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
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
