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Patient Councelling 2nd year D pharmacy study Notes
- 1. • Swami VivekanandSantha’s Institute of Pharmacy • Prepared By : Mr.Tanuj Nagmoti Miss Pooja Pawar • Guidence By :Miss Disha Khare . Lecturer (M.Pharm) Community Pharmacy & Management
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- 3. DEFINATION • Patient counsellingis 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.
- 4. OBJECTIVES: • Patient shouldrecognise 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 activeparticipant in disease treatment and self care management
- 5. COMMUNICATION SKILLS FOR EFFECTIVE COUNSELLING • COUNSELLINGPROCESS USES FOLLOWING:1)verbal communication:-language-tone- volume-rate of speed • 2)Non verbal communication:- body language-movement- proximity-eye contact.-facial expression.
- 6. STEP DURING PATIENT COUNSELLING: • Followingare 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.
- 7. COUNSELLING CONTENT: • Name andstrength 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.
- 8. Patient Counselling for chronicdiseases or disorders
- 9. HYPERTENSION • . Counsellingregarding diseasePatients with primary hypertension should be educated about the disease. With suitable examples, patients should be given an idea about the systole, diastole and pressure created in the blood vessels. Also, the patients should be explained about the blood pressure readings under normal condition and in hypertension,
- 10. Counseling regarding lifestyle modifications • Weightreduction • Healthy diet • Regular physical activity • Smoking cessation
- 11. Counseling regarding medication • ACE inhibitors •Angiotensin II receptor blockers • Calcium channel blockers • Diuretics • Beta-blockers • Alpha-blockers • Vasodilators
- 12. Diabetes • Counselling regardingdisease • Patients with diabetes should be informed that the disease will remain lifelong and they should modify their lifestyle. Pharmacist should also explain the value of pharmacotherapy, particularly the necessity of careful adherence to the recommended course of treatment.
- 13. Counseling regarding lifestyle modifications • Diets •Exercise and physical activity • Alcohol intake and smoking
- 14. Counseling regarding medication • Glibenclamide • Glimiperide •Gliclazide • Glipizide • Metfomien • Acarbose
- 15. Asthma I. Counselling regardingdiseaseThe patients should be informed that the disease will not affect their children or their neighbors Additionally, it will not spread by eating together in the same plates or using each other’s belongings. If medications are used as prescribed, the disease’s progression can be controlled,
- 16. Counseling regarding lifestyle modification • A)Knowledge about asthma triggers • B) wearing masks • C)OTC DRUS • D)Stenous exercise • E)Cold
- 17. Counseling regarding medication • Albuterol (B2agonist) • Theophylline (Methylxanthines )
- 18. HIV AIDS • Developteaching, educational aids • In addition to live counselling • Good for follow up reading by patients • Medication card: useful aid, has summary of drugs • Easy format, patient can understand • Pharma companies draft “Consumer Product Info” • Pharmacist can also draft simple product info Counseling
- 19. Tuberculosis (information aboutdisease) • Tuberculosis as a disease which demands long-term multidrug treatment, whi can cause serious adverse drug reactions that can affect the course of therapy Moreover, antituberculotic drugs interact with a variety of drugs, Ot preparations and food, all of which can significantly alter the effectiveness
- 20. CHRONIC OBSTRUCTIVE PULMONARY DISEASE •The role of pharmacists has been recognized in the treatment of COPD patients, including actions from primary prevention (eg, educational campaigns), through preliminary diagnostics (eg, microspirometry testing), to ongoing support and follow-up of patients and their medications. Special medication counselling interventions by community pharmacists are found to have a positive impact on patient and treatment outcomes among COPD patients.
- 21. PATIENT PACKAGE INSERT •“A Patient Package Insert (PPI) or medication guide is a document provide along with a prescription medication to provide additional information about that drug.” • The primary source of drug information is a package insert (PI). • “Package insert is a document, approved by the administrative licensing authority, which is provided with the package of a drug.” • “A package insert, primarily directed at the prescribers, is intended to provide information for the safe and effective use of the respective drug. It is also known as Prescription dreg label, Prescribing information.”
- 22. PATIENT INFORMATION LEAFLET • “Patientinformation leaflets (PILS) are leaflets containing specific information about medical conditions, doses, side effects that packed with medicines to give the user information about the product.” • PIL is the European version of the Package insert. • The PIL is written by the manufacturing pharmaceutical company • All licensed medicines need to carry such a leaflet. But to minimize the cost, manufacturers avoid inserting a PIL.