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Patient Counselling Event

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Transcript of Patient Counselling Event

Patient Counselling Event
History of PCE in IPSF
First offical IPSF PCE was held at Philidelphia World Congress at 1989

Today there are individual, team, jeopardy, and online competitions as well

Counselling in relations to
Pharmaceutical Care

The Need for Professional Communication

Basic Competency
Outline and Expectations
Different Aspects of Counselling

Real Cases

Interactive Session

PCE competition details
Question 1
Have you witnessed/listened to a counselling that you thought was done well?

Have you witnessed/listened to a counselling that you thought was done NOT so well?
Discuss and Share
In group, list out aspects that make a counsel effective or not effective
Pharmaceutical Care
Other concerns that ensure comprehensive care
Structure of Counsel
1) Introduction
2) Information Gathering
3) Therapy Counselling
4) Question, Summary
Good flow
1) Introduce yourself, as a pharmacist
2) state the need for a counsel / offer help
3) time factor
4) privacy
Information Gathering
Basics: for whom, ect
Clarify therapy for proper drug counsel
1) drug interaction
2) contraindications
3) indication
4) special instruction(s)
Interactive Examples
What Questions to Ask?
1) Fluticasone MDI
2) Venlafaxine
1) who is it for?
2) what did the doctor say, diagnosis, signs & symptoms (confirm indications)
3) allergies, other medical conditions, other medications/OTC/herbals (confirm safety)
4) other info: weight, compliance issue, smoking, alcohol consumption, recreational drugs, pregnant/breastfeeding
How to ask Questions
Open Ended Questions
Ask Professionally
Forces to patient to answer with relevant information
Preface question with the reason for asking.
Relate therapy to questions.
Why is it useful?
1) Saves time
2) Tailor drug counselling
Therapy Information
Drug Information
side effects
Medical Condition Information
Disease state
Nature of the Condition and Progression
Signs and Symptoms

Adherenace, Safety, and Efficacy
Monitoring points

Proper instruction for medication usage

Counsel on potential and real drug interactions
Monitoring Points
what to expect, when to expect, and action point
allows for realistic expectations
Action points: follow up with doctor? change regiment? etc.
Monitoring points for improvements and side effects, interactions.
Example Case
Metronidazole 500mg TID daily for 7 days for a 22 year old woman for C. diff infection
Monitoring Points Improve Adherence and Clinical Outcomes
Gives realistic expectation of results
Empowers patient self-monitoring
Differentiation between side effects and disease signs
Relate adherence to "silent conditions" ie. diabetes, blood pressure
Non-Drug Therapy Recommendations
Tips to improve adherence
Relate back to therapy
write and summarize difficult regiment
timer, memory aid
as needed vs chronic use
Comprehensive Care
i.e. cough and cold
hand washing
increase fluid intake
Other points
Drug Interactions: counsel on monitoring points. eg. what to do, what could happen, how to handle
Storage of Medication/Pharmaceutics Concerns
Missing Dosage
Unmet needs
Address patient's questions and concerns
Repeat key points
Ask patient to repeat back main points to check for understanding
Call or schedule followup
Thank patient
Interactive Case
quetiapine 25 mg, take 1 tablet at bedtime
Communicating Professionally
1) Body Language 60%
2) Verbal Cue 30%
3) Verbal Content 10%
Non-Verbal & Verbal Communication
Facial Expression
Eye Contact
Body Posture / Language
Motion and gesture
Verbal Cues (tone, expression)
Patient Centred Speech
Medical Jargons
Empathy vs Sympathy
Tailor your counsel to the education and demographic background of your patient

blood pressure vs hypertension
Do not talk over your patient
Allow patient to express concern
Have patience to listen
"In the person shoes" vs feeling sorry for your patient

Be sensitive to your patients' situation
Interactive Cases
Levothyroxine 25 microgram once a day

lantanoprost 0.005% 1 drop to each eye at bedtime
PCE competition and Sign Up
Full transcript