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8/2/2019 1.Introduction and Role of Pharmacist in Px Counseling
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Communication Skills in
Pharmacy
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Philosophy of Pharmaceutical Care
Definition of Pharmaceutical Care
The responsible provision of drug therapy forthe purpose of achieving definite outcomes
that improve a patients quality of life.
by: Hepler and Strands (1990)
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Philosophy of Pharmaceutical CareThe outcomes of Pharmaceutical Care include:
1) cure of a disease;
2) arresting or slowing of a disease process;3)elimination or reduction of a patient's
symptomatology;4) preventing a disease or symptomatology.
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Philosophy of Pharmaceutical Care Pharmaceutical care involves the process
through which a pharmacist cooperates with a
patient and other professionals in designing,implementing, and monitoringa therapeutic
plan that will produce specific therapeutic
outcomes for the patient.
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Philosophy of Pharmaceutical CareIt involves three major functions:
1) identifying potential and actual drug-relatedproblems.
2) resolving actual drug-related problems and
3) preventing potential drug-related problems.
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Philosophy of Pharmaceutical Care Pharmaceutical care represents not only a
change in what pharmacists do, but also an
entirely different philosophy of practice. Itsprimary objective is to improve patient outcomes
by shifting pharmacy services from a drug or
product orientation to a patient orientation.
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Philosophy of Pharmaceutical Care Change in Role of Pharmacist
to ensure patient reach desired outcomeswith their medication therapy.
requires to switch from a medication-centered
or task-centered praticeto patient-centeredcare.
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Change in Role of PharmacistIt will help maximize the contributions of
pharmacists in reducing the costs of health
care by decreasing the incidence of what has
been termed "drug misadventuring.
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Drug Misadventuring Drug misadventuring includes:
Overdosage
subtherapeutic dosage improper drug selection
drug interactions
adverse events
drug non-compliance and untreated conditions
http://drug%20interactions.ppt/http://adverse%20events.ppt/http://non%20adherance.ppt/http://non%20adherance.ppt/http://non%20adherance.ppt/http://non%20adherance.ppt/http://adverse%20events.ppt/http://drug%20interactions.ppt/8/2/2019 1.Introduction and Role of Pharmacist in Px Counseling
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SOLUTION TO DRUG
MISADVENTURING?
PATIENT COUNSELING!!!!TO IMPROVE
PATIENT CARE
http://patient%20counseling.ppt/http://patient%20counseling.ppt/8/2/2019 1.Introduction and Role of Pharmacist in Px Counseling
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Patient-Centered Care
Depends on the pharmacists ability
to develop trusting relationship withpatients.
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5 Dimensions of Patient-CenteredMedical Care
1. Practitioner must understand the social and
psychological as well as biomedical and otherfactors that relate to the illness experience ofthe patient.
http://social%20factor.ppt/http://psychological%20factor.ppt/http://biomedical%20and%20other%20factors.ppt/http://biomedical%20and%20other%20factors.ppt/http://psychological%20factor.ppt/http://social%20factor.ppt/8/2/2019 1.Introduction and Role of Pharmacist in Px Counseling
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5 Dimensions of Patient-CenteredMedical Care
2. Providers must perceive the patient as personThis requires understanding the patients
unique experience of illness and the personalmeaning it entails.
http://personal.ppt/http://personal.ppt/http://personal.ppt/http://personal.ppt/8/2/2019 1.Introduction and Role of Pharmacist in Px Counseling
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5 Dimensions of Patient-Centered Medical
Care
3. Providers must share power and responsibility.
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5 Dimensions of Patient-Centered Medical
Care4. Providers must promote therapeutic alliances
which involves:
a. incorporating patient perceptions of theacceptability of interventions.
b. mutually agreed-upon goals for treatment
c. a trusting and caring relationship between
health professional and patient.
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5. Providers must be aware of their own responses topatient and the sometimes unintended effect of theirbehaviors may have on patients.
http://patient%20impact.ppt/http://patient%20impact.ppt/http://patient%20impact.ppt/http://patient%20impact.ppt/8/2/2019 1.Introduction and Role of Pharmacist in Px Counseling
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Patient-Centered CarePatient-Centered Care includes the following:
1. to engage in an open exchange information.
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Patient-Centered CarePatient-Centered Care includes the following:
2. to involve patient in the decision makingprocess regarding treatment.
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Patient-Centered CarePatient-Centered Care includes the following:
3. to help them reach the therapeutic goals that
both the patient and their health care
providers endorses.
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Patient-Centered CareIn providing Patient-Centered Care the pharmacist
must be able to:
1. Understand the illness experience of thepatient.
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Patient-Centered CareIn providing Patient-Centered Care the pharmacist
must be able to:
2. Perceive each patients experience as unique.
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Patient-Centered Care
3. Foster a more egalitarian relationship withpatients. (egalitarian (adj.) Affirming, promoting, or characterized by beliefin equal political, economic, social, and civil rights for all people.)
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Patient-Centered Care
4. Build a therapeutic alliance with patients tomeet mutually understood goals of therapy
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Patient-Centered Care
5. Develop self awareness of personal effectson patients
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Importance of Communication in Meeting
Patient Care Responsibilities.2 Primary functions of communication
process between health professionals and
patient:
1. It establishes the ongoing relationship
between the provider and the patient.
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Importance of Communication in MeetingPatient Care Responsibilities.
2. It provides the exchange of information
necessary to assess a patient1
healthcondition, 2implement treatment of medi-
cation problems and 3evaluate the effects
of treatment on the patients quality of life.
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Activity Make a diagram showing each step in the
pharmaceutical care process as described by Strand
et al.