Counselling and Guidance in Promoting Rational Use of Medicines
PST 06102
:
Counselling and Guidance
Session 9
:
Counseling and Guidance in promoting Rational Use of Medicine
1
Learning tasks
By the end of this session students are expected to be able to:
Explain
concept of counseling and guidance in promoting rational use of medicines
Describe
Role of counseling and guidance in promoting rational use of medicines
Describe
Counseling and guidance matters to improve rational use of medicines
2
How counselling and guidance promot
e rational use of medicines
?
3
Introduction to Counselling and Guidance in Promoting Rational
Use of
Medicines
Counselling and Guidance in Promoting Rational Use of Medicines is mandated since
medicines are
weapons used by man to fight against diseases therefore patient should be counselled
and guided
on the proper use of medicines.
Pharmaceutical
personnel can set up a different counselling space for guiding patients, he
can keep
up points of interest of patient history, hypersensitivities and other vital information for
the treatment
, and in addition, he/she encourages the patients to take the measurements
in appropriate
time in order to keep any antagonistic results.
4
The amount and type of counselling and guidance required to be provided to patients
by pharmaceutical
personnel varies depending on the patient‘s individual needs, and the
individual situation
in question.
Pharmaceutical
personnel are reminded that they have a duty of care to their patients, and
must at
all times act in the best interests of their patients, exercising due diligence and his/her
own professional judgment
to ensure rational use of medicines.
5
What are the role of
counselling and guidance
in promoting
rational use of medicines?
6
Role of Counselling and Guidance in Promoting Rational Use
of Medicines
Help patients
to get
correct information
and advice regarding their medicine therapy to improve rational use of medicines.
Counselling
and guidance process if properly implemented and consistently maintained
result in
the safe supply of prescribed medicinal products and ensure that they are used rationally
and appropriately
.
7
Adequate Counselling and guidance provided to patient by pharmaceutical personnel must
be satisfied
that, patient has sufficient information to take their medicinal product safely and
as prescribed
, and that they know how to store the medicinal product to ensure rational use
of medicines
.
When
pharmaceutical personnel ensure that the patients provided with appropriate
counselling and
guidance are the right patient, or approved representative it will avoid any
unintentional breaches
of patient confidentiality hence increase rational use of medicines.
When
medicinal product is substituted, the Pharmaceutical personnel must take the
necessary steps
to ensure that patient is aware of the substitution and is fully counselled and guided on
the change
, as is the case with the initiation of any new medication to improve rational use
of medicines
The
Pharmaceutical personnel should ensure that patient get sufficient counselling and
guidance on
the active ingredient in the medicinal product and is aware of how to use their
medicinal product
safely to improve rational use of medicines
8
Counselling and Guidance Matters to improve rational use of medicines
A
im
of effective patient counselling and guidance is to enable and encourage the
safe and
proper use of medications by patients in order to achieve the required
therapeutic outcomes
.
To
achieve such positive results, a pharmaceutical personnel may undertake to counsel
and guide
patient or his/ her representative on the following matters, as deemed appropriate:
The
nature and use of the medicinal product, the directions for use; how to take/administer
it and
duration of treatment
The
therapeutic benefit which may be expected from the use of the medicinal product
and potential
side effects that are likely to be experienced and how to deal with them
9
Any special precautions to be taken while using the medication; special regard for food
or drink
like which foods to avoid, which drinks to avoid, take with(out) food, take
with(out) drink
and which other medicinal products to avoid
The
importance of the need for compliance with the directions for use, where a
medicinal product
has been interchanged in line with prescriber‘s , instruction/consent, or
in accordance
with the HPRA interchangeable list, to avoid confusion for patients and
to ensure
that the risk of duplication of therapy is avoided
Storage
of the medicinal product, what to do if they think the medicinal product is
not working
, what to do in the event of a missed dose, what to do in the event of an
overdose, the
correct use of therapeutic devices (including demonstration, if applicable)
10
If the patient is using the medication long term, whether they are experiencing any difficulties with it, counselling and guidance on change to medication or any new medications being introduced
Any other matters which may be included or referred to in the Summary of Product Characteristics (
SmPC
) for the medicinal product concerned, what to do with any previously dispensed medicinal product(s), no longer required (i.e. disposal of medicinal product)
The
pharmaceutical personnel should aim to confirm patient understanding at regular
intervals in
the counselling process, assessing whether or not the information was understood as intended.
The
pharmaceutical personnel should ensure that the patient understands how to use
the information
furnished to them in order to improve the probability of positive
therapeutic outcomes
.
11
Key points
The main aim of effective patient counselling and guidance is to enable and encourage the
safe and
proper use of medications by patients in order to achieve the required therapeutic outcomes.
The
Pharmaceutical personnel must be satisfied that the patient has sufficient information
to take
their medicinal product safely and as prescribed, and that they know how to store
the medicinal
product
.
Patient counselling and guidance is a key component of pharmacy-based care. It is vital that Pharmaceutical personnel are in a position to give appropriate, reliable and trustworthy information to patients regarding their usage of prescribed medicinal products.
12
Evaluation
What is role of counselling and guidance in promoting rational use of medicines?
What
are the things to remember when providing counselling and guidance on the use
of medicines
?
13
Reference
MOHSW (2005). National Guidelines for Voluntary Counselling and Testing. Dar
es
Salaam, Tanzania
: National AIDS Control Programme
Hogerzeil
HV.(1995). Promoting rational drug use: an international
perspective. 8
. Br J
Clin
Pharmac
; 39: 1-6. British
USP (2003). USP Medication
Counseling
Behavior
Guidelines. USP Convention,
Inc
,
Rockville MD
, USA
Bhatnagar
A, and Gupta N, (1999) Guidance and Counselling, A theoretical approach
(
Ed) New
Delhi,
Vikash
Publishing house.
14
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