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  • Introduction To Patient Centred Communication 20-21

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    Ngetwa TzDe TheWiryman
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    This document discusses the importance of patient-centered communication in pharmacy, differentiating it from medication-centered communication and emphasizing the critical role patients play in their own care. It outlines dimensions of patient-centered care like understanding the patient's illness experience and building a therapeutic alliance. The focus is on adopting a patient-centered view of the medication use process that acknowledges patients' roles in decision making.

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    1. Introduction to Patient Centred Communication 20-21

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    This document discusses the importance of patient-centered communication in pharmacy, differentiating it from medication-centered communication and emphasizing the critical role patients play in their own care. It outlines dimensions of patient-centered care like understanding the patient's illness experience and building a therapeutic alliance. The focus is on adopting a patient-centered view of the medication use process that acknowledges patients' roles in decision making.

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    Download as pptx, pdf, or txt
    50 views16 pages

    Introduction To Patient Centred Communication 20-21

    Uploaded by

    Ngetwa TzDe TheWiryman
    This document discusses the importance of patient-centered communication in pharmacy, differentiating it from medication-centered communication and emphasizing the critical role patients play in their own care. It outlines dimensions of patient-centered care like understanding the patient's illness experience and building a therapeutic alliance. The focus is on adopting a patient-centered view of the medication use process that acknowledges patients' roles in decision making.

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    © All Rights Reserved
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    of 16

    PATIENT-CENTRED

    COMMUNICATION IN
    PHARMACY
    Eva Ombaka
    BOOKS USED IN COMMUNICATION
    AND PHARMACEUTICAL CARE
     1. Communication skills in pharmacy practice (5th Edition) by Robert S.
    Beardsley; Carole L. Kimberlin and William N. Tindall.
     2. Communication skills for pharmacists by Bruce A. Berger
     3. A Practical guide to Pharmaceutical care (3rd edition). John P. Rovers
    and Jay D. Currie
     4. A Practical guide to Pharmaceutical care (2nd edition). Editors John P.
    Rovers, Jay D. Currie, Harry P. Hagel, Randal P. McDonough and Jenelle
    L. Sobotka
     5. Pharmaceutical Care practice. Robert J Cipolle, Linda M Strand and
    Peter C Morley
     6. Pharmaceutical Care practice-the Clinician’s guide. Robert J Cipolle,
    Linda M Strand and Peter C Morley
    This session…
     Define patient–centered communication (PCC) and
    differentiate from medication-centered
    communication
     Understand purpose and dimensions of PCC
     Understand and appreciate the role the patient plays
    in care
     Explain why it is important to have patients share
    their medication experiences
    Patient–centered communication
     Patient centered communication is crucial to the
    pharmacy profession
     Responsible for ensuring patients avoid adverse effects
    and reach desired outcomes
     Switch from medication-centered to patient-centered care
     Develop trusting relationship
     Open exchange of information
     Involve patient in decision making process
     Reach therapeutic goals accepted by patient and care provider
     Effective communication central to meeting above
    Communication purpose in pharmacy

     Establish the ongoing relationship between you and


    patient
     Provides the exchange of information necessary to:
     Assess patient health conditions
     Reach decision on treatment plans
     Implement plans
     Evaluate effects of treatment on patient’s quality of life
    Dimensions of patient-centered care

    The pharmacist must be able to:


     Understand the illness experience of the patient

     Perceive each patients experience as unique

     Foster a more egalitarian relationship with patients

     Build a “therapeutic alliance” with patients to meet

    mutually understood goals of therapy


     Develop self awareness of personal effects on

    patients
    Understanding Medication use from patient
    perspectives

    Usually: practitioner-centered - decision by care provider,


    a patient “acted upon”, not a decision maker!
    Truth is:
     Pts return home and

     decide if will carry out the prescribed treatment.


     Alter the treatment regime
     So best is strengthen alliance:
     and increase patient’s level of participation
     and control of decisions
     Therapeutic monitoring
     Let’s consider the process of how an individual
    decides to go to see a health care provider.
    Patient-centered view of medication use
    process: focus on role of pt!
     1. Patient perceives a health care need or health related
    problem-deviation from what is normal
     2. Patient interpret the perceive problem-influenced by
    number of things-cultural, knowledge, family beliefs,
    personal values etc
     3. Take no action-minor or lack ability
     4. Take action-self treat, see non-medical person, or
    medical person
     5. Describe his experience and sometime his
    interpretations-Point where control transferred
    Patient-centered view of medication use
    process-focus on role of pt!
     6. Patient meaning transferred to provider meaning. May not be
    the same. Quality depends on
     patient report thoroughness
     Practitioner skill to elicit information
     Practitioner’s “hearing” of the information
     Practitioner’s skill in communicating information
     7. Practitioner reach professional assessment and makes a
    recommendation
     If drug, patient may or may not carryout the recommendations-for
    many reasons
     Accept recommendation but misuse-did not understand, forgot,
    modify regiment etc
    Patient-centered view of medication use
    process-focus on role of pt!
     8. Patient evaluate the consequences of treatment-
    perceived benefits or costs/barriers-continue,
    modify or stop!
     Question: Discuss pro and cons of
    patients monitoring their responses
    to medication!
    Patient-centered view of medication use
    process-focus on role of pt!

    Problem is not monitoring, problem is what are they


    monitoring?
    They need information of what to expect otherwise
    apply own “common sense” criteria!
    Patient-centered view of medication use
    process-focus on role of pt!
    Problem is not monitoring, problem is what are they
    monitoring?
    They need information of what to expect otherwise apply own
    “common sense” criteria!
     9. Patient may fail to contact you or other provider when

    follow up is needed e.g. can stop, can see someone else and
    start again
     10. Patient may contact you and either convey or not convey

    the information!
    Need patients to feel safe in confiding difficulties or concerns to
    you!
    Patient-centered view of medication use
    process-focus on role of pt!

    Reasons to encourage patients to share their experience


    with therapy
    1. They have unanswered questions
    2. They have misunderstandings
    3. They experience problems related to the therapy
    4. They monitor their own response to treatment
    5. They make their own decisions regarding therapy AND
    6. They may not reveal this information to you unless you
    initiate a dialogue!
    Patient-centered view of medication use process

    So highlights:
     Provider part on process is small

     Patients and professionals may carry out parallel

    decisions!
     Communication that occurs may be incomplete and

    ineffective.
     Decision and evaluations of each may not take into

    account goals, action and decision of the other!


    Patient-centered view of medication use process

     Therefore one aim of the communication process


    should be to make the understanding of the patient
    and you regarding the disease, illness experience
    and treatment goals as congruent as possible!

     Therefore communication skills are critical and can


    have the most effect on the outcomes of treatment!

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