Patient Counseling Services

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    PATIENT COUNSELINGSERVICE

    Navin Kumar Loganadan,

    MClinPharm (UKM)

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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

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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

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    Turbohaler

    Nasal Spray

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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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