basic comm skills 2012 lecture 1

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    PHRM 3900:PHRM 3900:

    Pharmacy CommunicationsPharmacy CommunicationsMatthew Perri, Ph.D., R.Ph.Matthew Perri, Ph.D., R.Ph.

    Professor of PharmacyProfessor of Pharmacy

    Clinical and Administratie PharmacyClinical and Administratie PharmacyRoom !"0C Ph:#$!%#3"#Room !"0C Ph:#$!%#3"#

    m&erri'mail.r(.u)a.edum&erri'mail.r(.u)a.edu

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    Communications *ool+o(Communications *ool+o(

    otice this one is em&ty-

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    Plan for today:Plan for today:

    Course oeriew introductionCourse oeriew introduction/ D CardsD Cards

    ame, where you are from, any &rior de)rees, somethin) a+outame, where you are from, any &rior de)rees, somethin) a+outyourself that will hel& me remem+er youyourself that will hel& me remem+er you

    / Course 1e+ &a)eCourse 1e+ &a)e*he &harmacy care &rocess*he &harmacy care &rocess

    2RA 90 and Pharmacy Care2RA 90 and Pharmacy Care

    Common communication mista4es health &ractitionersCommon communication mista4es health &ractitionersma4ema4e

    asic communication s4illsasic communication s4ills

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    *he Pharmacy Care Process*he Pharmacy Care Process

    Collect and use

    patient information

    Identify patients drug

    related problems

    Develop solutions

    to these problems

    Select and recommend

    therapies

    Follow up to assess

    patient outcomes

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    2RA 90:2RA 90:

    *hree &arts:*hree &arts:

    / Patient nformationPatient nformation

    / Pros&ectie Dru) 5tili6ation ReiewPros&ectie Dru) 5tili6ation Reiew

    / Patient Counselin)Patient Counselin)

    Pu+lic 7aw 808%#0, $$08, 89!;R

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    Patient nformationPatient nformation

    >ull name>ull name

    Address and &honeAddress and &hone

    Date of +irth

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    Pros&ectie D5RPros&ectie D5R

    2er @ underutili6ation2er @ underutili6ation

    *hera&eutic du&lications*hera&eutic du&lications

    Dru)%disease interactionsDru)%disease interactionsDru)%dru) interactionsDru)%dru) interactions

    ncorrect dosa)e or duration of treatmentncorrect dosa)e or duration of treatment

    Dru) aller)y interactionsDru) aller)y interactions

    Clinical a+use % misuseClinical a+use % misuse

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    Patient Counselin)Patient Counselin)ame

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    asic Communication 4ills inasic Communication 4ills in

    Pharmacy PracticePharmacy Practice

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    *he Communication Model*he Communication Model

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    *he communication model:*he communication model:

    Communication ta4es twoCommunication ta4es two/ sender and receiersender and receier

    *o o&timi6e communication we must*o o&timi6e communication we mustconsider the channelEconsider the channelE

    *wo way flow of information*wo way flow of information

    Potential for a +rea4down to occur at anyPotential for a +rea4down to occur at any

    timetimearriers will e(ist / minimi6e these whenarriers will e(ist / minimi6e these whenyou canyou can

    Communications 4ills in Pharmacy Practice, *indall, eardsley and Bim+erlin, third ed., 899$, 7ea and >e+i)er,& 8#.

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    arriers to communicationarriers to communication

    Pharmacy FnironmentPharmacy Fnironment

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    arriers to communicationarriers to communication

    Pharmacy FnironmentPharmacy Fnironment

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    arriers to communicationarriers to communication

    http://www.rx.uga.edu/main/home/phrm3900/barriers.htmhttp://www.rx.uga.edu/main/home/phrm3900/barriers.htmhttp://www.rx.uga.edu/main/home/phrm3900/barriers.htm
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    asic Counselin) andasic Counselin) and

    Communication 4illsCommunication 4ills

    Courtesy and ra&&ort:Courtesy and ra&&ort:/ Guite &ossi+ly the most critical s4ills you willGuite &ossi+ly the most critical s4ills you will

    need to deelo&, and includes:need to deelo&, and includes:How to address &atientsHow to address &atients

    ntroducin) yourselfntroducin) yourself

    7earnin) &atient names7earnin) &atient names

    ein) aware of your a&&earance, attitude, issuesein) aware of your a&&earance, attitude, issuesRes&ectin) &atient &riacy issuesRes&ectin) &atient &riacy issues

    Aoidin) stereoty&esAoidin) stereoty&es

    5sin) a&&ro&riate +ody lan)ua)e5sin) a&&ro&riate +ody lan)ua)e

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    ody 7an)ua)eody 7an)ua)eMessa)e im&act:Messa)e im&act:

    ; er+al; er+al

    3 ocal3 ocal

    ## +ody moements## +ody moements

    2ften more +eliea+le than words2ften more +eliea+le than words

    Com&osed ofCom&osed ofody moementsody moements

    >acial e(&ression>acial e(&ression

    esturesesturesPosture and +reathin)Posture and +reathin)

    &ace&ace

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    asic Counselin) andasic Counselin) and

    Communication 4illsCommunication 4illsody lan)ua)e acial e(&ression / smile

    / Fye contactFye contact

    / 2&en &osture2&en &osture

    / DistanceDistance

    / *one of oice*one of oice/ et C72FREet C72FRE

    / Control distractions, lean in, o&en &osture, smile, ma4e )oodControl distractions, lean in, o&en &osture, smile, ma4e )ood

    eye contact, rela(eye contact, rela(

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    ome sam&les of facial +ody lan)ua)e-.ome sam&les of facial +ody lan)ua)e-.

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    rin)in) it home to &harmacy, is this anrin)in) it home to &harmacy, is this an

    e(am&le of )ood +ody lan)ua)e for ae(am&le of )ood +ody lan)ua)e for a

    &harmacistI&harmacistI

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    tereoty&estereoty&es

    *he &rocess of attri+utin) a set of*he &rocess of attri+utin) a set of

    characteristics to all mem+ers of a )rou&,characteristics to all mem+ers of a )rou&,

    without re)ard for indiidual differences.without re)ard for indiidual differences./ 1e all react differently to different 4inds of &eo&le, and een differently1e all react differently to different 4inds of &eo&le, and een differently

    at different times. ome reactions are oert, some hidden. *hey all canat different times. ome reactions are oert, some hidden. *hey all can

    im&act how we relate to &atients. 1e want to aoid lettin) stereoty&esim&act how we relate to &atients. 1e want to aoid lettin) stereoty&es

    influence how we react to and interact with our &atients.influence how we react to and interact with our &atients.

    / F(am&le statements:F(am&le statements:

    Doctors are arro)antEDoctors are arro)antEJou canKt trust-

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    A stereoty&e in action:A stereoty&e in action:

    Km not feelin) ery well / need a doctor immediately.

    Rin) the nearest )olf course.

    Groucho Marx

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    tereoty&estereoty&es

    Common and most eeryone holds toCommon and most eeryone holds to

    some de)ree of stereoty&in)some de)ree of stereoty&in)1hat is the im&act of this on ra&&ortI1hat is the im&act of this on ra&&ortI

    ein) aware of how you may stereoty&e others isein) aware of how you may stereoty&e others iscriticalcritical

    *reat eeryone as an indiidual*reat eeryone as an indiidual

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    Ra&&ortRa&&ort

    A leel of mutual consideration andA leel of mutual consideration and

    res&ectres&ect/ *he warm fu66yE &art of communication*he warm fu66yE &art of communication

    / Paes the way for )ood communicationPaes the way for )ood communication

    *rust is critical*rust is critical/ How do you build trust?How do you build trust?

    / How do you keep it?How do you keep it?

    / What happens when you break it?What happens when you break it?

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    Perce&tionsPerce&tions

    http://../perception.wmvhttp://../perception.wmvhttp://../perception.wmv
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    >HFD >7F ARF *HF RF%>HFD >7F ARF *HF RF%

    57* 2> JFAR 2> CF*>%57* 2> JFAR 2> CF*>%C *5DJ C2MFD 1*H *HFC *5DJ C2MFD 1*H *HF

    FLPFRFCF 2> MAJ JFARFLPFRFCF 2> MAJ JFAR

    2> FLPFR*2> FLPFR*

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    7istenin)7istenin)

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    asic 4ills: 7istenin)asic 4ills: 7istenin)

    7istenin) 4ills:7istenin) 4ills:/ e aware of &erce&tions e aware of &erce&tions

    test=test=

    / e non%ud)mentale non%ud)mental

    / e an actie listenere an actie listenerummari6in),ummari6in),

    &ara&hrasin), clarifyin),&ara&hrasin), clarifyin),

    feed+ac4

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    asic 4ills: nformationasic 4ills: nformation

    1hen communicatin) im&ortant1hen communicatin) im&ortantinformation to &atients, +e sure to:information to &atients, +e sure to:

    tate the &ur&ose of your communicationtate the &ur&ose of your communication

    nuire a+out what the &atient needsnuire a+out what the &atient needs

    5se mar4ers for critical information5se mar4ers for critical information

    / Now, Ms. Smith, this is really important..! need youNow, Ms. Smith, this is really important..! need you

    to"to"

    *al4 in lay terms, +ut donKt oersim&lify*al4 in lay terms, +ut donKt oersim&lify

    / Aoid technical ar)onAoid technical ar)on

    /Aoid information oerloadAoid information oerload

    / Bee& it short and sim&le, to the &ointBee& it short and sim&le, to the &oint

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    asic 4ills: atherin)asic 4ills: atherin)

    nformationnformation

    1hen )atherin) information1hen )atherin) information

    /As4 o&en%ended uestionsAs4 o&en%ended uestions

    Much more information can +e )ainedMuch more information can +e )ained

    aes timeaes time

    Proides o&&ortunities for &atients to reealProides o&&ortunities for &atients to reeal

    information we mi)ht not +e thin4in) a+outinformation we mi)ht not +e thin4in) a+out

    / How are you supposed to be takin# this?How are you supposed to be takin# this?

    / $ell me more about this"$ell me more about this"

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    asic 4ills: Assessmentasic 4ills: Assessment

    *he uestion is, did your &atient learn anythin)*he uestion is, did your &atient learn anythin)

    from youI n other words, did the other &ersonfrom youI n other words, did the other &erson

    understand what you said, and meantIunderstand what you said, and meantI

    *o assess:*o assess:/ ummari6e your teachin)ummari6e your teachin)

    / Oerify what your &atients 4nowOerify what your &atients 4now

    Ms. Smith, can you tell me how you will take yourMs. Smith, can you tell me how you will take your

    medication?medication?

    / Reinforce &atient understandin) when you canReinforce &atient understandin) when you can

    $hat%s ri#ht, this medication will make you sleepy"$hat%s ri#ht, this medication will make you sleepy"

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    asic 4ills: Fm&athyasic 4ills: Fm&athy

    ee4 to understand what your &atientsee4 to understand what your &atients

    feelfeelFm&athy is not sym&athyFm&athy is not sym&athy

    Realistically, may not +e attaina+le +ecause youRealistically, may not +e attaina+le +ecause youare not the other &ersonare not the other &erson

    Fm&athy will hel& you sha&e your communicationFm&athy will hel& you sha&e your communication

    so that others +etter understand youNso that others +etter understand youN

    7istenin) and Res&ondin) *est:

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    asic 4ills: Guestionsasic 4ills: Guestions

    Fncoura)e &atients to as4 uestionsFncoura)e &atients to as4 uestions

    / &ust let me know i' you ha(e any other )uestions, *+?&ust let me know i' you ha(e any other )uestions, *+?

    +ey oint-+ey oint- 1hen your &atients are1hen your &atients arecomforta+le as4in) you uestions, youcomforta+le as4in) you uestions, you4now you hae ra&&ort and are doin) a4now you hae ra&&ort and are doin) a

    )ood o+ communicatin).)ood o+ communicatin).

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    asic 4ills: Assertieness andasic 4ills: Assertieness and

    PersuasionPersuasion

    Assertie ersus a))ressie.Assertie ersus a))ressie.

    Persuasie ersus &ushy.Persuasie ersus &ushy.

    / 1hat is the differenceI1hat is the differenceI

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    Counselin) Methods 1e 1illCounselin) Methods 1e 1ill

    7earn:7earn:

    asic Counselin)asic Counselin)/ nteractie &atient counselin)nteractie &atient counselin)

    *he Prime Guestions*he Prime Guestions

    Counselin) in challen)in) situationsCounselin) in challen)in) situations/ *he PAR techniue*he PAR techniue

    Pre&are, assess and res&ondPre&are, assess and res&ond

    Counselin) for com&lianceCounselin) for com&liance/ *he RM techniue*he RM techniueReco)ni6e, identify and mana)eReco)ni6e, identify and mana)e

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    >ace Readin): Art not cience>ace Readin): Art not cience

    7i)ht7i)ht

    >orehead>orehead

    Fye+rows: sha&e,Fye+rows: sha&e,

    &osition, ty&e&osition, ty&e

    Fyes: s&acin), an)le,Fyes: s&acin), an)le,

    +ul)in), si6e of iris, corner+ul)in), si6e of iris, cornerindents, &u&il res&onse,indents, &u&il res&onse,

    showin) stressshowin) stress

    FyelidsFyelids

    FyelashesFyelashes

    Fye PuffsFye Puffsose: si6e, sha&e, rid)e,ose: si6e, sha&e, rid)e,

    width, nose ti& an)le,width, nose ti& an)le,

    ose ti&ose ti&

    ostrilsostrils

    Fars: si6e, cu&s and rid)es,Fars: si6e, cu&s and rid)es,

    an)le to head, &lacementan)le to head, &lacement

    Chee4sChee4s

    Mouth: si6e, an)leMouth: si6e, an)le7i&s: si6e and sha&e7i&s: si6e and sha&e

    *eeth*eeth

    milesmiles

    ChinsChins

    Com+inations of featuresCom+inations of features

    acial hair

    >ulfer, Mac, .D., Ama6in) >ace Readin), 899".

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