Patient counselling, in particular, is defined as providing medication information orally or in written form to the patients or their representatives on directions of use, advice on side effects, precautions, storage, diet and lifestyle modifications.
OBJECTIVES OF PATIENT COUNSELLING
In fact, the patient should recognize the importance of medication for his well-being. So, a working relationship and a foundation for continuous interaction and consultation should be established. To sum up, the Patient’s understanding of strategies to deal with medication side effects and drug interactions should be improved. Moreover, we should ensure better patient compliance. Correspondingly, the patient becomes an informed, efficient and active participant in disease treatment and self-care management. In fact, the pharmacist should be perceived as a professional who offers pharmaceutical care. So, Drug interactions and adverse drug reactions should be prevented.
STAGES OF PATIENT COUNSELLING
- Review the patient’s record in particular
- As well as introduce your self
- Moreover, explain the purpose of counselling
- Obtain drug-related information such as allergies, use of herbals etc.
- Consequently, assess the patients understanding of the reasons for therapy
- Assess any actual as well as potential concerns or problems of importance to the patient.
- The medicine’s generic as well as brand name
- In fact, in which way it helps the patient?
- How it makes him/her feel?
- How long it takes to begin working?
- When to take the medicine?
- How long it will be necessary to take the medicine?
- When to take it: before, during, after meals? At bedtime? At any other special times?
- How to take it? With water? With fruit juice? How much?
- What to do if you forget to take it (miss a dose)?
- Foods, drinks, or other medicines that you should not take while taking the medicines.
- Restrictions on activities while taking the medicine
- Possible side effects. What to do if they appear. How to minimize the side effects? How soon they will go away.?
- When to seek help if they are problems?
- How long to wait before reporting no change in symptoms?
- How to store medicine?
- The expiration date
- The cost of the medicine
- How to have your prescription refilled, if necessary?
- The necessity to complete the course.
- Drug-Drug, Drug-Food interactions
- Supply medication reminder chart.
Issues regarding Manner:
- Use language that the patient understands
- Use appropriate counselling aids
- Present facts and concepts in simple words and in a logical order
- Use open-ended questions.
- Verify the patient’s understanding using feedback
- Summarize by emphasizing key points
- Allow the patient to put forward any concerns.
- Help the patient to plain follow-up
IMPORTANT ASPECTS OF COUNSELLING
The environment should be conducive to proper interaction between patient and pharmacist. So, there should be privacy and enough time for proper interaction.
In fact, Patients get a lot of benefit by way of information. So, Pharmacists get benefit by way of better business.
- Barriers are three types:
- Patient-Based Barriers
- System-Based Barriers
- Provider-Based Barriers
In short, a patient may not like to listen. Furthermore, He/ She may have some disadvantage or may not know your language or may feel shy or inhibited. These barriers must be overcome with patience However, if the patient is reluctant about accepting advice, it is better to leave him and not insist on giving advice.
The owners of the establishment in particular, may not like patient counselling or there may not be enough space where counselling may be done.
Undoubtedly, the Pharmacist who is giving the counselling may have a problem with language or subject or some other problem may be there. So, all these barriers must be overcome to be able to give proper Patient Counselling.