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Communication skills dr c m kamaal

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Communication skills dr c m kamaal

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Communication, Medical, Clinical, Pharmacology, CBME, Competency, Medical education, Patient communication skills, Doctor, Patient, Communication Skills, MCI, Medical Education,

Communication, Medical, Clinical, Pharmacology, CBME, Competency, Medical education, Patient communication skills, Doctor, Patient, Communication Skills, MCI, Medical Education,

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Communication skills dr c m kamaal

  1. 1. Dr C M Kamaal MD DCH Pediatrician and Clinical Pharmacologist COMPETENCY No PH 3.8 (PRACTICAL PHARMACOLOGY FOR MBBS) Associate Professor Department of Pharmacology and Therapeutics SMMH Govt Medical College Saharanpur Communicate effectively on proper use of prescribed medication 1
  2. 2. OBJECTIVES OF PRACTICAL CLASS At the end of the session shall be able to: • An overview of communication skills in medical practice • Realizing the importance of effective communication in achieving optimal drug use. • Identify that effective communication is directly related to patient compliance. • Comprehend the dynamics of effective communication during a consultation. • Learning the communication skills related to use of medication in clinical practice Communication skills related to pharmacology and therapeutics by Dr C M Kamaal 2 of 41
  3. 3. Communication skills in Pharmacology & therapeutics Effective doctor-patient communication is in the core of building a therapeutic doctor-patient relationship, as well as therapeutic outcome. Communication skills related to pharmacology and therapeutics by Dr C M Kamaal 3
  4. 4. Clinical skills viewed as worthless without communication skills Communication skills in Pharmacology & therapeutics 4 Communication skills related to pharmacology and therapeutics by Dr C M Kamaal
  5. 5. Developing communication skills are now a part of newer medical curriculum in as per Competency based medical curriculum. Communication skills in Pharmacology & therapeutics Communicate effectively with a patient on the proper use of prescribed medication COMPETENCY No PH3.8 PRACTICAL PHARMACOLOGY FOR MBBS 5 Communication skills related to pharmacology and therapeutics by Dr C M Kamaal
  6. 6. Purposes of Doctor - Patient Communication 1. Creating a good inter-personal relationship - must show .empathy, respect, genuineness, unconditional acceptance and warmth. 2. Exchanging information - Consists of information- giving (patient) and information seeking (doctor) 3. Making treatment - related decisions. - Consists of information-giving (patient) and information seeking (doctor). Doctor also gives information regarding drugs, disease, life-style changes. Communication skills related to pharmacology and therapeutics by Dr C M Kamaal 6 of 41 Paternalistic approach' where the doctor directs care and makes decisions about treatment has been replaced by the ideal of `shared decision making'.
  7. 7. Good communication between doctors and patients decreases the chance of dissatisfaction with professional services, even with failed therapy, and the likelihood of litigation. 7 Communication skills related to pharmacology and therapeutics by Dr C M Kamaal
  8. 8. Communication skills • Communication skills need to be taught and learned • Can be both learned and retained; it is not just a personality trait • Experience alone can be a poor teacher • Needs to be taught with the same rigour as other core skills, such as the physical examination • Shifts in medical practice to amplify the need for even experienced doctors to continually enhance communication skills Highlights 8 Communication skills related to pharmacology and therapeutics by Dr C M Kamaal
  9. 9. Advantage of effective communication • Greater symptom improvement • Increased Patient Doctor satisfaction • Better adherence to treatment • Fewer medication errors • Better compliance to drug administration • Reduction of diagnostic testing and referrals • Improved compliance to drugs • Better follow up • Lesser complains against doctors • Decreased litigation cases 9Communication skills related to pharmacology and therapeutics by Dr C M Kamaal
  10. 10. The communication and interpersonal skills are of measurable and modifiable behaviours that can evolve. 10 Communication skills related to pharmacology and therapeutics by Dr C M Kamaal
  11. 11. 11 of 41 Four factors in communication Communication skills related to pharmacology and therapeutics by Dr C M Kamaal
  12. 12. Four factors in communication Communication skills related to pharmacology and therapeutics by Dr C M Kamaal 12 of 41 1. Doctor 2. Patient 3. Atmosphere 4. Message
  13. 13. Communication skills related to pharmacology and therapeutics by Dr C M Kamaal 13
  14. 14. Communication skills related to pharmacology and therapeutics by Dr C M Kamaal 14
  15. 15. Purposes of Doctor - Patient Communication • Creating a good inter-personal relationship - must show empathy, respect, genuineness, unconditional acceptance and warmth. • Exchanging information Consists of information-giving (patient) and information seeking (doctor) • Making treatment - related decisions. - Consists of information- giving (patient) and information seeking (doctor). Doctor also gives information regarding drugs, disease, life-style change Communication skills related to pharmacology and therapeutics by Dr C M Kamaal 15
  16. 16. Good communication habits • Environment • Initial greeting (friendly & helpful way) • Seating - conducive. • Body posture/body language • Maintain eye contact • Good listening/warmth • Effective questioning • Interruption & facilitation where needed • End of interview 16Communication skills related to pharmacology and therapeutics by Dr C M Kamaal
  17. 17. Communication skills related to pharmacology and therapeutics by Dr C M Kamaal 17
  18. 18. Nonverbal communication/Body language More human communication can takes place by use of gesture, postures, position and distances Communication skills related to pharmacology and therapeutics by Dr C M Kamaal 18 of 41
  19. 19. Empathy in communication skills Communication skills related to pharmacology and therapeutics by Dr C M Kamaal 19 of 41
  20. 20. PHASES OF CONSULTATION/COOMUNICATION 1 Establishment of rapport 2 Diagnostic phase (Establishment of diagnosis) • the history • the physical and mental examination • investigations explanation and education 3 Management phase (Medications/procedure/follow up) • explanation and education • prescribing medication • procedural—therapeutic or extended diagnostic • referral • follow-up Communication skills related to pharmacology and therapeutics by Dr C M Kamaal 20 of 41
  21. 21. Rapport establishing techniques • Greet the patient with a friendly interested manner. • Treat the patient with respect and courtesy. • Greet the patient by his or her preferred name. • Make the patient feel comfortable. • Be ‘unhurried’ and relaxed. • Be well briefed about prior consultations. • Focus firmly on the patient. • Listen carefully and appropriately. • Make appropriate reassuring gestures. • Start with: ‘What would you like to tell me?’ or ‘How can I help you?’ 21Communication skills related to pharmacology and therapeutics by Dr C M Kamaal
  22. 22. Questioning effectively • Use a tone of voice that shows interest, concern and friendliness. • Don’t ask too many questions that can be answered with a “yes” or “no”. • Ask questions that encourage patients to say more e.g., "How can I help you?" "What have you heard about...?“ • Ask the same question in different ways if you think the patient has not understood. • Ask only one question at a time and wait for an answer. 22 Communication skills related to pharmacology and therapeutics by Dr C M Kamaal
  23. 23. Interpreting body language Communication skills related to pharmacology and therapeutics by Dr C M Kamaal 23
  24. 24. Communications skills in medical practice Communication skills related to pharmacology and therapeutics by Dr C M Kamaal 24
  25. 25. Barriers in communication Communication skills related to pharmacology and therapeutics by Dr C M Kamaal 25
  26. 26. Barriers in communications Waiting room  Poor physical layout  Too much waiting time for consultation Time pressure  ‘Traffic level’  Busy OPD  Noisy atmosphere in and around consultation room  Sense of urgency Physical factors  Large size table/desk -barrier  Physician attire  Inappropriate layout  Poor record system  Substandard examination couch Privacy  Dressing/undressing  Presence of opposite sex physician/assistant (eg. Gynae Obs)  Sound interruptions -telephone Communication skills related to pharmacology and therapeutics by Dr C M Kamaal 26
  27. 27. Tips to improve communication in therapeutics Communication skills related to pharmacology and therapeutics by Dr C M Kamaal 27 Use of diagram/video to explain Asthma
  28. 28. Checking empty blister package on follow up Communication skills related to pharmacology and therapeutics by Dr C M Kamaal 28 Tips to improve communication in therapeutics
  29. 29. Communication skills related to pharmacology and therapeutics by Dr C M Kamaal 29 Demonstrating the of use of device (eg. metered dose inhaler) Tips to improve communication in therapeutics
  30. 30. 30 Tips to improve communication in therapeutics Communication skills related to pharmacology and therapeutics by Dr C M Kamaal
  31. 31. Drug effect in support of compliance to treatment Communication skills related to pharmacology and therapeutics by Dr C M Kamaal 31
  32. 32. Advice related to life style modification Communication skills related to pharmacology and therapeutics by Dr C M Kamaal 32
  33. 33. 1. Brief explanation of disease/condition 2. Name of drug (Brand, generic) 3. Therapeutic effects of drug on disease /condition 4. Medications details (dosage/freq hrly basis/route) 5. How to take (water/milk/juice/curd) chew/do not chew 6. Side effects/food or drug interactions/contraindications 7. What to do if a dose is missed 8. When to stop 9. Food related advice/nondrug advice 10.Follow up instructions/therapeutic adharence Communication skills related to pharmacology and therapeutics by Dr C M Kamaal 33 Communication relevant to therapeutics/pharmacotherapeutics
  34. 34. Advice related to dietary modification Communication skills related to pharmacology and therapeutics by Dr C M Kamaal 34
  35. 35. Communication skills related to pharmacology and therapeutics by Dr C M Kamaal 35 EXCERCISE A 60 year male patient weighing 56 kg working in tea garden has been diagnosed with Type -2 Diabetes mellitus and has been put on oral hypoglycemic Metformin (Glycomet 500 SR). CASE FILE
  36. 36. Communication skills related to pharmacology and therapeutics by Dr C M Kamaal 36
  37. 37. Communication skills related to pharmacology and therapeutics by Dr C M Kamaal 37 EXCERCISE CASE FILE Description Glycomet 500 SR is a oral hypoglycemic medications used for the treatment of type 2 diabetes mellitus..
  38. 38. Communication skills related to pharmacology and therapeutics by Dr C M Kamaal 38 EXCERCISE CASE FILE Describe and demonstrate communication skills important in the case
  39. 39. 1. Brief explanation of disease/condition 2. Name of drug (Brand, generic) 3. Therapeutic effects of drug on disease /condition 4. Medications details (dosage/freq hrly basis/route) 5. How to take (water/milk/juice/curd) chew/do not chew 6. Side effects/food or drug interactions/contraindications 7. What to do if a dose is missed 8. When to stop 9. Food related advice/nondrug advice 10.Follow up instructions/therapeutic adharence Communication skills related to pharmacology and therapeutics by Dr C M Kamaal 39 Communication relevant to therapeutics/pharmacotherapeutics
  40. 40. Communication skills related to pharmacology and therapeutics by Dr C M Kamaal 40 EXCERCISE 1) Brief explanation of disease/condition People with type 2 diabetes are not able to make enough insulin or respond normally to the insulin made by their bodies. When this happens, the concentration of sugar/glucose increases in the blood. Glycomet 500 MG Tablet is an effective first choice medicine used to control high blood glucose levels in patients with type II diabetes. Glycomet 1gm Tablet SR is an anti-diabetic medication (biguanide). It works by lowering glucose production in the liver, delaying the absorption of sugar (glucose) from the intestines and increasing the body's sensitivity to insulin. It also helps body to respond better to the insulin it makes naturally.
  41. 41. Communication skills related to pharmacology and therapeutics by Dr C M Kamaal 41 EXCERCISE CASE FILE 2) Name of drug (Brand name and generic name) Brand name : Glycomet 500 SR Each film coated tablet contains Metformin 500 mg
  42. 42. Communication skills related to pharmacology and therapeutics by Dr C M Kamaal 42 EXCERCISE CASE FILE 3) Therapeutic effect • Controlling high blood sugar levels in people with type 2 diabetes mellitus. • Preventing serious complications of diabetes such as kidney damage and blindness and may reduce chance of having a heart attack or stroke. • Helps in controlling weight gain.
  43. 43. Communication skills related to pharmacology and therapeutics by Dr C M Kamaal 43 EXCERCISE CASE FILE 4) Medications details dosage form/route Once daily oral route
  44. 44. Communication skills related to pharmacology and therapeutics by Dr C M Kamaal 44 EXCERCISE CASE FILE 5) How to take (water) Swallow it as a whole. Do not chew, crush or break it swallow it with a glass of water. Prefer taking it in the morning with breakfast The peak effect of this medicine can be observed within 1-3 hours of administration can be taken with or after meal Taking Glycomet with meals will reduce its digestive problems like indigestion, nausea, vomiting, diarrhea, stomach ache and loss of appetite..
  45. 45. Communication skills related to pharmacology and therapeutics by Dr C M Kamaal 45 EXCERCISE CASE FILE 6) Side effects/food drug interactions /contraindications • In addition Lo general restrictions for use of oral hypoglycaemics, Metformin is contraindicated in renal insufficiency, because risk of lactic acidosis increases. It should also not be given in hypotensive states, heart failure, severe respiratory/hepatic disease, as well as in alcoholics. • Drugs like cimetidine, furosemide may compete with metformin excretion and enhance its toxicity
  46. 46. Communication skills related to pharmacology and therapeutics by Dr C M Kamaal 46 EXCERCISE CASE FILE 7) If a dose is missed If a dose of Glycomet is missed it can be taken take it as soon as possible. However, if it is almost time for next dose, skip the missed dose and going back to regular schedule is advisable. Doubling the dose to make up for the missed one is not recommended
  47. 47. Communication skills related to pharmacology and therapeutics by Dr C M Kamaal 47 EXCERCISE CASE FILE 8) When to stop Medication may continue for life long This medication should be taken regularly, at the same time each day, to get the most benefit and should not stopped unless recommends by doctor The dose is likely to change over time based on therapeutic response and clinical condition. Regular monitoring of blood sugar levels is recommended during treatment with this medicine. Do not change the dose or duration of use without consulting the doctor.
  48. 48. Communication skills related to pharmacology and therapeutics by Dr C M Kamaal 48 EXCERCISE 9) Food related advice/nondrug advice It is important to stay on strict diet and exercise program while taking this medicine. Lifestyle plays a big part in controlling diabetes. Physical exercise helps lower your blood sugar level. Physical activities and excercises like fast walking climbing stairs doing more strenuous housework or gardening are advisable For overweight patient finding a way to lose weight is important as it really improves diabetes management. This is because it can help to lower blood glucose and reduce risk of other complications. Foods to eat for a type 2 diabetic diet meal plan include complex carbohydrates such as brown rice, whole wheat, oatmeal, fruits, vegetables, beans, and lentils. Foods to avoid include simple carbohydrates, which are processed, such as sugar, pasta, white bread, flour, and cookies, pastries. Meal plan/weight reduction/Exercise/change in life style/reduce stress
  49. 49. Communication skills related to pharmacology and therapeutics by Dr C M Kamaal 49 EXCERCISE CASE FILE 10) Follow instructions/ therapeutic adharance
  50. 50. Communication skills related to pharmacology and therapeutics by Dr C M Kamaal 50
  51. 51. THANKS Queries…. 9528540756 doc_kam@hotmail.com Dr C M Kamaal MD DCH Pediatrician & Clinical Pharmacologist Associate Professor in Pharmacology

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