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Communication skills - communication with prescribers and patients

Verbal Communication:

This pertains to the spoken words used to convey information, instructions, or feedback. In the pharmacy setting, verbal communication is utilized in:

  1. Counseling Patients: Explaining medication usage, potential side effects, and addressing concerns or questions.

  2. Discussing with Prescribers: Clarifying prescriptions, discussing potential drug interactions, or suggesting alternatives.

  3. Interacting with Colleagues: Collaborating on patient care, discussing workflows, or addressing any in-pharmacy issues.

Effective verbal communication requires clarity, active listening, patience, and the use of jargon-free language that's easily understandable.

Non-Verbal Communication:

This pertains to the communication cues that don't involve spoken words. These cues can often convey emotions, attitudes, or reactions. In the pharmacy context, non-verbal communication includes:

  1. Facial Expressions: A smile can put a patient at ease, while a furrowed brow might suggest concern or confusion.

  2. Eye Contact: Maintaining appropriate eye contact can show attentiveness and build trust.

  3. Gestures: Using hands to emphasize a point or demonstrate how to use an inhaler, for instance.

  4. Posture: Standing upright can convey confidence and professionalism, while slouching might appear disinterested.

  5. Proximity: Respecting personal space, especially when discussing sensitive health information.

  6. Tone and Pitch: The way something is said, including the tone and volume, can convey emotions or emphasize importance.

  7. Physical Appearance: A neat and professional appearance can enhance credibility and trustworthiness.

Both verbal and non-verbal communication are intertwined, and a pharmacy professional must be adept in both to ensure optimal patient care, build trust, and work effectively within the healthcare team.


Communication with Prescribers:

Pharmacists may communicate with prescribers for various reasons, such as clarifying prescriptions, discussing potential drug interactions, or suggesting alternative therapies.

Key Points:

  1. Clarity and Precision: When reaching out to a prescriber, pharmacists need to be clear and precise about the issue at hand. For instance, if there's ambiguity in a prescription, they should specify the exact concern.

  2. Active Listening: Pharmacists should listen actively to the prescriber's feedback or instructions to ensure they've understood the intended therapy or corrections.

  3. Professional Respect: Given the collaborative nature of healthcare, mutual respect is essential. Avoid undermining or openly challenging a prescriber’s decisions, especially in front of patients. Instead, ask open-ended questions and offer evidence-based suggestions.

  4. Documentation: Always document communication with prescribers. This might include the reason for the call, any clarifications received, and agreed-upon actions.

Communication with Patients:

  • When communicating with patients, pharmacists ensure that individuals understand their medications, how to take them, potential side effects, and more.

Key Points:

  1. Empathy and Respect: Understanding and acknowledging a patient’s feelings and concerns helps build trust.

  2. Open-ended Questions: Instead of asking, "Do you understand?", which can be answered with a simple "yes" (even if the patient doesn’t fully grasp the information), use questions like, "Can you tell me how you'll take this medication?"

  3. Simplified Language: Avoid jargon. Use simple, layman’s terms to explain complex medication concepts. For instance, instead of saying "hypertension", you might say "high blood pressure".

  4. Use of Visual Aids: Visual aids like pill diagrams, infographics, or even actual pill demonstrations can be more effective than verbal explanations alone, especially for patients with literacy challenges.

  5. Active Listening: This allows the pharmacist to gauge the patient's understanding and concerns, ensuring any misinformation is corrected.

  6. Verification: Before concluding, verify that the patient has understood the information. Techniques like the "teach-back" method, where patients are asked to explain the instructions back to the pharmacist, can be effective.

  7. Privacy: Ensure the conversation is held in a location where the patient feels comfortable discussing personal health information.

  8. Cultural Sensitivity: Recognize and respect cultural differences that might affect a patient’s perspective on medications. This might include beliefs about traditional medicines or concerns about certain drug ingredients.

  9. Follow-up: Especially when a patient is starting a new medication or has had recent changes in therapy, it can be beneficial to follow up after some days to check for any issues or concerns.

Effective communication in pharmacy practice can drastically reduce medication errors, improve patient adherence to medication regimens, and enhance the overall quality of patient care.

Here's a mind map illustrating the Communication Skills essential in Pharmacy Practice, especially when communicating with prescribers and patients:
Here's a mind map illustrating the Communication Skills essential in Pharmacy Practice, especially when communicating with prescribers and patients:


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