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13 Cards in this Set

  • Front
  • Back
Goals of Patient Counseling
(P) revent or minimize problems w/meds
Establish a (R)elationship
Help patient (M)anage and adapt

Help patient and health care professionals work together toward (S)hared decision making
Provide (I)nformation that meets the goals of patient
SMART goal
S Specific
M Measurable
A Attainable
R Realistic
T Timely
Differentiate and compare patient and pharmacist barriers to consultation
Pt:

Language barriers
Patient desire to play a role in their own health care
Low health literacy
Visual impairment
Hearing impairment
Speaking impairment
Lack of time
Differing health beliefs
Pre-determined attitude of pharmacist

Pharm:
Environmental (lighting, sound, etc)
Inappropriate tone Inappropriate body language
Ineffective eye contact
Communication style
Lack of time
Lack of privacy
Interruptions
Recall key points in the communication process with patients
Present facts and concepts in a logical order

Provide accurate information, if you are unsure then look up the information.

Display effective non-verbal behaviors

Use open-ended questions

Use close-ended questions

Use appropriate bedside manner
Focus on the patient’s needs

Use language the patient will understand

Use understanding and empathetic responses

Maintain control and direction
Describe the importance of cultural competency to the practice of pharmacy
Cultural Competence
Attitudes, knowledge, and skills
that allow integration and
translation of knowledge
about various cultures
into the practice of pharmacy
Counseling Steps

I'DEG & I'D Assk @Drug to check understaning and summarize
Id self and pt
expl purp counsel
gather/update info
ID pt needs
Asses understanding
drug info
check understanding summarize
Gather pt info steps
Allergy
Disease
Meds
Alcohol/tobac/drugs
Diet & exercise
How to explain the purpose of counseling.
what will follow (what are you going to do?)
why
how long
Assess Pt understanding
What were you told the medication is for?

What other medications have you used for this purpose?

How were you told to take this medication?

What were you told to expect from this medication?

What adverse effects will you be watching out for?
How will you know your medication is working?)
Medication info

NIDES CMSR
name
indication
dose
effect
SE
caution
miss dose
storage
refill
why show & tell?
Verify medication looks correct to patient
Steps to cultural competence.
immersion
work with groups
read
talk w/pts
continue to learn
Ways to Develop Cultural Sensitivity
Recognize that cultural diversity exists
Identify and examine your own cultural beliefs
Demonstrate respect for people as unique individuals
Respect the unfamiliar
Recognize that some cultural groups have definitions of health and illness that may differ from your own
Be willing to modify healthcare delivery in keeping with the patient’s cultural background
Do not expect all members of one cultural group to conduct themselves in exactly the same way
Appreciate that each person’s cultural values are ingrained and therefore difficult to change