When making the decision to prescribe there are a number of influence you have to consider. It is important to have an awareness of these influences and take them into consideration when issuing a prescription. It is importance to have knowledge of the DOH (2006) Medicines Matters this give guidance on the mechanisms available for prescribing and administration and supply of products. Team trends and external company’s and there representatives promoting their products have a big influence on your prescribing practice Bradley (2006) found that these influences were of concern to some nurses feeling that their colleague may ask them to prescribe for patients they haven’t seen. Thomas (2008)
"Children, young people, their parents or legal guardians, and health care professionals in all settings make decisions about medicines based on sound information about risk and benefit. They have access to safe and effective medicines that are prescribed on the basis of the best available evidence" (Caldwell, 2013).
If an individual expresses that they want to discontinue their medication and becomes non-compliant with their medication then it is my role to identify the risk they are currently posing and update their risk assessment; inform their CMHT and let the citizen know of the consequences to them not taking their medication and reiterate that it is their choice, as long as they have all the information to make a decision (wise or unwise). It is important to emphasise that not all individuals understand information the same way, therefore I have found that the use of internet, booklets, music, audio recordings, talking group therapy and pictures can be applied to explain a situation to a resident if they are unsure of particular consequences to their health.
Based on the readings and information provided by scholars it is imperative for psychologists to communicate with both the client as well as the prescribing physician.
The pharmacist must offer to discuss the unique drug therapy regimen of each Medicaid recipient when filling prescriptions for them. Each patient must be made an offer to be counseled by the pharmacist. The items to be addressed include, the name of the drug, intended use of expected action, common side effects and their avoidance, techniques for self-monitoring, proper storage, potential drug-drug or drug-food contraindications, refill
Traditionally, pharmacists had no power of questioning any order made by the physician. It was also stated that a pharmacist had no power of advising the patient on the usage of medication. Currently, pharmacists have been given more power and therefore have the mandate of questioning any prescription from the physician. It has been observed that pharmacist can today share information with the doctor and ensure that patients get the right medication. Laws have allowed pharmacists to be consulted on some medications by patients, allowing patients to trust pharmacist on some simple questions that they do not need to visit their doctor. Pharmacists play a significant role in advising the patient today on the type of medication they are taking they are also held to the same standard when it comes to rules and
Your doctor’s directions in your prescriptions should be clear and well-explained to reduce the risks of medication
All three providers have agreed that prescribing a pharmacologic and non-pharmacologic treatment regimen must result from clinical judgment based on a thorough assessment of the patient and the patient’s environment, present and past medical history, current home medication, the determination of differential diagnosis and appropriate diagnostic procedure, a review of potential alternative therapies and specific knowledge about the drug chosen and the disease process it is designed to treat (Woo & Robinson, 2016; p.6).
Please allow me to introduce myself. I am Brandon Brumley, a pharmacist practicing at Right Choice Pharmacy.
While I was on my clinical rotation at Wal-Mart, I counseled a patient on her Warfarin prescription. During this rotation, I was doing most of the counsels under the direct supervision of the pharmacist. This particular experience, however, stood out from the rest of the consultations because she seemed very angry when picking up the medicine. I approached her and was prepared to deal with an angry patron. I started counseling her regarding her medication and she stated, “don’t worry, it doesn’t work anyway. My INR keeps going down even though they are upping the dose, and nobody cares about it.” This really raised a red flag with me because of the class of medication this is. I informed her that we cared and asked her what I could do to help her.
Adverse drug events are the sixth leading cause of death in the United States and represent a significant financial burden to healthcare institutes at an estimated cost of $5.6 million per hospital per year (Meguerditchian N, Krotneva, Reidel, Huang, & Tamblyn, 2013). According to The Joint Commission (2006), medication reconciliation is the process of comparing a patient’s medication orders to all of the medications the patient has been taking. This reconciliation is done to identify and resolve medication discrepancies, which are unintended or unexplained
It seems like the pharmacist and patient has known each other for a while, and all her family have been getting their prescriptions there. I came back with her prescription and the pharmacist let me take over the counseling part. I started asking the patient if she know what the medication is for and what information did the physician told her regarding the prescription. She told me she had an upper respiratory infection and the physician told her to take this prescription as directed on the label. I started telling her this prescription is for Azithromycin 250mg, the generic name for Z-pack, and it is an antibiotic to treat her infection and told her how to take it. I asked her if she has any allergies and is she taking any medications or supplements right now. She said she has no allergies and she’s on birth control, so I told her this antibiotic can decrease the effectiveness of birth control and she should use a second method of protection while she’s taking this. I also used the attached patient’s information sheets to point out some important information that she need to know and told her she can also read over it for additional information. I told her it is best to take this medication with plenty of
Hi Alex, you brought up a great example of poor pateint provider communication. So many people are not aware of what medications react with theres and pharmacists and there physicians should be giving them knowledge of what they can take so they do not have an adverse effect. Ive also heard the same thing about opiods and how patients are not aware that they can not drink on them causing deaths and comas.
At the end of the video I was able to reflect and evaluate if the interaction presented in the example was completely appropriate, meaning that the pharmacist went to each question with the patient and most importantly if they were empathetic enough. Overall the interaction was very empathetic in my opinion despite that some of the questions were not exactly asked. I understood the goal of a pharmacist using SBIRT is to target patients that might be initiating any substances and intervene in order to prevent any possibility of potential harm that might become permanent. Therefore, their purpose is to help patients live a life as healthier as possible while aiding them to maintain them at low risk for any type of substance
Today in the 21st century the roles of pharmacist have expanded tremendously. Before pharmacist had the role of solely dispensing drugs. Pharmacists were limited to only being regulatory or clinical pharmacist. Back then they were called medical purveyors who were much like today’s regulatory pharmacist and hospital pharmacist who are similar to hospital pharmacist. Now pharmacists carry many roles in healthcare. Pharmacist can play roles in public health, community, health systems, state, and federal government.