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Barriers For Effective Patient Counseling
Dr. Merrin Joseph
Department Of Pharmacy Practice
Effective patient counseling in community
pharmacy is a difficult task , due to the following
barriers.
Pharmacist related barriers
Patient related barriers
System related barriers
1. Pharmacist Related Barriers
 Lack of knowledge about patient
 Lack of knowledge about patient’s disease condition
 Lack of confidence or skill
 Attittude and beliefs of pharmacist
 Business motives of pharmacist
 Judgmental attitude
 Age difference
 Religious difference
 Inappropriate non-verbal communication
 Filtering of information
 Messages that are received but ignored
 Lack of proper training and time
 Language difference
 Lack of listening
 Lack of planning
 Lack of co-operation from patient
2.Patient Related Barriers
 Lack of trust
 Lack of knowledge of non-verbal communication
 Lack of motivation
 Cultural/religion beliefs
 Poor listening
 Lack of time
 Distance and lack of transportation facilities
 Information overload
 Physical /mental status
 Emotions
◦ Wrong /unclarified assumptions
◦ Filtering of negetive information
◦ Gender difference
◦ Language difference
◦ Lack of honesty
◦ Misunderstanding/Misinformation
◦ Lack of literacy
◦ Financial barriers
 Lack of social support
 Failure to disclose
 Depression
 Alcohol and drug use
 Poor communication
 Hearing/vision problem
3.System Related Barriers
 Lack of privacy in community pharmacy
 Lack of time
 Pharmacist not having access to the patients full
medication history
 Poor communication between pharmacists and physician
 Lack of pharmacists in a pharmacy.
 Use multimedia materials
 Pictograms
 Oral or written information
 Compliance aids
 Follow up schedules
 Audio visual tapes
 Tailoring prescription instructions
 Cultural sensitivity
 Checking for understanding
 Seeking participation
 Effective questions
 Summarizing what has been said
 Body language
 Motivate the receiver
Barriers of patient counseling in a community pharmacy and Strategies to overcome Barriers ,patient specific barriers ,pharmacist specific barriers and system based barriers

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Barriers of patient counseling in a community pharmacy and Strategies to overcome Barriers ,patient specific barriers ,pharmacist specific barriers and system based barriers

  • 1. Barriers For Effective Patient Counseling Dr. Merrin Joseph Department Of Pharmacy Practice
  • 2. Effective patient counseling in community pharmacy is a difficult task , due to the following barriers. Pharmacist related barriers Patient related barriers System related barriers
  • 3. 1. Pharmacist Related Barriers  Lack of knowledge about patient  Lack of knowledge about patient’s disease condition  Lack of confidence or skill  Attittude and beliefs of pharmacist  Business motives of pharmacist  Judgmental attitude  Age difference  Religious difference
  • 4.  Inappropriate non-verbal communication  Filtering of information  Messages that are received but ignored  Lack of proper training and time  Language difference  Lack of listening  Lack of planning  Lack of co-operation from patient
  • 5. 2.Patient Related Barriers  Lack of trust  Lack of knowledge of non-verbal communication  Lack of motivation  Cultural/religion beliefs  Poor listening  Lack of time  Distance and lack of transportation facilities  Information overload  Physical /mental status  Emotions
  • 6. ◦ Wrong /unclarified assumptions ◦ Filtering of negetive information ◦ Gender difference ◦ Language difference ◦ Lack of honesty ◦ Misunderstanding/Misinformation ◦ Lack of literacy ◦ Financial barriers
  • 7.  Lack of social support  Failure to disclose  Depression  Alcohol and drug use  Poor communication  Hearing/vision problem
  • 8. 3.System Related Barriers  Lack of privacy in community pharmacy  Lack of time  Pharmacist not having access to the patients full medication history  Poor communication between pharmacists and physician  Lack of pharmacists in a pharmacy.
  • 9.
  • 10.  Use multimedia materials  Pictograms  Oral or written information  Compliance aids  Follow up schedules  Audio visual tapes  Tailoring prescription instructions
  • 11.  Cultural sensitivity  Checking for understanding  Seeking participation  Effective questions  Summarizing what has been said  Body language  Motivate the receiver