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How active listening contributes towards effective listening
Case study on active listening
How active listening contributes towards effective listening
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The pharmacy environment is a unique environment in the field of medicine being that it is a place of informal counseling between the pharmacist and the patient. In most cases, in a retail or clinical pharmacy setting, pharmacists have plenty of opportunities to counsel patients concerning their medications and overall general health. Pharmacists have an important role in the distribution of medications along with bearing the knowledge of the importance of medication adherence. The importance of medication adherence can be relayed to the patients in many different ways, and the way that information is transmitted can have an effect on the success of adherence to chronic medications. The amount and type of information projected to the patient by the pharmacist is key to a better overall patient experience. What the patient takes from the counseling provided by the pharmacist can help aid in the way the patient begins their medication routine and can affect the adherence to certain medications.
Medication adherence in a pharmacy setting is defined as “the patient’s conformance with the provider’s recommendation with respect to timing, dosage, and frequency of medication-taking during the prescribed length of time.” In a pharmacy setting, the pharmacist has an important role in counseling and recommending different ways a patient may adhere to their medications. In a study conducted by Choudhry and Engel in 2011, it was found that only 51% of Americans treated for high blood pressure are adherent to their long-term therapy. That means that about half people in the United States who have high blood pressure are not taking their medications daily and thus possibly further harming their conditions. The importance of medication adherence...
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...ent to find times where taking the medication can fit into their schedule in way where it becomes part of their daily routine. Another way to help patient’s take control of their adherence is to put them in situations where they become in charge of their own well-being. Being in a position of power and responsibility is a motivating factor in most everyday activities and can be the building block to a successful adherence pattern. Active listening is an important factor in day-to-day conversations with patients. If the pharmacist makes it obvious that they are listening and hearing what the patient is saying, the patient is more likely to feel comfortable and take important advice from the pharmacist. Echoing patients’ concerns to show them that they are being understood is a form of active listening in which successful transmission of information can be observed.
Working in the pharmaceutical industry, there are different types of environments you could possibly work in. There are chain pharmacies, like any kind of grocery store or CVS. There are franchise pharmacies, which are also known as apothecaries. Also, there are community pharmacies, which are also known as retail pharmacies. Some of them are independent pharmacies, which is usually owned by a pharmacist or a group of pharmacists.. There are hospital pharmacies, in which are in the hospital. There are many more different types, these are only a few.
According to Dr. John Steiner, a researcher at Kaiser Permanente, very few patients are fully capable of complying with all their doctors’ requests and or recommendations. To illustrate his point, he constructed a chart for a theoretical 67-year-old patient with diabetes, hypertension and high blood pressure. He then tabulated what it would take to be “adherent” with all medical recommendations: Five prescriptions to be filled monthly, getting to and from the pharmacy, (assuming he even has insurance), diet (cutting down salt and fats), exercise (three or four times per week), make it to doctors’ appointments, blood tests, check blood sugar, and on top of that, remembering to take the pills every morning and then again every evening eve...
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.
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
The patient has been on many medications to control his hypertension, but it is still out of the normal range. This man was in great need of nonpharmacological intervention and education. The focus of this paper will be presenting a general overview of the etiology of, global impact of, and compliance with treatment of hypertension. It will also cover the nonpharmacological interventions aimed at managing hypertension. Finally, it will explore caring for the psychosocial needs of the patient and how this can help to treat and possibly prevent hypertension.
The greatest influence in our community is our vast elderly population, with an extremely extensive medication list. The average geriatric patient in my community in typically prescribed about 15 to 20 different medications. I have discovered from this course that this polypharmacy is actually a norm for the elder population and not specific to my community. As a practicing nurse, I would like to analyze the use of polypharmacy in the elderly with evidence based practice. I believe there is a problem with the use of polypharmacy in the geriatric population, however at the same time there needs to be a balance because medications have increased our longevity throughout generations. Another cultural norm in my community is lack of acceptance with western medications, especially those living in the rural Appalachian Mountains. This culture believes in more folk medicine and often do not even receive health care except in acute illness. As an APRN I will need to be aware of this culture norms, especially in areas as adherence to medications and follow up
Listening and communication with all parties involved in the care of a patient is the first step in providing the care our patients need. This is not only speaking with professionals involved, but with the patient and their families. When we open up the line of communication it allows the
Patients who refused to visit the practice, patients who declined to admit that their high blood pressure was secondary to their refusal to take their losartan. Luckily, my provider had been seeing these people for many years, and knew the techniques that would yield in the greatest cooperation. As I watched and listened, I obtained a deep understanding of the value of a relationship between the patient and the provider. Where one might have struggled to gain patient compliance, my provider knew when to implement a stern tone, and when to dial it back and become more comforting.
Mc Lellan A (2009) The nurse patient relationship will prove key to effective medication adherence. Nursing Times 105(3).29
Communication plays a major role in preventing and resolving behavior problems and enhancing your patient’s quality of life by allowing them to feel, even when they no longer know or recognize those around them that they are in the midst of people who care about them and are concerned about their physical and emotional well being.
Interpersonal communication within the field of nursing is imperative in all areas to deliver a holistic positive outcome in patient care. Specifically, active listening, questioning with intent and reflective feedback ascertain an understanding of a patient’s health, illness, and healthcare. Active listening allows the patient to convey their concerns and presents the nurse with an understanding of the patient when implementing a personalised care plan. Questioning with intent builds an appreciation of the situation, and reflective feedback promotes improvements to enrich work ethics of the nursing cohort. Listening actively involves many different styles whereby information is gathered through verbal and non-verbal communication. Questioning
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...
Medications are important part of patient’s life, in that without compliance or adherence to once prescribed medication, the patient’s disease will linger on and cause more complications in their body. Medication compliance is one of the most important topics discussed with the patients. Medication compliance has been described as the ability of the patient to follow correctly prescribed medication. Compliance of medication does not only point out prescription drugs but any therapeutic and medical equipment such as spacers, braces, crutches walkers among others recommended by the physician or nurse practitioner. Medication adherence also addresses the correct prescribed dose of the medication. Ideally, patients
1) Active listening: it is one of important skill for establish relationship with patients or other pharmacy staff. This skill involves serve full concentration to the client. It also remembers that you should not be disturbed while listening. This skill help find out patient point of view. There are three tool of active listening.1) Rephrasing 2) Reflective 3) clarifying
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)