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Communication Skills in

Pharmacy

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Philosophy of Pharmaceutical Care

Definition of Pharmaceutical Care

The responsible provision of drug therapy forthe purpose of achieving definite outcomes

that improve a patients quality of life.

by: Hepler and Strands (1990)

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Philosophy of Pharmaceutical CareThe outcomes of Pharmaceutical Care include:

1) cure of a disease;

2) arresting or slowing of a disease process;3)elimination or reduction of a patient's

symptomatology;4) preventing a disease or symptomatology.

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Philosophy of Pharmaceutical Care Pharmaceutical care involves the process

through which a pharmacist cooperates with a

patient and other professionals in designing,implementing, and monitoringa therapeutic

plan that will produce specific therapeutic

outcomes for the patient.

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Philosophy of Pharmaceutical CareIt involves three major functions:

1) identifying potential and actual drug-relatedproblems.

2) resolving actual drug-related problems and

3) preventing potential drug-related problems.

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Philosophy of Pharmaceutical Care Pharmaceutical care represents not only a

change in what pharmacists do, but also an

entirely different philosophy of practice. Itsprimary objective is to improve patient outcomes

by shifting pharmacy services from a drug or

product orientation to a patient orientation.

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Philosophy of Pharmaceutical Care Change in Role of Pharmacist

to ensure patient reach desired outcomeswith their medication therapy.

requires to switch from a medication-centered

or task-centered praticeto patient-centeredcare.

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Change in Role of PharmacistIt will help maximize the contributions of

pharmacists in reducing the costs of health

care by decreasing the incidence of what has

been termed "drug misadventuring.

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Drug Misadventuring Drug misadventuring includes:

Overdosage

subtherapeutic dosage improper drug selection

drug interactions

adverse events

drug non-compliance and untreated conditions

http://drug%20interactions.ppt/http://adverse%20events.ppt/http://non%20adherance.ppt/http://non%20adherance.ppt/http://non%20adherance.ppt/http://non%20adherance.ppt/http://adverse%20events.ppt/http://drug%20interactions.ppt/

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SOLUTION TO DRUG

MISADVENTURING?

PATIENT COUNSELING!!!!TO IMPROVE

PATIENT CARE

http://patient%20counseling.ppt/http://patient%20counseling.ppt/

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Patient-Centered Care

Depends on the pharmacists ability

to develop trusting relationship withpatients.

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5 Dimensions of Patient-CenteredMedical Care

1. Practitioner must understand the social and

psychological as well as biomedical and otherfactors that relate to the illness experience ofthe patient.

http://social%20factor.ppt/http://psychological%20factor.ppt/http://biomedical%20and%20other%20factors.ppt/http://biomedical%20and%20other%20factors.ppt/http://psychological%20factor.ppt/http://social%20factor.ppt/

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5 Dimensions of Patient-CenteredMedical Care

2. Providers must perceive the patient as personThis requires understanding the patients

unique experience of illness and the personalmeaning it entails.

http://personal.ppt/http://personal.ppt/http://personal.ppt/http://personal.ppt/

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5 Dimensions of Patient-Centered Medical

Care

3. Providers must share power and responsibility.

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5 Dimensions of Patient-Centered Medical

Care4. Providers must promote therapeutic alliances

which involves:

a. incorporating patient perceptions of theacceptability of interventions.

b. mutually agreed-upon goals for treatment

c. a trusting and caring relationship between

health professional and patient.

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5. Providers must be aware of their own responses topatient and the sometimes unintended effect of theirbehaviors may have on patients.

http://patient%20impact.ppt/http://patient%20impact.ppt/http://patient%20impact.ppt/http://patient%20impact.ppt/

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Patient-Centered CarePatient-Centered Care includes the following:

1. to engage in an open exchange information.

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Patient-Centered CarePatient-Centered Care includes the following:

2. to involve patient in the decision makingprocess regarding treatment.

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Patient-Centered CarePatient-Centered Care includes the following:

3. to help them reach the therapeutic goals that

both the patient and their health care

providers endorses.

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Patient-Centered CareIn providing Patient-Centered Care the pharmacist

must be able to:

1. Understand the illness experience of thepatient.

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Patient-Centered CareIn providing Patient-Centered Care the pharmacist

must be able to:

2. Perceive each patients experience as unique.

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Patient-Centered Care

3. Foster a more egalitarian relationship withpatients. (egalitarian (adj.) Affirming, promoting, or characterized by beliefin equal political, economic, social, and civil rights for all people.)

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Patient-Centered Care

4. Build a therapeutic alliance with patients tomeet mutually understood goals of therapy

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Patient-Centered Care

5. Develop self awareness of personal effectson patients

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Importance of Communication in Meeting

Patient Care Responsibilities.2 Primary functions of communication

process between health professionals and

patient:

1. It establishes the ongoing relationship

between the provider and the patient.

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Importance of Communication in MeetingPatient Care Responsibilities.

2. It provides the exchange of information

necessary to assess a patient1

healthcondition, 2implement treatment of medi-

cation problems and 3evaluate the effects

of treatment on the patients quality of life.

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Activity Make a diagram showing each step in the

pharmaceutical care process as described by Strand

et al.