2. Barriers to Effective Patient Counseling Pharmacy Practice 720 October 18-22, 2004

3. Barriers to Counseling Time Physical Economic Patient’s perception of RPh Lack of awareness of availability

4. Barriers to counseling, continued Comprehension difficulties Lack of confidence Poor physician - pharmacist relationship Poor communication skills

5. Types of Barriers Practical Patient Pharmacist

6. Availability Visibility of RPh Organization of the pharmacy Use of technicians Computer arrangements Access to Counseling areas Managing time, making appointments Promotion of RPh’s role and community activities

7. Atmosphere Provide a private patient counseling area Provide a semiprivate patient counseling area Use nonverbal language to create a sense of personal conversation Improve general atmosphere

8. Approach Use an organized approach and protocol Tailor counseling Adopt a helping approach Develop good communication skills Use appropriate educational methods and counseling aids

9. Attitude Attend to nonverbal messages Be assertive Be persuasive Be confident Be a life-long learner Take advantage of new technologies