Lecture 21&22

Question 1

What are the 3 stages of patient interviewing

Answer 1

opening
exploration
closure

Question 2

What is done during the opening

Answer 2

identify your name and roles
identify other person name and roles if not patient
identify purpose, time needed and how patient time respected

Question 3

What is done during the exploration

Answer 3

name
address
DOB
insurance info
allergies, medication rxns
current med use
special needs
*use nonverbal cues
*use open ended questions

Question 4

What is done during the closure stage

Answer 4

sum up and check accuracy
give next step

Question 5

What are good ways to build rapport

Answer 5

be responsive to patient
reinforce
balance active and passive participation
show respect for the patient’s experience
be aware of environment
nonverbal cues

Question 6

What are some pros of open-ended questions

Answer 6

may build more rapport
allows the unexpected answer needed o understand needs/behavior
may give insight about hearing, literacy, language characteristics

Question 7

What are some cons of open-ended questions

Answer 7

if used too much, can lead to lengthy interview
may lead to rambling
may not get specific info needed in a single question

Question 8

What are the 3 prime questions

Answer 8

what did your prescriber tell you your medication is for
how did the prescriber tell you to take the medication
what did the prescriber tell you to expect

Question 9

What is the method that is used to assess a patients understanding

Answer 9

teach-back method
ask patients to repeat in their own words what they needed to know or do

Question 10

What are some strategies that can be utilized to deal with an angry patient

Answer 10

try to lessen defensiveness
focus on positives
keep the patient updated
focus on offering options

Question 11

What is the medication partnership

Answer 11

equal sharing of pharmacist expertise and patient experience in a respectful and longitudinal assessment leading to shared decisions

Question 12

What are the 5 steps to the patient care process

Answer 12

collect information
assess information
develop care plan
implement care plan
follow-up evaluation

Question 13

What is the significance of refill counseling

Answer 13

opportunity to partner with patients and influence patients behavior such as adherence issues

Question 14

What is the framework for refill counseling

Answer 14

opening
exploration
patient assessment
provide adapted info
evaluation
closing

Question 15

What are some refill counseling techniques

Answer 15

‘conversation starter’ single open-ended question
prime questions
show and tell
non-verbal behavior remains key
use appropriate redirection techniques

Question 16

What is the RIM model for medication adherence assessment

Answer 16

Recognizing non-adherence
Identify causes of non-adherence
Manage or monitor medication use

Question 17

What are some causes of non-adherance

Answer 17

health system: patient-provider communication/relationship
knowledge: confusion regarding dose, direction, purpose, duration, technique, health literacy
practical: cost, administration of drug, side effects
Beliefs/Efficacy: illness beliefs, fear of long-term effects, cultural beliefs, doubt of benefit, low self-efficacy
condition: severity. disability, comorbidities

Question 18

How can you aid patients in monitoring or managing medication use

Answer 18

*depending on the cause identified
offering tools for complex medication management or remembering to take meds
offering resources for cheaper medications
motivational interviewing
encouraging patient monitoring

Question 19

What is the principle of self-efficacy

Answer 19

peoples judgment of their capabilities to organize and execute courses

Question 20

What are some ways to improve self-efficacy

Answer 20

model healthy behavior for patients
encourage developing mastery of the behavior
social persuasion(positive feedback)