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BY RAKIBUL HUSSAIN
PHARM D IV YEAR
 Patient counselling is defined as providing
mediction information orally or in written
form to the patient or their representitives on
direction of use ,advice on side effects
precaution,storage,diet and life style
modification.
 Patient should recognise the importance of
medication for his well being.
 A working relationship and a foundation for
continuous interaction and consultation should
be established.
 Patient understanding of stratagies to deal with
medication side effect and drug interaction
should be improved.
 Should ensure better patient compliance.
 Patient becomes an informed ,efficient And active
participant in disease treatment and self care
management
 Pharmacist should perceived as a professional
who offers pharmaceutical care.
 Drug interaction and adverse drug reactions
should be prevented.
 COUNSELLING PROCESS USES FOLLOWING:
1)verbal communication:
-language
-tone
-volume
-rate of speed
2)Non verbal communication:
-body language
-movement
-proximity
-eye contact.
-facial expression.
 Purpose of medication.
 How medication work.
 Dose and duration of therapy.
 Goals of therapy.
 Adverse effect and how to deal with them.
 Specific drug issues.
 Be a good listener.
 Be flexible.
 Be empathetic.
 Be non judgemental.
 Be tolerant.
 Communicate confidently.
 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.
 Counselling develop upon the knowledge and
skills of the counsellor.
 Pharmacist should know as much possible about
the patient treatment details.
 In community pharmacy the source of
information include patient and prescription or a
record of previous dispensing.
 If the pharmacist is unfamaliar about drug which
is received from the patient ,go for drug
information reference.
 Before counselling ,you have to consider about
mental physical status.
 The pharmacist should introduce
himself/herself to the patient and treat them
by name.
 It is best to use title such as mr,mrs,miss. Eg-
hello mr,any name , my name is x and I am
your clinical pharmacist.
 I would like to tell about the medication.
 Do you have a few minutes to spend with me.
 Pharmacist gather information from the
patient disease,medication.
 Other information may releavent include
previous drug alleries,past medication
history,parsonal habbit such as diet,
smoking,alcohol consumption etc.
 Use open ended question,such as ‘what did
your doctor tell you about your illness?’,what
do you know about your disease,’can you tell
me aboout the symptoms’,Etc.
 During counselling ,the pharmasist should
avoid asking question directly in
embarrassing way .
 Name and strength of medication.
 The reason why it has been prescribed,or how it
work.
 How to take the medication.
 Expected duration of treatment.
 Expected benefit of treatment.
 Possible adverse effect.
 Possible medication or dietary interaction.
 Storage recommendation.
 Minimum duration required to show therapeutic
bennifit.
 What to do if a dose is missed.
 Special monitoring requirement,for ex-blood
test.
 Before closing the session,it is essential to
check patient understanding.
 This can be achived by feedback
question,such as can you remember what is
this medication is for?
 Or how long should you take this medication?
 Ask the patient about any dout.
 Before final closure and if time permits
,summarise the main pioint in logical order.

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Patient counselling

  • 2.  Patient counselling is defined as providing mediction information orally or in written form to the patient or their representitives on direction of use ,advice on side effects precaution,storage,diet and life style modification.
  • 3.  Patient should recognise the importance of medication for his well being.  A working relationship and a foundation for continuous interaction and consultation should be established.  Patient understanding of stratagies to deal with medication side effect and drug interaction should be improved.  Should ensure better patient compliance.  Patient becomes an informed ,efficient And active participant in disease treatment and self care management
  • 4.  Pharmacist should perceived as a professional who offers pharmaceutical care.  Drug interaction and adverse drug reactions should be prevented.
  • 5.  COUNSELLING PROCESS USES FOLLOWING: 1)verbal communication: -language -tone -volume -rate of speed 2)Non verbal communication: -body language -movement -proximity -eye contact. -facial expression.
  • 6.  Purpose of medication.  How medication work.  Dose and duration of therapy.  Goals of therapy.  Adverse effect and how to deal with them.  Specific drug issues.
  • 7.  Be a good listener.  Be flexible.  Be empathetic.  Be non judgemental.  Be tolerant.  Communicate confidently.
  • 8.  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.
  • 9.  Counselling develop upon the knowledge and skills of the counsellor.  Pharmacist should know as much possible about the patient treatment details.  In community pharmacy the source of information include patient and prescription or a record of previous dispensing.  If the pharmacist is unfamaliar about drug which is received from the patient ,go for drug information reference.  Before counselling ,you have to consider about mental physical status.
  • 10.  The pharmacist should introduce himself/herself to the patient and treat them by name.  It is best to use title such as mr,mrs,miss. Eg- hello mr,any name , my name is x and I am your clinical pharmacist.  I would like to tell about the medication.  Do you have a few minutes to spend with me.  Pharmacist gather information from the patient disease,medication.
  • 11.  Other information may releavent include previous drug alleries,past medication history,parsonal habbit such as diet, smoking,alcohol consumption etc.  Use open ended question,such as ‘what did your doctor tell you about your illness?’,what do you know about your disease,’can you tell me aboout the symptoms’,Etc.  During counselling ,the pharmasist should avoid asking question directly in embarrassing way .
  • 12.  Name and strength of medication.  The reason why it has been prescribed,or how it work.  How to take the medication.  Expected duration of treatment.  Expected benefit of treatment.  Possible adverse effect.  Possible medication or dietary interaction.  Storage recommendation.  Minimum duration required to show therapeutic bennifit.
  • 13.  What to do if a dose is missed.  Special monitoring requirement,for ex-blood test.
  • 14.  Before closing the session,it is essential to check patient understanding.  This can be achived by feedback question,such as can you remember what is this medication is for?  Or how long should you take this medication?  Ask the patient about any dout.  Before final closure and if time permits ,summarise the main pioint in logical order.