knowledge about health care issues. “The guidance about medication to patient by pharmacist that includes which dosage form, when, which route of administration is used and information about side effects & it also motivates the patient to adhere his medication.” . Education is the best way to improve compliance. Itcan occur in variety of environments : Hospitals Physician's office (physician, physician’s assistant) Community pharmacies Registered nurses Psychologists Registered dietitians pharmaceutical companies Hospital discharge planners Certified athletic trainers Health librarians Disability advocacy groups Health education is also a tool used by managed care plans, and may include both general preventive education or health promotion and disease or condition specific education. Important elements of patient education are skill building and responsibility: patients need to know when, how, and why they need to make a lifestyle change. Group effort is equally important: each member of the patient’s health care team needs to be involved. Patient education may be Verbal or written On individual level or in groups Given to directly to patient or to caregiver
Patient education should be initiated with
first patient contact and is developed with each patient interaction. The competencies of a pharmacist included the following:
Provide accurate, competent, and evidence-based
care Practice preventative health care Be current in the field and continue to advance education Thereare two steps in patient education process:
Information gathering session
Information giving session
Information gathering session Done during medication history interview in which pharmacist acquire data about medication taking experience. Assess patient understanding of past and current medication. Assess patient motivation for complying with medication regimen and suggest prescriber a change in regimen if required. Information giving session Patient empowerment is the concept in which patients having right to negotiate their choices about their healthcare. Patients are empowered as they are educated about their therapy plan and are motivated to carry out the plan. The goal of patient teaching is to influence behavior change, yet changing habits is extremely difficult for most of us. Pharmacist ask patients to make enormous changes in their lives in order to prevent disease and promote health. For example, we ask diabetic patients to lose or maintain weight by staying on a diet 365 days a year, every year, for life Diabetic patients must also carefully control their intake of dietary fat and cholesterol to decrease their increased risk of heart attacks and stroke Constant and accurate self-monitoring of blood glucose is required by finger sticks and urine testing Exercise is part of the treatment as well, but it must be planned to avoid causing elevations or severe drops in blood glucose levels In addition, the patient must inject insulin several times a day or take oral medications. Self-management of diabetes is very complex, yet we ask ordinary people to take on all these tasks and, at the same time, carry on their normal life of work, school, and social relationships. Literacy level Language barriers Socio-economic level Cultural & spiritual beliefs 50% retention of information Lack of interest in change Medication information Information about side effect Listening of patient feedback to assess understanding This is the main structure of patient education process a. Name of medication ( brand/generic ) dose dosage form , schedule b. List precaution : E.G avoid milk c. How to administer ( PO, IM etc ) d. Special direction & precaution Cover side effect Common drug interaction What to do if doses missed Duration of therapy Provide written information Change in drug therapy if side effects occur Ask open ended question
Close the Session
During closing the session in different culture are used different word and in our country according to religion normally ALLAH HAFIZ is used and the session of education is closed Health education is the translation of what is known about health into desirable individual and community by means of an educational process. The definition adopted by John M Last is "The process by which individuals and groups of people learn to behave in a manner conductive to the promotion, maintenance or restoration of health". The definition adopted by the National Conference on Preventive Medicine in USA is "Health education is a process that informs, motivates and helps people to adopt and maintain healthy practices and lifestyles, advocates environmental changes as needed to facilitate this goal and conducts professional training and research to the same end" The Declaration of Alma - Ata (1978) by emphasizing the need for "individual and community participation" gave a new meaning and direction to the practice of health education. The dynamic definition of health education is now as follows: "a process aimed at encouraging people to want to be healthy, to know how to stay healthy, to do what they can individually and collectively to maintain health, and to seek help when needed". TheAlma - Ata Declaration created revolutionary changes in the concepts and aims of health education.
The modern concept of health education
emphasizes on health behavior and related actions of people. The behaviors to be adopted or modified may be that of individuals, groups (such as families, health professionals, organizations or institutions) or entire community.
Strategiesdesigned to influence the behavior
of individuals or groups will vary greatly depending upon the specific disease (or health problem) concerned and its distribution in the population as well as upon the characteristics and acceptability of available methods preventing or controlling that disease (or health problem). Healtheducation can help to increase knowledge.
Itis clear that education is necessary, but
education alone is insufficient to achieve optimum health. The target population must have access to proven preventive measures or procedures. The definition adopted by WHO in 1969 and the Alma Ata Declaration adopted in 1978 provide a useful basis for formulating the aims and objectives of health education, which may be stated as below: to encourage people to adopt and sustain health promoting lifestyle and practices to promote the proper use of health services available to them to arouse interest, provide new knowledge, improve skills and change attitudes in making rational decisions to solve their own problems to stimulate individual and community self - reliance and participation to achieve health development through individual and community involvement at every step from identifying problems to solving them. It is clear that education is necessary, but education alone is not sufficient to achieve optimum health. The role of health care providers in this regard comprise to:
provideopportunities for people to learn
how to identify and analyze health and health related problems, and how to set their own targets and priorities make health - related information easily accessible to the community
indicateto the people alternative
solutions for solving the health and health-related problems they have identified