This assignment was a great exposure to a situation where I as a pharmacist had to counsel a patient with HIV. It was a little embarrassing to imagine a friend as a HIV patient and talk to her. HIV is a very sensitive disease and answering even the questions of a fake patient regarding the condition is embarrassing. Even though I wrote the script, I was embarrassed to talk about such a sensitive issue on camera. However, the embarrassment lasted for a limited time only. After a first few minutes, the embarrassment was reduced as I realized that I had to be comfortable to make the patient feel comfortable.
It was a difficult task to do. For this assignment, I had to first write the script. Writing the script for both parts was difficult. While writing the script, I was trying to imagine how would a patient with HIV feel about talking about it and what would a pharmacist feel while listening and trying to address those concerns. While acting as a pharmacist, I realized the extent to which a patient might be embarrassed to talk about the problem with a completely unknown person. I was confused about how the pharmacist would react to the questions, so that the patient does
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As a pharmacist, I would fix a time and place that is appropriate. I would give an appointment time during which I will not be busy, so that I can reduce the chances of disruption, devote my complete attention to the patient’s concerns and develop a bond with the patient. The development of a bond will ensure that the patient trusts me and asks the questions without being embarrassed. At the same time, selecting a place, which is private, is also important to maintain professionalism. Discussions held in a private area are more professional because it ensures privacy, reduces the disruptions and chances of overhearing by other people. Moreover, it will help me to concentrate only on the
Arrange for customers to speak with pharmacists if customers have questions about medications or health matters
B) Teach patient about his medications: their purpose, side effects, any interactions with other medications, and any other relevant information.
This service is experienced, documented, evaluated and paid for as Pharmaceutical Care. Pharmaceutical Care consists of a philosophy of practice, patient care process as well as a patient management system. Pharmaceutical Care has common integrated vocabulary consistent with other patient care practices such as medicine, dentistry and nursing. Philosophy of pharmaceutical care consists of a description of the social need for the practice, a concise and clear statement of individual practitioner responsibilities to meet this social need, the expectation to be patient-centered and the requirement to function within the caring paradigm. This philosophy of practice is expected and practiced by all health care professionals. The patient care processes must be consistent with the patient care processes of all other health care providers. These processes include the assessment of the client’s pharmaceutical needs, a health care plan that is constructed to meet the specific needs of the client and a process in which evaluates the health care plan to gauge the efficacy of decisions made and actions taken. Pharmaceutical care management system includes all resources needed to manage the client’s needs, which include the space provided, such as a clinic or hospital, an appointment system for patients, appropriate and ethical documentation, reporting of patient care, evaluation of decisions made and actions taken and payment of service
I learned a lot from this experience. As I mentioned earlier first time when I saw pharmacist doing medication reconciliation I felt it is difficult task to do and hence I started getting more information about medication reconciliation from my friends and pharmacist whenever I got a chance. I prepared myself before I expose myself in this area, which helped me to gain more confidence when I was performing medication reconciliation with standardized patient. I learnt how important is Pharmacist role in finding and solving medication related discrepancies. From this activity, I learnt that it is very important to communicate effectively with patients and other health care providers. If I am unable to communicate properly I will not be able to
I pleased to apply to the PharmD program as the program is one area that corresponds to my career dreams. Being part of this program gives one the opportunity to gain an excellent experience in working and collaborating with various health care providers in the ward. But more importantly, it facilitates a practical environment in dealing more closely with patients. Hence, it helps to provide the ultimate health care services to patients. Also, it permits me to carry on gaining different knowledge, skills, and values in addition to those I have already developed during my undergraduate studies. My interest in being a clinical pharmacist was first aroused during my SPEP rotation in the hospital setting where I was really impressed with the role of clinical pharmacists who provide a consistent process of patient care with healthcare teams to maintain the appropriateness, effectiveness and safety of the medication use. Unlike a pharmacist, a clinical pharmacist has a more diversified responsibilities and closeness to direct patient care. Moreover, provides
When working in healthcare we are taught first and foremost that patient confidentiality is always extremely important. You should talk to one other than the patient about their medication condition,
When I met my patient for this service project, I was unsure of how I should introduce myself and how I would explain my role relative to their care. My community health worker, Sherron, took all the pressure away from the situation; she had already established a relationship with my patient and I felt more like an invited member into a health care team rather than a new face with something to prove. Sherron had already taken steps to help my patient and I was an added benefit with pharmaceutical knowledge. I spent most of my time reviewing disease states and answering questions about drug therapy. My first interaction with the patient was the first primary care visit; I spent my time extracting medical information from the patient alongside the new physician. This first interaction lasted over an hour, there is no way the patient retained all the details discussed, however Sherron was keeping contact with the physician and was given copies of the patient’s medical record. Sherron kept in constant contact with the patient and was truly the best resource for information besides the patient
In conclusion, physician-patient relationship is important element in educating patients about the importance of medication adherence. Age, gender, cost, and side effects are few of the reasons that influence compliance but none are as crucial and important as strong patient-physician relationship. Highlighting advantages/ disadvantages of treatment, formulating a detailed regimen to implement the treatment, making frequent follow ups are very crucial to developing a strong patient-physician relationship and lowering the chance of any illness or diseases. Although both physician and patient are responsible for a successful treatment, there is a greater weight on the patient to make sure their treatment is running successfully.
If you do not know the medication, do not give it. I teach this over and over in my clinicals and classes. We are humans, we are not robots and we will make mistakes, however if something does not feel right do not give it. The longer I work as a nurse, the less I trust anyone with my patients, this includes nurses and physicians. If I do not pull the medication myself, know the correct dosage and reason, I question the order. Experience has been a harsh teacher, consequently I have learned many lessons the hard
First, here is some important background information about Pharmacists. A Pharmacist is someone who is trained and licensed to distribute medicinal drugs and to advise on their use. According to the Occupational Outlook Handbook Pharmacists do all of the following: "Fill prescriptions, verify proper amounts of medication to give to patients, check whether the prescription will interact negatively with other drugs that a patient is taking or conditions the patient has, instruct patients on how to and when to take a prescribed medicine, Advise patients on potential side effects they may experience from taking the medicine, Advise patients about general health topics, such as diet, exercise, managing stress, and on other issues, such as what equipment or supplies would be best for a health problem, Keep records and do other administrative tasks, Complete insurance forms and work with insurance companies to be sure that patients get the medicine they need, Teach other healthcare practitioners about proper medication therapies for patients, and lastly oversee the work of pharmacy technicians and pharmacists training."() Some pharmacists participate in compounding, where they create medications by mixing ingredients themselves. Pharmacists tha...
Listening to your Patient's Concerns about his or her Ability to Follow the Regimen. Nurses can recognize concerns of patients, such as cost of their medications or confusion about the similarities in color of their medications, the names of the medications which are not easy to remember, and the timing of dosage. The nurse will then help the patient seek support in that area of concerns raised by encouraging the patients to call their
3) Adequate use of questioning: Opening of communication, ask general and open ended questions. It should begin with how, why, when, where and helps the customers to disclose information. Example, what did the physician inform about taking this medications? Close ended question may be applicable to acquire more specific information. Example, did you take your doses accurately?
Doctor Patient Communication The main purpose of the medical interview is to collect historical information that can be used to make a diagnosis of the disease and to understand the patient’s problem. Henderson, 11 This is the beginning of the physician – patient relationship. The interview generally begins by the doctor greeting the patient, introducing himself/herself, and defining his/her professional role. Common courtesy dictates that the physician learns the patient’s name and refers to them with the proper title.
Secondly, they advise their patients in assuring the appropriate use of medications. It is important to tell the patient about the name of the drug, what is it for, when to take the drug, how many times per day, whether it should be taken before meals, after meals or with meals, the method of taking the drug and its side effects and possible drug-drug interactions. (Swanson, 2005)
They can also give advice on how to lead a healthy lifestyle, conduct health and wellness screenings, provide immunizations, and oversee the medications given to their patients. Furthermore, a pharmacist must pay close attention to the prescription they fill and give to their patients. They should be sure the prescription won’t interact negatively with other drugs a patient is taking, or any past or previous medical conditions the patient has. Next, they will instruct the patient on how and when to take the prescribed medicine, any potential side effects, and answer any additional question the patient may have. Other than dealing with prescriptions, pharmacists will complete insurance forms and communicate with insurance companies to ensure patients obtain the medicines they need. Lastly, pharmacists will oversee the work of their pharmacy technicians and any interns they may have. A prescription may be filled by a pharmacy technician, but must be checked by the pharmacist before being given to a patient. Pharmacists’ tasks may also vary depending on where they work. For example, clinical pharmacists working is hospitals or clinical setting will sped less time dispensing prescriptions, and more time going on rotations, overseeing the dosage and timing of medications to patients, and conducting medical tests. On the other hand,