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The role of a pharmacist
The role of a pharmacist
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Consultant pharmacy focuses on medication management and improved health outcomes for elderly patients. During this panel, I was able to expand my limited knowledge about consultant pharmacy and learn about the opportunities in this segment of pharmacy.
Traditionally the consultant pharmacists have been working in nursing homes. They assessed drug regimens on a monthly basis. During this panel, I learnt that the role of consultant pharmacists has expanded beyond nursing homes. They now also provided drug regimen reviews in adult homes, group homes, adult day health care programs, and assisted living facilities. Some also offer services to private individuals. The panelists mentioned that pharmacists being the drug experts have to be credible
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One of the advantages mentioned was that consultant pharmacy allows the pharmacists to utilize all the clinical skills and knowledge gained in the pharmacy school. While providing Medication Therapy Management (MTM), they review the patient’s complete medical record and their drug list. They use their clinical knowledge to make sure there is no unnecessary medication being administered to the patient, the doses are appropriate and there are no drug-drug or drug disease interactions. I found this interesting because we learn so much in detail about the various drugs and diseases states in Drugs and Diseases classes and consultant pharmacy gives an opportunity to utilize that knowledge. In order to make sure that the most cost effective treatment is being provided to the patients, the consultant pharmacists have to constantly update themselves about the medications and their prices. This intrigues me as I am a person who likes to constantly learn new things. Another advantage that the panelists mentioned was the flexibility of hours. Their responsibilities allow them to work full-time or part-time or also from home. This flexibility definitely makes it easier to balance professional and personal life. Moreover, the panelists also mentioned that the emergence of electronic health records have also allowed them to get more involved in the patient care
Polypharmacy among the elderly is a growing concern in U.S. healthcare system. Patients who have comorbities and take multiple medications are at a higher risk for potential adverse drug reactions. There is a great need for nursing interventions in conducting a patient medication review also known as “brown bag”. As nurses obtain history data from patients at a provider visit, the nurse should ask “what medications are you taking?” and the answer needs to include over-the-counter medications as well. If the response does not include any medications other than prescribed meds, it is incumbent upon the nursing professionals to question the patient further to ensure that no over-the-counter medications or supplements are being consumed. This is also an opportunity for the nurse to question about any adverse reactions the patient may be experiencing resulting from medications. Polypharmacy can result from patients having multiple prescribers and pharmacies, and patients continuing to take medications that have been discontinued by the physician. Nurses are in a unique position to provide early detection and intervention for potentially inappropriate medications and its associated adverse drug reactions.
This service is experienced, documented, evaluated and paid for as Pharmaceutical Care. Pharmaceutical Care consists of a philosophy of practice, patient care process as well as a patient management system. Pharmaceutical Care has common integrated vocabulary consistent with other patient care practices such as medicine, dentistry and nursing. Philosophy of pharmaceutical care consists of a description of the social need for the practice, a concise and clear statement of individual practitioner responsibilities to meet this social need, the expectation to be patient-centered and the requirement to function within the caring paradigm. This philosophy of practice is expected and practiced by all health care professionals. The patient care processes must be consistent with the patient care processes of all other health care providers. These processes include the assessment of the client’s pharmaceutical needs, a health care plan that is constructed to meet the specific needs of the client and a process in which evaluates the health care plan to gauge the efficacy of decisions made and actions taken. Pharmaceutical care management system includes all resources needed to manage the client’s needs, which include the space provided, such as a clinic or hospital, an appointment system for patients, appropriate and ethical documentation, reporting of patient care, evaluation of decisions made and actions taken and payment of service
Job Description: Pharmacists ensure that medications are used appropriately, and that they bring about the best results. Their responsibilities include professionally interpreting and reviewing the prescription orders written by doctors, dentists, and other authorized health care providers, and also for giving out the medications accurately to patients. The main goal of pharmaceutical care is to improve the quality of patients? lives by the use of medications that have been prescribed in order to accomplish specific results.
I pleased to apply to the PharmD program as the program is one area that corresponds to my career dreams. Being part of this program gives one the opportunity to gain an excellent experience in working and collaborating with various health care providers in the ward. But more importantly, it facilitates a practical environment in dealing more closely with patients. Hence, it helps to provide the ultimate health care services to patients. Also, it permits me to carry on gaining different knowledge, skills, and values in addition to those I have already developed during my undergraduate studies. My interest in being a clinical pharmacist was first aroused during my SPEP rotation in the hospital setting where I was really impressed with the role of clinical pharmacists who provide a consistent process of patient care with healthcare teams to maintain the appropriateness, effectiveness and safety of the medication use. Unlike a pharmacist, a clinical pharmacist has a more diversified responsibilities and closeness to direct patient care. Moreover, provides
When doctors prescribe medication for their patients, a local retail pharmacy is most likely to be utilized to fill the order. However, there is a growing population of older Americans that are no longer able to live independently and must reside in nursing homes or assisted living facilities. In order for this vulnerable population to receive their medications, a different kind of pharmacy is needed, these are known as LTC, long term care pharmacies. Within these specialized pharmacies there are highly trained employees called CPhTs, certified pharmacy technicians who are overseen by state licensed RPHs, otherwise known as pharmacists.
Studies have documented clients can suffer harm from adverse medication events, which is a leading cause of hospitalization for older adults (Lancaster, Marek, Denison-Bub, & Stetzer, 2014). Factors that play into adverse drug events include transitions in the care setting, the age of the home care client and their caregivers, storage of medications, and assumptions by home care staff. Quality health organization such as AHRQ and The Joint Commission stress the importance of a comprehensive medication reconciliation process. The Joint Commission has implemented National Patient Safety Goals related to medication reconciliation with an increased focus on client education and the necessity to keep an updated list of medications readily
Because Pharmacists do not require a referral as they, “have an important role in counselling and health education as they are often the first people to be contacted for help with choosing the right medication” (Pharmacy careers guide, Pharmaceutical Society of Australia Ltd.). Community pharmacist’s focus on dispensing prescriptions, giving direction on medication, selecting the best choice and educating clients on their wellbeing, disease prevention and the best utilisation of medicines. Pharmacists are also associated with tertiary health care, as some pharmaceutical assistance can be located in both public and private hospitals. Hospital pharmacists conduct their work as part of a healthcare team who take part in monitoring medication usage, guiding patients, providing drug information and advice to other health professionals, directing clinical trials and preparing products for patient use. They have considerable amount of contact with other health professionals and individuals in the hospital. Health professions in hospitals share one goal in assisting each other to allow patients reach their optimal
First, here is some important background information about Pharmacists. A Pharmacist is someone who is trained and licensed to distribute medicinal drugs and to advise on their use. According to the Occupational Outlook Handbook Pharmacists do all of the following: "Fill prescriptions, verify proper amounts of medication to give to patients, check whether the prescription will interact negatively with other drugs that a patient is taking or conditions the patient has, instruct patients on how to and when to take a prescribed medicine, Advise patients on potential side effects they may experience from taking the medicine, Advise patients about general health topics, such as diet, exercise, managing stress, and on other issues, such as what equipment or supplies would be best for a health problem, Keep records and do other administrative tasks, Complete insurance forms and work with insurance companies to be sure that patients get the medicine they need, Teach other healthcare practitioners about proper medication therapies for patients, and lastly oversee the work of pharmacy technicians and pharmacists training."() Some pharmacists participate in compounding, where they create medications by mixing ingredients themselves. Pharmacists tha...
Totaled together, my many life experiences have defined why I want to become a pharmacist. Through my future career, I want patients to advocate for their health and an analytical integration of food, genetics, and medicine. Therefore, I have made my personal and professional skills the means to this end. An interest in pharmacy was no accident; my family fed me a steady diet of pharmacy-related discussions and experiences. My stepmother and late grandfather, both pharmacists, captured my imagination as they advised patients and businesses, counted pills and tablets, and worked days and nights to improve the health of those around them. I witnessed how essential pharmacists improve the well-being of communities through their assistance of patients,
Rovers, John P. A Practical Guide to Pharmaceutical Care. Washington, D.C.: American Pharmaceutical Association, 1998. Print.
They are the specialist who work between the biological and chemical sciences, helping doctors care for their patients with medicinal therapy. In the early 1900’s the Pharmacists actually took on the role of apothecaries. The Pharmacists would make the medication themselves, instead of having the compounds sent to them for them to combine and distribute. “The reason for this change was due to the 1950’s large-scale manufacturing of medicinal products becoming mainstream” (Pearson). This turn of events forced Pharmacists from having a more hands on approach to simply compounding, dispensing and labeling prefabricated products (Pearson). However, it was because of this major shift in Pharmacy that caused the birth of Clinical Pharmacists in the mid 1960’s. “By the early 1990s the pharmaceutical care model was adopted to emphasize that the role of the pharmacist involves “the responsible provision of drug therapy for the purpose of achieving definite outcomes that improve a patient 's quality of life” (Pearson). Today, in some countries such as, Canada and the United Kingdom a Pharmacist has the power to write a prescription to their patient if they feel the one the doctor prescribed wasn’t as effective or could worsen the patients’ health. However, depending on what type of Pharmacist one decides to become they will have a different amount of
Pharmacy: “bringing the right medication to the right person at the right time”, from fruition to bedside and if needed followed through again.
The progress of the role of the pharmacists in the health care system took place equally with other changes. Pharmacy profession aims to help society. Over the past 40 years, the pharmacist’s role has been changing from that of compounder and dispenser of medicines to one of “drug therapy manager” (World Health Organization, International Pharmaceutical Federa¬tion, 2006). Therefore, The mission of the pharmacists to address the drug-related needs of society and individual patients. Pharmacy profession is not limited on sale medicine but also to help patients and describe how to take the medicine. A pharmacist’s unique role is in ensuring the safe, effective, and appropriate use of medications. Pharmacists are increasingly playing a greater
The pharmacy environment is a unique environment in the field of medicine being that it is a place of informal counseling between the pharmacist and the patient. In most cases, in a retail or clinical pharmacy setting, pharmacists have plenty of opportunities to counsel patients concerning their medications and overall general health. Pharmacists have an important role in the distribution of medications, along with bearing the knowledge of the importance of medication adherence. The importance of medication adherence can be relayed to the patient in many different ways, and the way that information is transmitted can have an effect on the success of adherence to chronic medications. The amount and type of information projected to the patient by the pharmacist is key to a better overall patient experience.
The professional responsibilities of pharmacists in independent pharmacy are huge. To the patient, pharmacists are