Communication
CPSA · Communication · Information giving
Medication counselling
Explain a new medication so the patient can take it safely — what it’s for, how to take it, key side effects and safety-critical points, and monitoring. Tailor to the drug’s must-know message.
The framework
Set up
- Confirm identity; check what they know about the medication and why it’s being started
- Check allergies and current medications (interactions)
Explain the drug
- What it’s for and how it helps
- How and when to take it (dose, route, timing, with/without food)
- Common side effects and what to do about them
- The safety-critical point for that drug (e.g. methotrexate weekly, warfarin INR, steroid don’t-stop, statin muscle pain)
Safety-net & check
- Monitoring/blood tests required; when to seek help
- Check understanding (teach-back); offer written information (patient leaflet)
Phrases that work
- “This medication is to help with… let me explain how to take it.”
- “The most important thing to remember is…”
- “If you notice…, stop and contact us.”
- “Could you tell me back how you’ll take it, just so I know I’ve explained it well?”
Pitfalls that lose marks
- Omitting the one safety-critical counselling point for the drug.
- Not checking allergies/interactions before counselling.
- No teach-back / understanding check.
- Overwhelming with every side effect instead of the important ones.