©sampleforpccworkshop SUMMARY PCE IPSF World Congress

Portugal, August 2014

Patient Counseling Workshop Speaker: Eric

PRINSIPLES: short, concise, private, good flow

1. Introduction

Introduce yourself

State the need for a counsel or offer help

Time factor

Privacy

2. Information gathering – Therapy Counseling

Clarify therapy for proper drug counsel

1. Drug interaction

2. Contraindication

3. Indication

4. Special instructions

5. Adverse effect: common, rare

Questions might be:

1. Who is it for?

2. What did the doctor say, diagnosis, signs, and symptoms (confirm indication)

3. Allergies, other medical conditions, other met/otc/herbals (confirm safety)

Pharmaceutical Care

Necessity

Effectiveness

Safety

Adherence

Other concerns that

ensure comprehensive

care

Structure of counsel

1. Introduction

2. Information gathering

3. Therapy counseling

4. Question, summary

4. Other info: weight, compliance issue, smoking, alcohol consumption, recreational drugs,

pregnant/breastfeeding

How to ask?

- Open ended questions

- Ask professionally preface question with the reason for asking. Relate therapy to

questions. Use also sympathetic words

Drug Information

Name Interaction

Dosage Side effects

Instruction Monitoring – what they should expect

Medical condition information

Disease state

Nature of condition and progression

Signs and symptoms

Adherence, safety, and efficacy

Monitoring points

- What to expect, when to expect, and action point

- Allows for realistic expectations

- Action points: follow up with doctor? Change regiment?

- Monitoring points for improvements and side effect, interaction

Monitoring points improve adherence and linical 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 recommendation comprehensive care ie. Cough and cold : hand washing

Other points

- Drug interaction: counsel on monitoring points. Eg. What to do, what could happen, how to

handle

- Storage of medications or pharmaceutics concern

- Unmeet needs

- Missed dose

3. Conclusion

Address patients‟ questions and concerns

Repeat key points

Ask patient to repeat back main points

Call or schedule follow up

Thank

Important consideration:

Communication

Body language 60%

Verbal cue 30%

Verbal content 10%

Facial expression

Eye contact, body posture/language, motion and gesture

Medial Jargons

Tailor your counsel to the education and demographic background of your patient (ie. high blood

pressure vs hypertention)

Empathy vs simphathy

“in the person shoes” vs feeling sorry for your patient

Listening

Do not talk over your patient, allow them to express concern