

• Inappropriate opioid analgesic prescribing: non-prescribing,

inadequate prescribing, excessive prescribing, or continued
prescribing despite evidence of the lack of effective opioid
analgesic treatment.
SYNOPSIS OF THE SKILL LEARNT
Controlled substances: These are drugs or medications that possess the
potential for being misused and are considered to be substances that
have a substantially high risk of resulting in substance use disorder.
Kindly write upto above 5 AETCOM
in record note book
AETCOM PH5.6
Demonstrate ability to address public on drug dependence and OTC
drugs
 SYNOPSIS OF THE SKILL
LEARNT
1. Addiction is a primary, chronic disease of brain
reward, motivation, memory, and related circuitry.
Dysfunction in these circuits leads to characteristic
biological, psychological, social, and spiritual
manifestations.

This is reflected in an individual pathologically pursuing

reward or relief by substance use and other
behaviors."
SYNOPSIS OF THE SKILL LEARNT
DRUG DEPENDANCE
Drug dependance is a chronic, progressive disease characterized by
significant impairment that is directly associated with persistent and
excessive use of a psychoactive substance.
 SYNOPSIS OF THE SKILL
LEARNT
• Appropriate opioid analgesic prescribing: This involves
providing pain control while minimizing toxicity, use
disorder, or the risk of use disorder and implementing
safeguards to reduce drug diversion.

• Inappropriate opioid analgesic prescribing: non-prescribing,

inadequate prescribing, excessive prescribing, or continued
prescribing despite evidence of the lack of effective opioid
analgesic treatment.
SYNOPSIS OF THE SKILL LEARNT
Controlled substances: These are drugs or medications that possess the potential for
being misused and are considered to be substances that have a substantially high risk
of resulting in substance use disorder.

OTC drugs – over the counter medicines or non prescription drugs are medicines that
can be purchased without a prescription from registered medical practitioner.

Patients should be elaborated about wise use of OTC drugs and also warned about
delay in getting medical treatment by a professional.
OTC drugs canbe used only for simple ailments that too for few days. If sympotms and
signs are not resolving, patients should be pre informed to get medical treatment as
early as possible.
AETCOM PH5.7
IDENTIFY DISCUSS & DEFEND , MEDICO LEGAL , SOCIAL CULTURAL &
ETHICAL ISSUES PERTAINING TO GET INFORMED CONSENT FOR
ADMINISTERING CANCER CHEMOTHERAPEUTIC AGENT TO A PATIENT
WITH CARCINOMA BREAST
 SYNOPSIS OF THE SKILL
LEARNT
1. Basic principles of medical professional ethics &
communication etiquette were followed.

2. Need for Chemotherapy is clearly eloborated in

patient’s own native language.

3. Complex medical terminologies were avoided. Simple

language is used to explain chemotherapy will be
given in intravenous route
SYNOPSIS OF THE SKILL
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5. Knowledge about Adverse effects following
chemotherapy is clearly explained.

6. Patient is educated about the risks, benefits, and

alternatives of this treatment.

7. Informed consent with patient’s rights to deny or

accept the treatment is taken. Signature of a
witness ( patient attender) also taken.