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Dear Readers,
An eye hospital is established with the primary aim of providing care and cure to patients. What we have not realized is the fact that very often patient who have managed to cross the many barriers there are to access a hospital very often completes the test, receives the advice and then walks out with complying with it or accepting the Doctors decision. This is primarily the need with which the counsellors in an eye hospital are appointed-to convert a non acceptor of care to acceptor of care. For counselors in an eye hospital to deliver their work effectively they have to follow a counselling process, apply different methods of counselling, and leverage their delivery by utilizing different counselling aids. Analogies are a powerful communication tool that the counselors can use. The ideal counselling set up is also illustrated. The challenges for providing counselling are many and this is detailed in the barriers faced by a patient. Frequently asked questions provide a guideline to the counsellors on a set of questions patients constantly tend to ask which they must answer to. Case studies highlight the impact of counselling on transforming a patient life.

Happy Reading!

Regards,

Vision 2020 e-resource team
The Issue Features...
Counselling
Vol. 3 No. 1 January 2006
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•   Introduction of Counselling
•   Methods of Counselling
•   Effective Counselling
•   Counselling in Eyecare
•   Counselling Process
•   Counselling Training
•   Counselling Aids
•   Counselling Setup
•   Counselling Check List
•   Analogies
•   Barriers
•   FAQ
•   Case Study
•   Collaborating Partner

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Counselling is considered as a purposeful conversation to facilitate decision making. Counselling in eye care has evolved to be there for the following objectives:
  1. To increase awareness about eye diseases
  2. To increase patient compliance to treatment
  3. To market new products or services
  4. To moderate patient expectations
In eye care as in other health care there are many barriers which prevent patients from following up with the Doctors advice. It is in this context that the role of the counsellors comes into prominence. The main reason for counselling is convert the non acceptors of eye care into acceptors. Any health care provider should be satisfied only if the person who approaches for treatment complies with the treatment and follows. Then only we can say that we, as an health care provider has impacted on improving health care. Very often, the hospital rests satisfied with treating only the patients who have come to them. But studies have repeatedly showed that among the persons who require healthcare, only a small minority come and utilize healthcare. Even those who come, listening to the Doctors advice does not automatically translate into an uptake of the service. It is all these issues which are taken up by the counselors to ensure that people utilize healthcare.

One aspect of patient counselling is also to help patients who have apprehensions on aspects of treatment, surgery, adapting to hospitalization, resource mobilization. Patient Counselling helps such people in understanding about the treatment, length of stay, cost, prognosis, and plan for their rehabilitation.


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There are different methods of counselling a patient(s). It could be broadly classified as individual counselling, family counselling or group counselling. In the individual counselling scenario the counsellor sits face to face with the patient or the key decision maker and either explains about the disease or the treatment process to facilitate decision making. In the family counselling the details are also explained to key family members as they have a stake in the decision making or ensuring compliance to the treatment plan. In group counselling, the counselling is provided to a group of patients at the same time who have the same condition.

Individual Counselling
  • GROUP COUNSELLING
    Abstract:
    This article discusses some of the important aspects of group like optimum group size, group formation, characteristics, and advantages of group Counselling in hospital etc.

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The effectiveness of counselling greatly lies on the skills of counsellors, utmost care should be taken while recruiting counsellors. We have provided you with Job descriptions, Patient counsellor training manual and recruitment guidelines in order to select right counsellors and train them in effective way.
  • COUNSELLING ETHICS
    Abstract:
    This article focuses on Counselling Ethics and covers some aspects on Self- Awareness, objectivity, rights and values.

  • BODY LANGUAGE IN PATIENT COUNSELLING
    Abstract:
    This article focuses on Body language required for counsellors also it highlights what body language should not be adopted by counsellors.

  • JOB DESCRIPTION FOR COUNSELLORS
    Abstract:
    This is a model job description for the Counsellors in an Eye Hospital. It clearly focuses the duties of the Counsellors, and how to manage the duties in an organized way

  • PATIENT COUNSELLOR RECRUITMENT GUIDELINES
    Abstract:
    This article provides you with Job description, roles and responsibilities, qualifications and characteristics required for recruiting Patient counsellor.

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A patient has a stimuli which creates hundreds of questions while the patient undergoes screening and further medication. A doctor or a nursing staff cannot spend more time with the patient to clear the doubts and educate them. Patient wants the doctor to attend the problems, clarify the doubts and fulfill the needs. Though it helps to increase the patient satisfaction and it is our responsibility to communicate the details of medication, we have to think the time utilisation of medical personnel.

The Concept of introducing Patient counselling is to increase the level of patient satisfaction and educate them and towards the optimum utilisation of the manpower.

  • PATIENT COUNSELLING AT ARAVIND EYE HOSPITAL
    Abstract:
    This article details counselling department activities at Aravind Eye Hospital. It covers the counsellors selection process, training, specific functions in different departments, coordination, and performance assessment.

  • PATIENT COUNSELLORS: THE ROLE OF PATIENT COUNSELLORS IN INCREASING THE UPTAKE OF CATARACT SURGERIES AND IOLS
    Abstract:
    This article focuses on selecting, training and working skill of counsellors with some common questions asked by patients which a counsellor needs to answer.

  • USING PATIENTS AS MOTIVATORS
    Abstract:
    The power of word of mouth has always seen to be a powerful source to get more patients. It is this strategy which is detailed in this article which looks at how patients can be used to motivate others in the community to come to the hospital.

  • COUNSELLING - A SUCCESS STORY
    Abstract:
    This article focuses on importance of counselling and shares the experience of counselling at Netra Niramoy Niketan, Vivekananda Mission Ashram, Chaitanyapur.

  • GRIEF COUNSELLING MANUAL
    Abstract:
    This article focuses on how a counsellor should deal with donor families and various aspects involved for getting consent for donating eyes.

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Counselling process in eye care is mainly divided into three types pre operative, post operative, discharge counselling. An elaboration of these steps is given in the articles below.
  • GENERAL PATIENT COUNSELLOR GUIDELINES
    Abstract:
    This article highlights some general guidelines to be followed by patient counsellors.

  • THE COUNSELLING PROCESS
    Abstract:
    The main counselling process has been divided by the author into 3 stages beginning, action and ending. In this article the author highlights the critical objectives and tasks of each phase.

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Training patient counsellors will improve their skills in order to increase the number of patients who accept and follow the the advise of their service provider. Aravind Eye Care System offers training for counselling as a part of the following course.

Course details:




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During counselling there are different aids that a counselor can use to communicate the message more effectively. This includes model of an eye to help explain the aetiology of the disease, sample intraocular lens, videos of surgery, etc..


Counselling Aids for the patients:
  • IntraOcular Lens
  • Model of eye ball
  • Patient Education brouchers & Notice(Local language & English)
  • Posters
  • Motivation Card
  • Stamp pad & Followup sheet
  • Sample Medicine
  • Video Awareness
  • Sticker
  • Room Photos & Flash Card
  • Calendar (Monthly & Daily)
  • Check List
  • Consent forms

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There are many important aspects of setting up a counseling room so that it is done more effectively. This is described mainly through providing photographs to get a sense of the different counselling set up.


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In eye care, with the large burden of avoidable blindness providing the right information becomes all the more crucial. But due to the complicated terms used in medical field many lay man finds it difficult to understand so we need vivid analogies to describe the medical terms which will be easier for them to understand.
  • ANALOGIES FOR COMMUNICATING WITH THE PATIENT
    Abstract:
    Medical information is full of technical words and jargons that often tend to distance patients from providers. This article provides analogies which can be used with a patient who has been adviced for cataract surgery.

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It is important for providers to understand that despite there being clinical knowhow and infrastructure and human resource availability by the service provider still the people who require eye care are not availing of services. These are attributed to various barriers. These barriers have to be understood in order for the service provider like an eye hospital to reach the patients.

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We are glad to collaborate with All India Ophthalmological Society (AIOS) which is the largest Associations of Eye Surgeons in India with around 10,000 Active Members.

The AIOS was established in the year 1930. It is a registered Society under the Society's Registration Act of 1860. The objects of the society are cultivation and promotion of the study and practice of ophthalmic sciences, research and man-power development with a view to render service to the community and to promote social contacts among ophthalmologists of the country.

They organise Annual Conferences in different parts of the country. In these conferences a number of scientific programmes, Symposia, Seminars, Workshops, Refresher courses, Live Survery etc. are conducted for the promotion and mutual exchange of knowledge in the field of Ophthalmic science.

Weblink: http://www.aios.org