Patient counselling
- 1. PATIENT COUNSELING By Mr. Krushna Kashinathrao Zambare HOD, Pharmacology SBSPM B. Pharmacy College, Ambajogai
- 2. Definition Prof. K. K. Zambare Patient counselling is defined as the process of giving information, advise and assistance, about medicines use either orally or in written to the patient. Patient counselling is important to give Right drug, in Right Dose , at Right time, by Right route and to Right patient
- 3. Introduction Prof. K. K. Zambare Patient counselling is important to give Right drug, in Right Dose , at Right time, by Right route and to Right patient For achieving therapeutic goal counselling is done Also counselling will increase the medication adherence Further it also helps to avoid adverse effects and reduce the therapy cost
- 4. Steps involved in patient counseling Prof. K. K. Zambare 1) Introduction and Explaining need of counselling 2) Assess the need of counselling 3) Provide Information and advise on medicine use 4) Assessment and Monitoring of counselling
- 5. Step -1- Introduction and Explaining need of counselling Prof. K. K. Zambare Introduce yourself Get familiar with the patient It is necessary to know that what the patient knows about the prescribed medicines and what the physician told to him After knowing the information from patient advice must be provided which facilitate the benefit to the patient and reduces the risk
- 6. Steps -1- Introduction and Explaining need of counselling Prof. K. K. Zambare Also counselling is important in case of less therapeutic index, compliance problems, physical disabilities, dysphagia, problems with memory or is confused or anxious, psychiatric disorders Inform the patient the purpose of counselling that the review of the medicines ADR, side effects, dosage, interaction and frequency of administration.
- 7. Step-2- Assess the need of counselling Prof. K. K. Zambare After knowing the need of counselling, the counselling is started by assessing the appropriate patient, exact medicine and accurate dose For this the information can be obtained from patient, career or physicians
- 8. Step-2- Assess the need of counselling Prof. K. K. Zambare The details of patient such as age, weight, allergy, disease, past medication , OTC medicines, habits, response to previous therapy, duration of therapy is collected Further current therapy details should be identified and collected by pharmacist like expected outcome like onset, duration of effect, ADR, interactions, route, duration of therapy
- 9. Step-3- Provide Information and advise on medicine use Prof. K. K. Zambare Inform the patient about dose, frequency of medicine Also tell about route of administration Inform about side effects, ADR, interactions of medicine Provide details about diet to be taken or avoided with medicines
- 10. Step-3- Provide Information and advise on medicine use Prof. K. K. Zambare Tell about the pharmacological action, duration of therapy and minimum days required to get therapeutic effect Inform what to do in missed doses Tell if any ADR appears then what shall be done Always advise patient in easy language Remember, patients do not know what they do not know
- 11. Step-4-Assessment and Monitoring of Counselling Prof. K. K. Zambare Tell the summery of the counselling session Assess the understanding of the patient Let the patient talk about his concern if any Check knowledge and understanding by direct questioning Monitor actual compliance through follow-up
- 12. Special cases that require the pharmacist Prof. K. K. Zambare If the patient is receiving more than four medication If the patient is pediatric The patients on anticoagulant therapy Asthmatic and diabetic patients The patient suffering from psychiatric disorders The patients who are drug addict or misusing drugs In case of terminal illness The patient with epilepsy or skin disease