Patient Counseling Services
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Transcript of Patient Counseling Services
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PATIENT COUNSELINGSERVICE
Navin Kumar Loganadan,
MClinPharm (UKM)
http://www.google.com.my/imgres?imgurl=http://www.asthmamedication.org/wp-content/uploads/2009/01/asthma-inhalers-250x250.png&imgrefurl=http://www.asthmamedication.org/asthma-information/asthma-inhalers/&usg=__87ZLn-faVEX7RSJceJKcWLrIzq4=&h=250&w=250&sz=101&hl=en&start=17&zoom=1&tbnid=KFp8wHcEWD56oM:&tbnh=111&tbnw=111&ei=jRlvTdTwKZGvrAeWrL2EDw&prev=/images%3Fq%3Dinhalers%26um%3D1%26hl%3Den%26sa%3DN%26tbs%3Disch:1&um=1&itbs=1http://www.google.com.my/imgres?imgurl=http://i.acdn.us/image/A1611/161185/300_161185.jpg&imgrefurl=http://www.associatedcontent.com/article/424148/the_way_to_treat_mental_disease_medication.html&usg=__Qy4DaqWceJCUAxAWXBR_CELmofo=&h=249&w=300&sz=11&hl=en&start=30&zoom=1&tbnid=-KHz7lHmBBNfuM:&tbnh=96&tbnw=116&ei=7RxvTaeTCoyqrAfihJmFDw&prev=/images%3Fq%3Dmedication%2Bcounseling%26start%3D20%26um%3D1%26hl%3Den%26sa%3DN%26tbs%3Disch:1&um=1&itbs=1http://www.google.com.my/imgres?imgurl=http://crysfay.blogs.friendster.com/my_blog_/images/patient_counseling_2.JPG&imgrefurl=http://www.pharmainfo.net/kaushalpathak/patient-counselling&usg=__QuQ_9p1w8z-xYytyxlVbPUB8Da0=&h=265&w=400&sz=111&hl=en&start=1&zoom=1&tbnid=Al9hWhOGf9MOUM:&tbnh=82&tbnw=124&ei=0xxvTdSUOIfyrQf72JWFDw&prev=/images%3Fq%3Dmedication%2Bcounseling%26um%3D1%26hl%3Den%26sa%3DN%26tbs%3Disch:1&um=1&itbs=1http://www.google.com.my/imgres?imgurl=http://3.bp.blogspot.com/_ycmmpsqmmZo/TRk25lRBfDI/AAAAAAAAAWY/6gMZy-M8qCk/s1600/pill%252Bbox.jpg&imgrefurl=http://randysautonation.blogspot.com/&usg=__dp_H5LqEMAdmsVzW7SwomUBGar4=&h=623&w=945&sz=210&hl=en&start=18&zoom=1&tbnid=BFhIekK8oaOuPM:&tbnh=98&tbnw=148&ei=fBdvTZjWNNHorQfK5O2ODw&prev=/images%3Fq%3Dpill%2Bboxes%26um%3D1%26hl%3Den%26sa%3DN%26tbs%3Disch:1&um=1&itbs=1 -
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A type of pharmacy service where the
qualified pharmacist gives counseling
on medications to the patients
Provided in a separate room and not at
the dispensing couner
Patient Counseling Service
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To improve patients understanding onmedication usage
To ensure patients compliance tomedication regimen
To obtain optimal therapeutic outcomefrom the medications
Objectives of Medication
Counseling
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Correct method of administering drug
Side effects of drugs
Importance of medication compliance
Proper usage of medication devices
Types of Counseling
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Correct methods of administering:
Tablets, capsules, syrup etc. (before or after
food) Injection (sites of injection, correct technique)
Eye/ear/nasal drops or ointments
Suppositories
Pessaries
External preparations (lotion, cream,ointment, gel)
Correct method of drug
administration
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Tell the patient about the possible side effects oftaking the drug, eg. Drowsy
Palpitations Frequent urination
Rashes
Diarrhea
Tell the patient to inform the doctor or pharmacistif encounter any serious or intolerable side effects
Side effects of drug
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Explain to the patient that complying tothe medication regimen (taking the
medication as prescribed) will ensurethat the patient receives optimal benefitfrom it
Explain methods of remembering totake the medications
Importance of medication
compliance
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Reasons for poor compliance:
Forgetfulness (busy work schedule, old age)
Poor understanding on the importance of themedication
Thinking too much of the expected side
effects Poor understanding on the correct method of
drug administration (insulin pen, inhaler, etc.)
Importance of medication
compliance
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Suggest patient to use pill boxes toimprove medication compliance ifnecessary
Pill box
A box where medications can be kept in
different compartments based on; Different times of the day (morning, afternoon,
evening, bedtime)
Different days in a week (Monday to Sunday)
Importance of medication
compliance
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Weekly Pill OrganiserDaily Pill Organiser
Monthly Pill Organiser
http://www.google.com.my/imgres?imgurl=http://www.wellpromo.com/upload/upimg26/Pill-Boxes-Medicine-Chests--Mo-34526.jpg&imgrefurl=http://www.wellpromo.com/search/d/dicing-silicon-wafer/&usg=__xN8kzZd84VJm5wGJQX5T0teNRzk=&h=900&w=900&sz=62&hl=en&start=55&zoom=1&tbnid=taT98og-GKbZzM:&tbnh=146&tbnw=146&ei=wBdvTZfICoHIrQfA79D9Dg&prev=/images%3Fq%3Dpill%2Bboxes%26start%3D40%26um%3D1%26hl%3Den%26sa%3DN%26tbs%3Disch:1&um=1&itbs=1http://www.google.com.my/imgres?imgurl=http://3.bp.blogspot.com/_ycmmpsqmmZo/TRk25lRBfDI/AAAAAAAAAWY/6gMZy-M8qCk/s1600/pill%252Bbox.jpg&imgrefurl=http://randysautonation.blogspot.com/&usg=__dp_H5LqEMAdmsVzW7SwomUBGar4=&h=623&w=945&sz=210&hl=en&start=18&zoom=1&tbnid=BFhIekK8oaOuPM:&tbnh=98&tbnw=148&ei=fBdvTZjWNNHorQfK5O2ODw&prev=/images%3Fq%3Dpill%2Bboxes%26um%3D1%26hl%3Den%26sa%3DN%26tbs%3Disch:1&um=1&itbs=1http://www.google.com.my/imgres?imgurl=http://www.stamping-manufacturer.com/Made-in-China/PILLBOX/org04_01_PILL_BOX_products.jpg&imgrefurl=http://www.stamping-manufacturer.com/products_pill_box_manufacturer.htm&usg=__wiWc9HsVbfJf9VZIeFzgLbr9FC8=&h=334&w=500&sz=33&hl=en&start=7&zoom=1&tbnid=xGDl_NsOlEJv0M:&tbnh=87&tbnw=130&ei=fBdvTZjWNNHorQfK5O2ODw&prev=/images%3Fq%3Dpill%2Bboxes%26um%3D1%26hl%3Den%26sa%3DN%26tbs%3Disch:1&um=1&itbs=1 -
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Counsel the patient on the correcttechniques of using medication devices:
Insulin penAsthma inhalers
Metered Dose Inhaler (MDI)
Turbohaler
Easyhaler Accuhaler
Nasal spray
Proper usage of medication devices
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Insulin Pen
Metered Dose Inhaler
http://www.google.com.my/imgres?imgurl=http://www.irishhealth.com/content/image/13532/Asthmainhaler.jpg&imgrefurl=http://www.irishhealth.com/article.html%3Fid%3D13532&usg=__IV5T01YiafLC8uYXmkc5o7iYB1I=&h=500&w=462&sz=14&hl=en&start=13&zoom=1&tbnid=xaahNor4bkmBIM:&tbnh=130&tbnw=120&ei=jRlvTdTwKZGvrAeWrL2EDw&prev=/images%3Fq%3Dinhalers%26um%3D1%26hl%3Den%26sa%3DN%26tbs%3Disch:1&um=1&itbs=1http://www.google.com.my/imgres?imgurl=http://www.asthmamedication.org/wp-content/uploads/2009/01/asthma-inhalers-250x250.png&imgrefurl=http://www.asthmamedication.org/asthma-information/asthma-inhalers/&usg=__87ZLn-faVEX7RSJceJKcWLrIzq4=&h=250&w=250&sz=101&hl=en&start=17&zoom=1&tbnid=KFp8wHcEWD56oM:&tbnh=111&tbnw=111&ei=jRlvTdTwKZGvrAeWrL2EDw&prev=/images%3Fq%3Dinhalers%26um%3D1%26hl%3Den%26sa%3DN%26tbs%3Disch:1&um=1&itbs=1http://www.google.com.my/imgres?imgurl=http://www.sciencephoto.com/images/showEnlarged.html/M725280-Teenage_boy_self-injecting_with_insulin_novopen-SPL.jpg%3Fid%3D777250280&imgrefurl=http://www.sciencephoto.com/images/imagePopUpDetails.html%3Fpop%3D1%26id%3D777250280%26pviewid%3D%26country%3D158%26search%3Dtake%26matchtype%3DEXACT&usg=__Cr1NeXfLSbbHtpfPCC4SjRH4vhA=&h=350&w=266&sz=36&hl=en&start=30&zoom=1&tbnid=_iFLoHEDyIQNBM:&tbnh=120&tbnw=91&ei=cBlvTfWsOoHmrAe48ZSLDw&prev=/images%3Fq%3Dnovopen%26start%3D20%26um%3D1%26hl%3Den%26sa%3DN%26tbs%3Disch:1&um=1&itbs=1http://www.google.com.my/imgres?imgurl=http://rum1.aarch.dk/uploads/pics/Novopen.jpg&imgrefurl=http://www.everythingicafe.com/forum/off-topic/nutrexs-lipo-6x-48190-3.html&usg=__FHbGVuA_BQC7RijCTQoGIfR11lE=&h=398&w=300&sz=21&hl=en&start=2&zoom=1&tbnid=ZjwQkfQki7gIMM:&tbnh=124&tbnw=93&ei=UBlvTbrwO8TNrQej-oD-Dg&prev=/images%3Fq%3Dnovopen%26um%3D1%26hl%3Den%26sa%3DN%26tbs%3Disch:1&um=1&itbs=1 -
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Turbohaler
Nasal Spray
http://www.google.com.my/imgres?imgurl=http://www.tacticalfm.com/wp/wp-content/uploads/pictures/nasal_spray.jpg&imgrefurl=http://www.tacticalfm.com/wp/2009/09/18/first-u-s-h1n1-vaccines-will-be-nasal-spray-cdc&usg=__-H8cbpueqp-kFKmbBAtuQY3eyIk=&h=310&w=413&sz=38&hl=en&start=10&zoom=1&tbnid=o_-VEXYT9X-0gM:&tbnh=94&tbnw=125&ei=chtvTf_WFYjOrQeOqIz9Dg&prev=/images%3Fq%3Dnasal%2Bspray%26um%3D1%26hl%3Den%26sa%3DN%26tbs%3Disch:1&um=1&itbs=1http://www.google.com.my/imgres?imgurl=http://1.bp.blogspot.com/_TaV80S0mjdg/TFPS034cyRI/AAAAAAAAANM/xWILdAltu_E/s1600/antihistamine_nasal_spray_offers_pricey_relief.jpg&imgrefurl=http://mariannetra.blogspot.com/2010/07/sinusitis-gasp.html&usg=__mI5OBM6En7dXDo-wQzxKgvz5SuE=&h=300&w=200&sz=20&hl=en&start=6&zoom=1&tbnid=0QvABQjuwKjYSM:&tbnh=116&tbnw=77&ei=chtvTf_WFYjOrQeOqIz9Dg&prev=/images%3Fq%3Dnasal%2Bspray%26um%3D1%26hl%3Den%26sa%3DN%26tbs%3Disch:1&um=1&itbs=1http://www.google.com.my/imgres?imgurl=http://www.drug3k.com/img2/nasal_17017_4_(big)_.jpg&imgrefurl=http://www.drug3k.com/imagepages/17017/image4.html&usg=__ZOWkAlLdNOqVlvM8QFXoPIXHyHY=&h=300&w=300&sz=27&hl=en&start=1&zoom=1&tbnid=5n2Yh0GXrVGTPM:&tbnh=116&tbnw=116&ei=chtvTf_WFYjOrQeOqIz9Dg&prev=/images%3Fq%3Dnasal%2Bspray%26um%3D1%26hl%3Den%26sa%3DN%26tbs%3Disch:1&um=1&itbs=1http://www.google.com.my/imgres?imgurl=http://www.viewingmedicine.com/catalogue/large/406-MW06405R.jpg&imgrefurl=http://www.viewingmedicine.com/catalogue-view.php%3Fcatid%3D18%26id%3D406%26page%3D1&usg=__Zp-JuhL-XE_Veb-hixIvo7rZwk4=&h=349&w=400&sz=57&hl=en&start=33&zoom=1&tbnid=hOnR3lAMPxY7LM:&tbnh=108&tbnw=124&ei=SRtvTcmZFdCGrAeN7NH1Dg&prev=/images%3Fq%3Dturbohaler%26start%3D20%26um%3D1%26hl%3Den%26sa%3DN%26tbs%3Disch:1&um=1&itbs=1http://www.google.com.my/imgres?imgurl=http://scielo.sld.cu/img/revistas/far/v40n2/f0409206.jpg&imgrefurl=http://scielo.sld.cu/scielo.php%3Fpid%3DS0034-75152006000200009%26script%3Dsci_arttext&usg=__kvXvCKIwWiqrdn9SI6imB4LwZZk=&h=760&w=630&sz=73&hl=en&start=8&zoom=1&tbnid=kqNEA93qi5aB3M:&tbnh=142&tbnw=118&ei=NhtvTam4D4zNrQfA57H1Dg&prev=/images%3Fq%3Dturbohaler%26um%3D1%26hl%3Den%26sa%3DN%26tbs%3Disch:1&um=1&itbs=1 -
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Tips for effective counseling
Using a 2 way communication
Using open ended questions
Paying attention to non-verbal cues of patient Avoiding technical jargons
Providing written information
Demonstrating the technique of using themedications in front of patient
Asking the patient to repeat the information
counseled
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