Patient counselling, Steps involved in patient counseling, need of counselling, Special cases that require the pharmacist, Patient counseling, Assessment and Monitoring of Counselling, counseling, Definition of patient counseling

1. PATIENT COUNSELING
By
Mr. Krushna Kashinathrao Zambare
HOD, Pharmacology
SBSPM B. Pharmacy College, Ambajogai

2. Definition
Prof. K. K. Zambare
 Patient counselling is defined as the process of giving
information, advise and assistance, about medicines
use either orally or in written to the patient.
 Patient counselling is important to give Right drug,
in Right Dose , at Right time, by Right route and to
Right patient

3. Introduction
Prof. K. K. Zambare
 Patient counselling is important to give Right drug, in
Right Dose , at Right time, by Right route and to Right
patient
 For achieving therapeutic goal counselling is done
 Also counselling will increase the medication
adherence
 Further it also helps to avoid adverse effects and
reduce the therapy cost

4. Steps involved in patient counseling
Prof. K. K. Zambare
1) Introduction and Explaining need of counselling
2) Assess the need of counselling
3) Provide Information and advise on medicine use
4) Assessment and Monitoring of counselling

5. Step -1- Introduction and Explaining need of counselling
Prof. K. K. Zambare
 Introduce yourself
 Get familiar with the patient
 It is necessary to know that what the patient knows
about the prescribed medicines and what the
physician told to him
 After knowing the information from patient advice
must be provided which facilitate the benefit to the
patient and reduces the risk

6. Steps -1- Introduction and Explaining need of counselling
Prof. K. K. Zambare
 Also counselling is important in case of less
therapeutic index, compliance problems, physical
disabilities, dysphagia, problems with memory or is
confused or anxious, psychiatric disorders
 Inform the patient the purpose of counselling that
the review of the medicines ADR, side effects,
dosage, interaction and frequency of
administration.

7. Step-2- Assess the need of counselling
Prof. K. K. Zambare
 After knowing the need of counselling, the counselling
is started by assessing the appropriate patient, exact
medicine and accurate dose
 For this the information can be obtained from patient,
career or physicians

8. Step-2- Assess the need of counselling
Prof. K. K. Zambare
 The details of patient such as age, weight, allergy,
disease, past medication , OTC medicines, habits,
response to previous therapy, duration of therapy is
collected
 Further current therapy details should be identified and
collected by pharmacist like expected outcome like onset,
duration of effect, ADR, interactions, route, duration of
therapy

9. Step-3- Provide Information and advise
on medicine use
Prof. K. K. Zambare
 Inform the patient about dose, frequency of medicine
 Also tell about route of administration
 Inform about side effects, ADR, interactions of
medicine
 Provide details about diet to be taken or avoided with
medicines

10. Step-3- Provide Information and advise
on medicine use
Prof. K. K. Zambare
 Tell about the pharmacological action, duration of
therapy and minimum days required to get therapeutic
effect
 Inform what to do in missed doses
 Tell if any ADR appears then what shall be done
 Always advise patient in easy language
 Remember, patients do not know what they do not
know

11. Step-4-Assessment and Monitoring of Counselling
Prof. K. K. Zambare
 Tell the summery of the counselling session
 Assess the understanding of the patient
 Let the patient talk about his concern if any
 Check knowledge and understanding by direct
questioning
 Monitor actual compliance through follow-up

12. Special cases that require the pharmacist
Prof. K. K. Zambare
 If the patient is receiving more than four medication
 If the patient is pediatric
 The patients on anticoagulant therapy
 Asthmatic and diabetic patients
 The patient suffering from psychiatric disorders
 The patients who are drug addict or misusing drugs
 In case of terminal illness
 The patient with epilepsy or skin disease