CLINICAL PHARMACY

1. PATIENT COUNSELLING
PRESENTED BY KRISHNA M 5TH PHARM D

2. INTRODUCTION
• Patient counselling refers to the process of providing information, advice
and assistance to help patients use their medications appropriately.The
information and advice is given by the pharmacist directly to the patient or
to the patient’s representative, and may also include information about the
patient’s illness or recommended lifestyle changes.

3. OBJECTION
• PATIENT SHOULD RECOGNIZETHE IMPROTANCE OF MEDICATION FOR
HISWELL BEING .
• AWORKING RELATIONSHIP AND A FOUNDATION FOR CONTINUOUS
INTERACTION AND CONSULTATION SHOULD BE ESTABLISED .
• PATIENT’S UNDERSTANDING OF STRATEGIESTO DEALWITH
MEDICATION SIDE EFFECTS AND DRUG INTRATIONS SHOULD BE
IMPROVED

4. • SHOULD ENSURE BETTER PATIENT COMPLIANCE .
• PATIENT BECOMES AN INFORMED, EFFICIENT AND ACTIVE PARTICIPANT
IN DISEASETREATMENT AND SELF CARE MANAGEMENT .
• THE PHARMACIST SHOULD BE PERCEIVED AS A PROFESSIONAL WHO
OFFERS PHARMACEUTICAL CARE.
• DRUG INTERACTION AND ADVERSE DRUG REACTION SHOULD BE
PREVENTED.

5. WHAT ARETHE ROLE’STO PLAY BY
PHARMACIST AND PATIENTS ?

6. PHARMACIST ROLE
• THE PHARMACIST ROLE ISTOVERIFYTHAT PATIENTS HAVE SUFFICIENT
UNDERSTANDING, KNOWLEDGE,AND SKILLTO FOLLOWTHEIR
PHARMACOTHERAPEUTIC REGIMENS AND MONITORING PLANS

7. PATIENT ROLE’S
• PATIENT ROLETO ADHERETOTHEIR PHARMACOTHERAPEUTIC
REGIMENS, MONITOR FOR DRUGS EFFECTS, AND REPORTTHEIR
EXPERIENCESTO PHARMACIST OR OTHER MEMBERS OFTHEIR HEALTH
CARETEAMS.

8. HOW PHARMACIST WILL PROCESSTHESE
STEPS ?

9. FOUR STEPS WHICH ARE BEING INVOLVED
• STEPS- 1 ESTABLISH INTRODUCE SELF AS PHARMACIST, CARING
RELATIONSHIP , PRIMARY SPOKEN LANGUAGE APPROPRIATETOTHE
PRACTICE SETTING AND STAGE INTHE PATIENT’S HEALTH CARE
MANAGEMENT.

10. • STEPS -2ASSESSTHE PATIENT’S KNOWNLEDGE ABOUT HIS OR HER
HEALTH PROBLEMS AND MEDICATION, PHYSICAL AND MENTAL
CAPABILITYTO USETHEIR MEDICATIONS APPROPRIATELY AND
ATTITUDETOWARDSTHE HEALTH PROBLEM AND MEDICATON.
• STEPS-3 PROVIDE INFORMATION ORALLY AND USEVISUAL AIDS OR
DEMONSTRATION TO FILL PATIENTS ‘GAPS IN KNOWLEDGE AND
UNDERSTANDING’
• STEPS-4VERIFY PATIENTS ‘ KNOWLEDGE AND UNDERSTANDING OF
MEDICATION USE. ASKTHE PATIENTTO DESCRIBE OR SHOW HOWTHEY
WILL USETHEIR MEDICATION AND IDENTIFYTHEIR EFFECTS .

11. DOCUMENTATION
• PHARMACIST SHOULD DOCUMENT EDUCATION AND COUNSELING IN
PATIENT ‘ PERMANENT MEDICAL RECORDS AS CONSISTENT WITHTHE
PATIENT ‘ CARE PLANS ,THE HEALTH SYSTEM, SYSTEM’S POLICIES AND
PROCEDURES , AND APPLICATION STATE AND FEDERAL LAWS.

12. CASE PRESENTATION

13. BUTWHAT’STHE DIFFERENCE ABOUTTHIS CASE
PRESENTATION ????

14. WHAT IFTHE PATIENT IS INFANT !!!!!!!

15. WHATWILL BEYOUR COUNSELING ???

16. EXAMPLES GIVES AS GREAT UNDERSTANDING OF
CONCEPT THAN INTHEORY PRESENTATIONS .
SO, GUESSWHAT ?

17. YES ,YOU ARE CORRECT A CASE
PRESENTATION ISWAITING FORYOU !!!!!!!!!.
INORDER GIVEYOU PERFECT EXAMPLES

18. IT’S A UNIQUE CASE PRESENTATION ON
INTRA –PERICARDIALTERATOMA
PRESENTING AS A MEDIASTINAL MASS IN
AN INFANT. MAIN PURPOSE IS FORTHIS
CASE IS BETTER UNDERSTADING ON
PATIENT COUNSELING. SO, ONLY
IMPORTANT DETAILS ISTAKEN .

19. SUBJECTIVE
• A 6 MONTHS OLD MALE PATIENT WAS BROUGTHTO PAEDIATRIC
OUTPATIENT WITH RESPIRATORY DISTRESS .

20. GENERAL EXAMINATION
• AFEBRILE
• ACTIVE
• HR 138 /MIN
• No pallor , icterus, cyanosis , lymphadenopathy

21. SYSTEMIC EXAMINATION
• HEMATOLOGICAL AND BIOCHEMICAL PARAMETERS IS NORMAL.
• OTHER SYSTEMC EXAMINATION IS ALSO NORMAL.
• CHEST X RAY: SHOWS HOMOGENEOUS OPACITY IN RIGHT SIDE OF CHEST
WITH SMOOTH CONVEX LATERAL MARGINS . MEDIAL MARGINS ARE NOT
SEEN ,THERE IS A LOSS OF CARDIAC SILHOUETTE OVER RIGHT SIDE.
• CT SCAN: MULTI CYSTIC ANTERIOR MEDIASTINAL MASS , MEASURING
6*4*4CM

22. SURGERY IS PERFORMED
• INORDERTO REMOVE . A CYSTIC , LOBULATED INTRAPERICARDIAL
MASS MEASURING 5*5*3CMWAS OPERATED AND REMOVED.
• ANTIBIOTICS , NSAIDS .
• AND MONITORING PATIENT 24/7HRS

23. PATIENT COUNSELING
• SLEEP DISTRUBANCES , CRYING UNCONTROLLABLE , HYSTERIA MAY
OCCUR .
• PATIENT PARENTS SHOULD BE INSTRUCTED ABOUTTHE CONDITION OF
DISEASE, DRUG MONITORING .

24. TELLS ABOUTYOUR OPINION ABOUT OUR
PRESENTATION
YOU AREWELCOME PLEASE INFORMS US .
WE CAN IMPROVE IN OUR FURTHER
PRESENTATION.

25. REFERNECE
• ASHP GUIDELINES ON PHARMACIST CONDUCTED PATIENT EDUCATION
AND COUNSELING.
• LINKED IN PAGE (ABOUT PATIENT COUNSELLING)
• CASE REFERENCE ( SCIVERSE SCIENCEDIRECT ARTICLE )

26. THANKYOU