Professional Documents
Culture Documents
Patient counseling
Patient counseling may be defined as
providing medication information orally or in
written form to the patients or their
representative or providing proper directions
of use, advice on side effects, storage, diet
and life style modifications. It involves a oneto-one interaction between a pharmacist and
a patient and/or a care giver. It is interactive
in nature. The effective counseling should
encompass all the parameters to make the
patient/party understand his/her disease,
medications and life style modification
required
Techniques of counseling
Several techniques can be
adopted for effective counseling. Some
of them include providing written
information to the patient and the use
of audiovisual materials. The use of
various compliance aids include
labeling, medication calendars, drug
reminder chart and providing special
medication containers and caps can
also be adopted.
Stage I:
Medication information transfer, during
which there is a monologue by the
pharmacist providing basic, brief
information about the safe and proper
use of medicine.
Stage II:
Medication information exchange,
during which the pharmacist answers
questions and provides detailed
information adapted to the patients
situation.
Stage III:
Medication education, during which the
pharmacist provides comprehensive
information regarding the proper use of
medicines in a collaborative, interactive
learning experience.
Stage IV:
Medication counseling, during which
the pharmacist and patient have a
detailed discussion intending to give
the patient guidance that enhances
problem-solving skills and assists with
proper management of medical
conditions and effective use of
medication.
ADMINISTRATION
TIME
DOSING
SCHEDULE
POSSIBLE SIDE
EFFECTS
COMMENTS
Glibenclamide
Usually taken in 1 2
doses
Hypoglycemia,
Obesity
Glimiperide
Hypoglycemia
Glicazide
Usually taken in 1 2
doses
Hypoglycemia
Glipizide
Usually taken in 1 2
doses
Hypoglycemia
Metformin
Taken during or
immediately after a
meal to minimize GI
effects
GI Disturbances
Should be stopped
before Surgery or any
Radiological
Procedures using
Contrast Media
Usually taken in 1 3
doses
DRUGS
ADMINISTRATION
TIME
Acarbose
Repaglinide
Pioglitazone
DOSING
SCHEDULE
POSSIBLE SIDE
EFFECTS
COMMENTS
Usually taken in 1 3
doses
GI Disturbances
Should be stopped
before Surgery or any
Radiological
Procedures using
Contrast Media
Hypoglycemia
Hypoglycemia
Insulin
STEPS
COUNSELLING TIPS
Draw air into the Insulin syringe corresponding to the amount to be taken and inject into vial.
the Vial
Invert the vial, draw up Insulin vertically from eye level, inject excess Insulin back into the vial
Clean injection site with spirit, insert the needle at 45 degrees angle into subcutaneous tissue.
Technique of Injections
Time of Administration
STEPS
Storage of Insulin
COUNSELLING TIPS
It is also adviced to carry Thermostat Bags which retains the stability of the preparations.
Hypoglycemia.
Insulin Pen has several advantages (easy to carry, less pain, and accurate dose
ADR
Specialized Devices in
Administering Insulin
administration).