DISHA

[Drug Information Services and Health Care Awareness]
DISHA is an initiative by Department of Pharmacy Practice of Devaki Amma Memorial College of Pharmacy for the general public. DISHA was established on 18th October 2019. The service was originated based on the needs of the community identified by conducting a health care survey in Ward 14, Chelembra Panchayat. The DISHA functions on all Saturdays from 10.00 AM to 04.00 PM. All the services provided are at free of cost.

Objectives

Health screening and providing necessary education to the general public and make them skilled during crisis.

Functions

Health screening and monitoring services

Vitals such as blood pressure, pulse rate, heart rate, blood glucose, BMI assessments are done for the general public who approaches DISHA.

Disease counseling

Reason for the Disease, Severity level, and Prognosis. Laboratory test briefing. Lifestyle, Diet, Medication counseling, Precautions, and if necessary Patient Information Leaflet will also be provided.

Education

First aid, OTC, Vaccination/ Immunization.

Conducting of medical camps

SOP of DISHA

Self-introduction

Greet the patient or the person who intend to use the service. Self-introduction of the service provider with name, designation, purpose and services provided in DISHA.

Know your patient

Get the patient details such as name, address, age, occupation, life style, family history, health issues, other concerns and drugs prescribed by his/her doctor.

Disease counselling

Give a detailed description about the disease viz., why this disease has arisen.

Various reasons of the disease found in the patient.

Give explanation about the major and common signs of the disease or any unexpected signs shown by the body and precaution.

Risk factors such as disease history of the patient, past medication details, patient’s life style.

Life style to be followed appropriate, diet plan for the patient, required physical activities as per the disease condition, and change in social habits required.

Medicine counseling

Ask for the prescription or the strips he/she has got in hand

- Collect all the prescriptions or details about the drugs used by the patient in order to get detailed information about the patient condition.
- If the prescription is not available or unable to read, we can also collect the strips.

Trade name, Generic name

- Identify the drug’s content by the help of any external source

Use and Expected benefits of the drug

- Give complete details about the drugs to the patient.
- Find the appropriateness of the medication used in this patient’s condition.
- Explain what all are the benefits produced by the drug in this disease state.
Eg: Blood pressure reduced by anti-hypertensive, blood glucose reduced by anti-diabetics.

Whether it cure, prevent the disease or reduce the symptoms

- Explain about the disease like whether it is completely curable or not
Eg: Diabetes mellitus; It is not completely curable by the medication
- Explain the diseases that can be completely prevent by altering life style or modifying therapy.

Expected onset of action or duration of action

- Identify the duration of action of the medication and ensure the patient is taking the medication in proper interval.
- Explain the time taken by the medication to act and the importance of administering it in a proper interval

Route, dosage form and frequency

- Give an explanation about the route of administration of the drug and its importance.
Eg: Oral, IV, IM, Nasal, Topical etc.
- Nitroglycerin tablets are usually placed beneath the tongue for fast absorption. So many special dosage forms are available so explain the need of using these dosage forms in this condition if any.
- Special procedures for each dosage must be followed during the administration so instructions should be given with demonstration.

Missed dose

-Convey the importance of taking medication in proper interval.
- Counsel about the complications if any dose is missed.
- What to do if a dose is missed must be explained.

Potential common and severe ADR

Explain about the common ADR and what precaution should take to prevent the ADR What to do if an ADR is identified immediately.

Drug-drug and Drug-food Interaction

- Identify the drug-drug and drug-food interaction by using external sources.
- Take complete diet plan of the patient and report if any interaction is present.
- Convey the complications associated with drug-drug and drug-food interaction.

Storage tips

- Special storage conditions should follow properly for some medication
Eg: Insulin
- Importance of storage condition and problems developed if the drug is not properly stored can be explained.

Health monitoring services

Depending up on the need of the patient we provide the health monitoring services like BP checking, Blood group detection, checking of height and weight, BMI.

Issuing of health card

After counselling and health monitoring of the persons we record the things in a specially designed health card and provide this to the patient for future reference and comparison, ask them to bring this card while coming next time to DISHA.