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THE PHARMA REVIEW (JAN 2010)

Initiating and Strengthening Nepal’s Second Medication Counseling Center – Our Experiences

Shankar PR, Shrestha RK, Banstola A, Thapa HS, Piryani RM

Abstract: Medication counseling is providing medication related information orally or in written form to patients or their representatives, on topics like direction of use, advice on side effects, precautions, storage, diet and life style modifications by trained and qualified pharmacists. It aims to improve patient concordance with treatment. Counseling aids are used to make counseling more effective. Manipal Teaching Hospital, Pokhara was the first hospital to set up a Medication Counseling Center (MCC) in Nepal. The center has played a vital role in improving concordance with treatment. A MCC was set up in KIST Medical College, a new medical school in Lalitpur district on 17th June 2008. Before starting counseling a consensus was created among prescribers regarding its necessity and advantages. A liaison person was selected from Gynecology and Obstetrics for fostering closer links with clinicians. The experience of the first center at Pokhara was used for framing guidelines for functioning. A documentation form was designed. Counseling was initially limited to certain conditions and devices and gradually expanded to others. OBRA-90 recommendations were followed while counseling. Despite initial difficulties the service was accepted and has counseled over 200 patients till now. The authors share their experiences in this article.
 
Introduction: Medication counseling is defined as providing medication related information orally or in w ritten form to patients or their representatives, on topics like direction of use, advice on side effects, precautions, storage, diet and life style modifications.1 Counseling is usually carried out in the Medication Counseling Center (MCC) a specialized area located near the hospital pharmacy or the outpatient department. The center is usually staffed by trained and qualified pharmacists and provides information and counseling to patients regarding the use of medicines so that better concordance (adherence) to treatment can be achieved. MCC uses specialized counseling aids like charts, models, books and even videos to counsel patients about the use of their medicines. Dry powder inhalers (DPIs), Metered dose inhalers (MDIs), Insulin pen, Spacer, Baby Mask, and Vaginal Pessaries are among the aids which can be used.  

 

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