Patient Counseling Flashcards
Why do we counsel?
professional responsibility
patient centered care
legally required to due to OBRA 90
Liability for Duty to Warn
PA counseling requirements
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
What might you discuss during counseling?
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
Tennessee Counseling Laws
must counsel on all new prescriptions, renewals of existing prescriptions, and refills
Patient’s attitudes and health behaviors affect?
improvement/ worsening of disease
adherence to treatment
ability to cope with disease
Health Belief Model Components
Susceptibility, severity, costs of behavior, benefits of behavior, cues to action, and locus of control
What helps build trusting relationships?
active listening
When counseling what should you do?
introduce your name and role
purpose of the session
ask permission
What are the 3 prime questions?
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?
What did the doctor tell you the medicine is for? relates to?
indication
How did the doctor tell you to take the medication? relates to?
Safety and effectiveness
What did the doctor tell you to expect? relates to?
safety and effectiveness
How to store medication and refills relate to?
safety and effectiveness
Teach-back
normalizes possibility of being overwhelmed by information
places responsibility on pharmacists
helps patient to generate questions/concerns
Package insert
FDA approved info about medication
sympathy
feeling sorry for the patient
empathy
trying to acknowledge, understand and share the patient’s feelings
SOLER
Squarely face the patient
Open posture
Lean slightly toward patient
Eye contact
Relax
Show and Tell can be done with?
written info
demonstration device
show patient medication when introducing it
verbal communication should focus on?
prioritizing open-ended questiosn
appropriate rate
speaking clearly and at appropriate volume
patient friendly vocabulary
communication considerations (Pt feedback)
body language and expression
use of time
tone of voice
asking for feedback
What does CPR stand for in standardized patient feedback?
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?
Why counsel on refills?
normalizing questions
demonstrating care and concern
opportunity to ensure meds are optimized
What makes up the health collaboration model? What does it focus on?
patient, provider, drug, environment, and past interactions
focuses on quality of provider monitoring and problem solving, and patient satisfaction and adherence
