sampleforpccworkshop

SUMMARY PCE
IPSF World Congress
Portugal, August 2014

Patient Counseling Workshop

Speaker: Eric

Pharmaceutical Care

Necessity
Effectiveness
Safety
Adherence
Other concerns that
ensure comprehensive
care

Structure of counsel
1.
2.
3.
4.

Introduction
Information gathering
Therapy counseling
Question, summary

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)

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