Patient Counselling is needed for Better patient understanding to their illness and role of medication. Improve medication adherence. Improve dosage regimen adherence. More effective Drug treatment. Reduce incidence of adverse drug effect and unnecessary healthcare cost. ADR reporting. Improve quality of life for patient. Raising image of Pharmacist & its profession.

1. Sujit Trimbak Karpe
Principal,
Sojar college of Pharmacy,
khandvi

2. What is patient counselling?
 Two way process.
 Exchange of information.
 Vital information about medicine.
 Verbal and /or written

3. What is patient counselling?
 Individual and/or in groups
 Personally as well as telephonically.
 Achievement of therapeutic goals
 Further design ,select, implement, evaluate & modify health
interventions.

4. Objective of patient counselling
 Better patient understanding to their illness and role of medication.
 Improve medication adherence.
 Improve dosage regimen adherence.
 More effective Drug treatment.

5. Objective of patient counselling
 Reduce incidence of adverse drug effect and unnecessary healthcare
cost.
 ADR reporting.
 Improve quality of life for patient.
 Raising image of Pharmacist & its profession.

6. PPR 2015 guidelines on patient
counselling
 Only registered pharmacist are involved in counselling.
 Facilities are provided for confidential conversation and patient
confidentiality is maintained.
 Patient information leaflets are provided.
 Proper documentation is made.

7. PPR 2015 guidelines on patient
counselling
 Unnecessary counselling should be avoided.
 In every consultation benefit to the patient is of foremost.
 All registered pharmacists engaged in the case should be frank with the
patient and his attendants.
 Utmost punctuality should be observed by a registered pharmacist in
making themselves available for counselling.

8. Patient counselling
 Provide counselling to engage in direct consultation with the patient or
his/her representative.
 Remember, the right patient taking the right drug at the right dose at the
right time, BUT in the wrong way can still compromise drug effectiveness
and patient safety.

9. Steps in Patient counselling
The structure of the counseling session is divided into four groups:
 Introduction of the session.
 Content of the session.
 Process followed.
 Conclusion of the session.

10.  Review the patient record prior to counselling.
 Explain the purpose of counselling session.
 Conduct an appropriate patient counselling introduction by self and
patient.
 Obtain pertinent initial drug related information. E.g.: drug allergies,
and other medications.
Patient counselling - Introduction

11.  Warn the patient about taking other medications including OTC drugs,
herbals, or botanical drugs and alcohol which could inhibit or interact into
the prescribed medication.
 Determines whether the patient has any other medical conditions that
could influence the effects of their drug or enhance the likelihood of an
ADR.
 Asses the patient understandings of reason for therapy.
Patient counselling - Introduction

12. Patient counselling - Content
 Patient counselling should include information on who, what,
where, when and how

13. Patient counselling - Content

14. Patient counselling - Content

15. Patient counselling- Summary

16. Patient counselling- Process
• Provide accurate information.
• Use language that the patient is likely to understand.
• Use the appropriate counselling aids to support counselling.
• Present the fact and order in a logical order.
• Maintain control & direction of the counseling session.
• Analyze for additional information.

17. Patient counselling- Process
• Use open‐ended question.
• Display effective non‐verbal behaviors.

18. Patient counselling- Conclusion
• Verify the patient understanding via feedback.
• Summaries by acknowledging or emphasizing key points of
information.
• Provide an opportunity for final concerns or questions.
• Help the patient to plan, follow up and next consecutive
steps.

19. Communicative skills for effective
counselling
Communicative skills are subdivided into two types
1. Verbal communication
2. Non verbal communication

20. Verbal communication
• Language
• Tone
• Volume
• Speed

21. Verbal communication
• A key component of interactive communication is using
open‐ended questions.
• Open‐ended questions are questions that start with who, what,
where, when, how and why

22. Non verbal communication
• Body Language
• Proximity
• Eye contact
• Facial expression

23. Non verbal communication
Appropriate Non verbal cues

24. Non verbal communication
Distracting Non verbal cues

25. Barrier of effective communication
 Environmental barrier
 Semantics
 Negative attitude
 Time barrier

26. Barrier of effective communication
 Environmental barrier
• lack of privacy and furniture between patient and
pharmacist
• It comes under physical barrier

27. Barrier of effective communication
 Semantics
• relate to meaning word or symbol in
interpersonal communication.
• Word or symbol can have multiple meaning,
therefore effective patient communication
required to use word carefully.

28. Barrier of effective communication
 Negative attitude
• lack of confidence.
• Pharmacist should strive to improve
their talking skill through practice.

29. Barrier of effective communication
 Time barrier
• Time barrier is very common when it
comes to pharmacist and patient.
• Time are often excuses not to counsel
though it often does not take very long
time.

30. Patient counseling - a growing need in
chronic illness
Drug counseling points in Hypertension

31. Patient counseling - a growing need in
chronic illness
Drug counseling points in Diabetes

32. Patient counseling - a growing need in
chronic illness
Drug counseling points in coronary heart disease

33. Patient counseling - a growing need in
chronic illness
Drug counseling points in Asthma

34. Patient counseling - a growing need in
chronic illness
Drug counseling points in Epilepsy

35. Patient counseling - a growing need in
chronic illness
Drug counseling points in Dyslipidemia

36. Patient counseling - a growing need in
chronic illness
Drug counseling points for use of antibiotics
Antibiotic Resistance Pharmacist Role
Over prescription of drug Only prescribe and dispense antibiotics when they
are truly needed
Patient not finishing their treatment Prescribe right antibiotic at right dose for right
duration
Poor infection control in hospital and clinics Test to confirm whether the antibiotic is needed and
which one
Lack of hygiene and poor sanitation Prevent infection by proper hygiene and sanitation
Lack of new antibiotics being developed Keep your patients vaccination up to date

37. conclusion
• Pharmacists, being active members of the healthcare team can
play an important role in providing patient counseling so as to
improve patient compliance and hence the therapeutic outcomes
and quality of life.

38. conclusion
• Patient counseling by pharmacists also enables the doctors to
spend more time on examination and diagnosis the patients as
the counseling part is taken care of by the pharmacist.
• It also helps in many ways to improve the quality of healthcare
system with better patient care and therapeutic outcomes.