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The role of a pharmacist
The role of a pharmacist
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History of Compounding
Pharmacy compounding is the art and skill of preparing individual medications for patients. Compounded medications are made by hand by adding bits and pieces of components. Ingredients are mixed together in the exact prescription strength and dosage form suitable for the patient. This scientific method allows the compounding pharmacist to work with the patient and the physician to change a medication to meet the patient’s discrete needs. Ancient civilizations utilized pharmaceutical compounding for religion, grooming, keeping the healthy stay healthy, treating the ill and animals. They revealed poisons and the antidotes. They made ointments for wounded and crippled patients, and preparing the patients for the dead.
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Pharmacy compounders compounded a selection of necessary things like medications, dyes, incense, perfumes, ceremonial compounds, preservatives and makeup. Alchemy is an influential tradition that practitioners have. Alchemy eventually played a big role in the creation of modern day pharmacy and the principles of compounding. In the Islamic world in particular, Muslim pharmacists and chemists developed radical methods of compounding drugs. The first drugstores were opened by Muslim pharmacists in Baghdad in 754. In the 1930’s and 1940s, approximately 60 percent of all medications were compounded. As the manufacturing rates went up in the 1950’s through 1960’s compounding quickly went down. The pharmacist’s role as a preparer of medications changed to dispensing the drugs and manufactured dosage forms, and most pharmacists no longer were trained to compound medications. However, once this happened, the patients’ needs were not being content. In the 1800’s, pharmacists specialized in the raising, preparation and compounding of crude drugs. Crude drugs like opium, are from natural sources and usually hold multiple chemical compounds. The compounding pharmacist often extracted these crude drugs using water or alcohol to form extracts. In the 20th century the government began to regulate the practice of medicine more closely. The new regulations forced the drug companies to prove that any new medicine brought to market was safe. Compounding is one of the oldest forms of pharmacy to exist and has played a very crucial role with advances in the medical
Doctors believed the human body was part of the universe, so they used elements for each humour, “Yellow bile was the equivalent of fire. Phlegm was the equivalent of water. Black bile was the equivalent of earth and blood was the equivalent of air”(“Shakespearean and Elizabethan Medicine”). Also, because of their beliefs and lack of knowledge on serious medical conditions, most severe cases were not treated accurately. Some doctors believed if a person broke a bone, then it was never supposed to be used again because the accident was based from many sins of the soul (“Shakespearean and Elizabethan Medicine”). The doctors also believed in completely covering their body when treating a patient. It was thought that if they wore boots, gloves, masks and robes, then they would be protected from the diseases. They also wore an amulet around their waste, filled with dried blood and ground up toads (Alchin). Although this may seem out of the ordinary today, these precautions were something an Elizabethan doctor did not go
contamination, toxicity, and side effects. Most people believe these medications are compounded or mixed by a trained and licensed individual. However, this is inaccurate because the pharmacy technician actually compounds a large percentage of a patient’s medications. Compounding involves a techn...
Physicians were only for royalty and the wealthy. Most common folk, if sick, would visit locals with medical knowledge they gained from ancestors or experience. If they did end up visiting a doctor, it would be one painful experience. Bloodletting was a very common procedure done in sickness and health. It was a procedure done to let out the ‘bad blood.’ It was done in 2 ways, leeching and venesection. Leeching was only used for royalty. The leech was placed on the most infected part of the body. Venesection is the act of directly opening the vein using a fleam, a long half inch blade, and catching the blood in a bowl to measure the amount of blood drained. Other common ones include burning a candle near your tooth for a toothache. If you have evil spirits in your head, then you would have a procedure called trepanning done, which involves cutting a hole in your skull to release the bad spirits.The cure to most general illnesses is pilgrimaging to a holy shrine. Supernatural healing, healing the sick by using herbs and demonic magic. There were only a few healing herbs and they were brought in through trade by travelers. Some examples are sassafras brought from West Indies and guaiac wood that was known to treat syphilis and many similar
Today doctors can treat this disease with minimal efforts, however, during the 14th century very few weren’t sure on how this disease actually spread and therefore didn’t know how to treat it. Physicians used to practice crude and unorthodox techniqu...
to the disease. Many people who knew nothing about medicine used this as an opportunity to get
Illness was treated in many ways but the main goal was to achieve a sense of balance and harmony.(p82). Applications of herbs and roots, spiritual intervention, and community wide ritual and ceremonies were all therapeutic practices.(p71). “It was the healer who held the keys to the supernatural and natural worlds and who interpreted signs, diagnosed disease and provided medicines from the grassland, woodland, and parkland pharmacopoeia.”(p18). The healers knowledge of herbs and roots and ways to administer and diagnose had been passed down from generation to generation.(p85). Healers stood as an advantage for the Aboriginal people. “Trust and a personal relationships would naturally build between the patient and the healer.”(p77). This must have ...
Drug use and abuse is as old as mankind itself. Human beings have always had a desire to eat or drink substances that make them feel relaxed, stimulated, or euphoric. Wine was used at least from the time of the early Egyptians; narcotics from 4000 B.C.; and medicinal use of marijuana has been dated to 2737 B.C. in China. But it was not until the nineteenth century that the active substances in drugs were extracted. There was a time in history when some of these newly discovered substances, such as morphine, laudanum, cocaine, were completely unregulated and prescribed freely by physicians for a wide variety of ailments.
The greatest influence in our community is our vast elderly population, with an extremely extensive medication list. The average geriatric patient in my community in typically prescribed about 15 to 20 different medications. I have discovered from this course that this polypharmacy is actually a norm for the elder population and not specific to my community. As a practicing nurse, I would like to analyze the use of polypharmacy in the elderly with evidence based practice. I believe there is a problem with the use of polypharmacy in the geriatric population, however at the same time there needs to be a balance because medications have increased our longevity throughout generations.
he was present a few month later in Rome when the end of Cesare came to
The most important and influential discovery was the practice of surgery. With this invention, human life became more sophisticated, humans lived longer, and we obtained a knowledge of ourselves sufficient enough to break the boundaries built by ignorance. Lacking prescription drugs, accurate tools, computer technology, and any background experience to build from, our ancestors struggled to learn how to repair the human body. They did an suprisingly competent job of treating the sick and injured. Some of the medical technology developed in ancient times surpassed anything available in the modern world until the 18th century or 19th century. In eras wherein religious views took precedence over medicine and logic, surgical advancement was difficult. The knowledge we have now was obtained from these people's exploits.
According to Dr. Robert Zebroski, a professor at the St. Louis College of Pharmacy, King James I established Western society’s first independent pharmacist guild in England during the early 17th century. Pharmacies were known as “apothecaries” back then and they would prepare and dispense medication or remedies and offer medical advice to their patrons (Zebroski). Soon English colonists knew these apothecaries as pharmacist when they traveled to the New World approximately 150 years ago. Zebroski also noted, that Edward Parrish began the American Pharmaceutical Association and “proposed that members of the national professional organization consider all the varied pharmaceutical practitioners ‘pharmacists’ (Zebroski).” The federal government changed the role of pharmacy in 1951 with the passage of the Durham-Humphrey Amendment to the Federal Food, Drug and Cosmetic Act of 1938. Basically, what this entailed was that pharmacists needed a physician’s prescription to dispense medication versus simply dispensing all drugs. Pharmacists were restricted to reco...
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...
Hippocrates' authority lasted throughout the Middle Ages and reminded alchemists and medical experimenters of the potential of inorganic drugs. In fact, a distant descendant of Hippocrates' prescriptions was the use of antimony salts in elixirs (alcoholic solutions) advocated by Basilius Valentius in the middle of the 15th century and by the medical alchemist Phillippus Aureolus Paracelsus (born Theophrastus Bombast von Hohenheim, in Switzerland, 1493-1541).
Increases in prescription drug misuse over the last 15 years are reflected in increased emergency room visits, overdose deaths associated with prescription drugs, and treatment admissions for prescription drug use disorders, the most severe form of which is addiction. Pharmaceutical services include all medication and related services that support the provision of patient care and treatment for both acute and chronic
Pharmacists often work together in a team with other healthcare professional like physicians and nurses. In the process, pharmacists will give advice to them on the selection of medication, by providing the evidences based on the dosage form, the side effects and possible interaction with food of the medication. On the other hand, pharmacists also take part in research and clinical studies. Recently, pharmacists are recruited to conduct pharmacy-based research in pharmacies. (Swanson, 2005)