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Patient Care Skills 2 > Patient Counseling > Flashcards

Patient Counseling Flashcards

1
Q

Why do we counsel?

A

professional responsibility
patient centered care
legally required to due to OBRA 90
Liability for Duty to Warn

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2
Q

PA counseling requirements

A

each patient/caregiver when a new Rx is sent
should train staff to make offer
can substitute written offer
document patient refusal
can be in person or on the phone

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3
Q

What might you discuss during counseling?

A

name and description of medication
route of admin/duration of therapy
special directions and precautions
common severe side effects, interactions, contraindications
self-monitoring
storage
refill information
action in case a dose is missed

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4
Q

Tennessee Counseling Laws

A

must counsel on all new prescriptions, renewals of existing prescriptions, and refills

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5
Q

Patient’s attitudes and health behaviors affect?

A

improvement/ worsening of disease
adherence to treatment
ability to cope with disease

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6
Q

Health Belief Model Components

A

Susceptibility, severity, costs of behavior, benefits of behavior, cues to action, and locus of control

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7
Q

What helps build trusting relationships?

A

active listening

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8
Q

When counseling what should you do?

A

introduce your name and role
purpose of the session
ask permission

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9
Q

What are the 3 prime questions?

A

What did the doctor tell you the medicine was for?
How did the doctor tell you to take the medicine?
What did the doctor tell you to expect?

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10
Q

What did the doctor tell you the medicine is for? relates to?

A

indication

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11
Q

How did the doctor tell you to take the medication? relates to?

A

Safety and effectiveness

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12
Q

What did the doctor tell you to expect? relates to?

A

safety and effectiveness

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13
Q

How to store medication and refills relate to?

A

safety and effectiveness

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14
Q

Teach-back

A

normalizes possibility of being overwhelmed by information
places responsibility on pharmacists
helps patient to generate questions/concerns

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15
Q

Package insert

A

FDA approved info about medication

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16
Q

sympathy

A

feeling sorry for the patient

17
Q

empathy

A

trying to acknowledge, understand and share the patient’s feelings

18
Q

SOLER

A

Squarely face the patient
Open posture
Lean slightly toward patient
Eye contact
Relax

19
Q

Show and Tell can be done with?

A

written info
demonstration device
show patient medication when introducing it

20
Q

verbal communication should focus on?

A

prioritizing open-ended questiosn
appropriate rate
speaking clearly and at appropriate volume
patient friendly vocabulary

21
Q

communication considerations (Pt feedback)

A

body language and expression
use of time
tone of voice
asking for feedback

22
Q

What does CPR stand for in standardized patient feedback?

A

Did you feel comfortable during this encounter?
Was the purpose of your visit met?
Would you return to the student or is there a referable point?

23
Q

Why counsel on refills?

A

normalizing questions
demonstrating care and concern
opportunity to ensure meds are optimized

24
Q

What makes up the health collaboration model? What does it focus on?

A

patient, provider, drug, environment, and past interactions
focuses on quality of provider monitoring and problem solving, and patient satisfaction and adherence

25
Q

What are the 3 prime questions you should ask about refills?

A

What do you take this medicine for?
How do you take this medicine?
What kind of problems are you having?

26
Q

Why would you need to adapt a counseling session?

A

health literacy
cultural competency
hearing impairment
patient emotions/life circumstances
age considerations

27
Q

health literacy

A

ability to obtain, process and understand basic health info
includes: traditional/basic/prose/visual/computer/information/numerical/computational

28
Q

cultural competency

A

being able to provide patient care that respects and responds to the needs of diverse patients

29
Q

ETHNIC Model

A

Explanation
Treatment
Healers
Negotiate
Intervention
Collaboration

30
Q

If there’s a language barrier you should use an?

A

interpreter

31
Q

Hearing impairment

A

be aware of lip reading
may prefer written communication/ Telecommunications relay services

32
Q

When an emotional patient presents at the pharmacy you should?

A

listen
avoid the righting reflex
empathize with feelings
calmly explain your perspective and what you can do for the patients

33
Q

Possible Geriatric Limitations

A

hearing/vision/memory loss
dementia
speech disorders
arthritis
transportation
economic resources
energy/motivation
literacy

34
Q

Pediatrics

A

newborn- 18 year old
consider child’s ability to participate in care
proper measuring device, address taste concerns, medicine is not candy

35
Q

When administering to infants where should you administer an oral dose?

A

inside of cheek with oral syringe

Patient Care Skills 2 (5 decks)

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