How to Counsel OTCs Flashcards

(33 cards)

1
Q

How important is body position in the OTC aisle?

A

positioning is something subtle but still think about it
just make sure the patient knows you are interested

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is our desired outcome with OTC counselling?

A

to be the best OTC counselors on the planet

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

True or false: what you say is more important than how you say it

A

false
content and process are equally important

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What are the two main skills we need as OTC counselors?

A

drug knowledge and interactive skills

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is a question you should always ask when OTC counseling?

A

what have you tried so far?

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are the three typical ways that a patient will initiate an OTC encounter?

A

describing a symptom
request a product
ask a specific question

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What are the steps in OTC counseling?

A
  1. who is the patient
  2. seen a doctor?
  3. assess symptoms
  4. develop a tentative course of action
  5. inquire about health status
  6. state your recommendation
  7. provide info on proper use
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What does the SCHOLAR acronym stand for

A

Symptoms
Characteristics
History
Onset
Location
Aggravating factors
Remitting factors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is an example of a situation where you dont have to ask who the patient is in OTC counselling?

A

“I have x, what will help?”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

If a patient states that they have seen a physician for their problem, what should we do?

A

PROBE
how long ago was consultation and what was recommended (if anything)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

How can time be saved by asking a patient if they have seen a doctor?

A

can save a consult from getting deep, especially if the patient was sent to pick out a product the doctor recommended

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is a possible consequence with raising the issue of MD contact?

A

unwarranted seriousness to the encounter

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

When discussing symptoms, what type of question should we start with?

A

open-ended questions and then move to close-ended questions
tell me more about x….

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

True or false: when you get asked for OTC help, you should move to the OTC product section

A

true
this can help you gather your thoughts

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

True or false: it is better to ask generic questions than condition-specific ones

A

false
it is better to ask condition-specific questions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is differential diagnosis?

A

the process of taking information and deciding what the most likely cause is

17
Q

Why is step 4 deemed as tentative?

A

the possible course of action has not been verbalized yet to the patient

18
Q

What is the general goal of step 4?

A

the pharmacist should have a good idea of what they are likely to recommend (this also depends on step 5)

19
Q

What is the consensus on touch?

A

its either in your system or its not
if its not natural, it comes off as creepy

20
Q

How does a tentative course of action set up the stage for step 5?

A

it sets the stage for most focused questioning

21
Q

What are some important things to ask when assessing the patients health status?

A

on any other medications?
any other conditions to consider?

22
Q

True or false: it is okay to start off an OTC counsel by asking about allergies, other medication use, etc

A

false (wait until step 5)

23
Q

Is it sufficient to stop when you have asked an elder “are you in good health?” and they say “yes”?

A

no
probe with elders

24
Q

What are the 4 forms of recommendation?

A

re-assurance (wait and see0
non-drug measure
OTC medication
MD referral

25
If you have 45 seconds, what is more important, getting the right drug or how to use the drug?
getting the right drug
26
How many side effects should you mention?
explain 2-3 well rather than doing 6 poorly
27
What are pieces of info to provide in step 7?
how much to apply/how many to take use for how long what to expect what to do if treatment fails
28
Who should hold the package in the OTC aisle and why?
the patient it takes the pressure away from you
29
When should we refer the patient to an MD?
symptoms are severe symptoms are persisting young/elderly
30
What are the main things we want to identify when assessing?
symptoms, severity, duration what has been tried so far
31
Is the following an open or close ended question: you said you have heartburn. When and how bad?
close ended
32
What are some nuances to be aware of when assessing symptoms?
the use of open and close ended questions assess the patients choice of wording watch for non-verbal information
33
A middle aged man comes in asking for your help in the OTC aisle. What are the questions you should ask when you reach step 5?
are you in good health? on any other medication?