EFFECTIVE COMMUNICATION BETWEEN PHYSICIAN AND PHARMACIST by, Dr. G Praveen Kumar Assistant Professor, Department of Pharmacy practice, C.L. Baid Metha College of Pharmacy. Incharge-Drug Information Centre & Patient Counseling, VHS(voluntary health care) hospital, Adayar, Chennai
50
Embed
Effective communication between physician and pharmacist.
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
EFFECTIVE COMMUNICATION
BETWEEN PHYSICIAN AND PHARMACIST
by,
Dr. G Praveen KumarAssistant Professor,
Department of Pharmacy practice,C.L. Baid Metha College of Pharmacy.
Incharge-Drug Information Centre & Patient Counseling,VHS(voluntary health care) hospital, Adayar, Chennai
• Clinical pharmacists work directly with doctors, other health professionals, and patients to ensure that the medications prescribed for patients contribute to the best possible health outcomes.
Dispensing
Manufacturing
Clinical
Roles of a clinical pharmacist
• Assess the status of the patient’s health problems and determine whether the prescribed medications are optimally meeting the patient’s needs and goals of care.
• Evaluate the appropriateness and effectiveness of the patient’s medications.
• Recognize untreated health problems that could be improved or resolved with appropriate medication therapy.
• Follow the patient’s progress to determine the effects of the patient’s medications on his or her health.
• Consult with the patient’s doctors and other health care providers in selecting the medication therapy that best meets the patient’s needs and contributes effectively to the overall therapy goals.
• Advise the patient on how to best take his or her medications.
• Support the health care team’s efforts to educate the patient on other important steps to improve or maintain health, such as exercise, diet, and preventive steps like immunization.
But still the fight never got over……….
Mode of communication?
Prescribing Guidelines
• Part 1: The process of rational treatment
• Part 2: Selecting your P-drugs
• Part 3: Treating your patients
• Part 4: Keeping up-to-date
Part 1: The process of rational treatment
• Step 1: Define the patient's problem • Step 2: Specify the therapeutic objective
(What do you want to achieve with the treatment? )
• Step 3: Verify the suitability of your P- treatment Check effectiveness and safety
• Step 4: Start the treatment • Step 5: Give information, instructions and
warnings • Step 6: Monitor (and stop?) treatment
Part 2: Selecting your P-drugs
i Define the diagnosis (pathophysiology) ii Specify the therapeutic objective iii Make an inventory of effective groups iv Choose a group according to criteria efficacy safety suitability cost Group 1 Group 2 Group 3 v Choose a P-drug efficacy safety suitability cost Drug 1 Drug 2 Drug 3 Conclusion: Active substance, dosage form, Standard dosage schedule, Standard duration.
Part 3: Treating your patients
Part 4: Keeping up-to-date
“Knowledge is of two kinds. We know a subject ourselves, or we know where we can find information upon it.”
-Samuel Johnson (1709-1784)Martindale’s The Extra Pharmacopoeia is an excellent reference book with detailed drug information on most active substances and chemicals.
Avery’s Drug Treatment is a more specialized book, appropriate for prescribers with a special interest in clinical pharmacology.
Pharmacist contribution?
• Prescription audit/monitoring• Drug information• Patient counselling
Prescription audit….
• Medication errors • Almost everyone in the modern world takes
medication at one time or another • Most of the time medications are beneficial • But some occasion they do harmful effects (side
effects) which is adverse drug events• But sometimes the harm is caused by an error in
prescribing or dispensing or administration of medication
Types - Responsibilities
• PRISCRIBING ERRORS - physicians
• TRANSCRIBING ERRORS – pharmacist/nurses
• DISPENSING ERRORS – pharmacist/ physicians
• ADMINISTRATION ERRORS – nurses/patients
Parts of prescription
• Name, address, telephone of prescriber • Date • Drugs• Name/I.D no., age & gender of patient • Signature or initials of prescriber
Never use unofficial abbreviations – or invent your own abbreviations – it is not safe to do so.
Prescription audit/monitoring
• Legibility• Use generic names only• Mention the full details of every drug• Avoid unofficial abbreviations• Avoid “Repeat all”• Avoid “Double dosing”
Drug information services
• “The Drug Information Centre is a service offered through Pharmacy department which provides advice and act as a referral service by directing the best available resource to respond to query or concern.”
What kind of information?
1. New Drug or its Product Information/ Identification
2. Availability 3. Contraindications/Safety4. Adverse Drug Reactions/Drug Interactions5. Efficacy/Treatment/Choice of drug6. Pregnancy/Lactation/Pediatrics7. Drug Profile/Indications/Dosage/
Pharmacokinetic information8. Toxicology9. Counselling information
Resources….
• Primary resources: Research papers/Journal
articles/Case reports.
• Secondary resource: abstracts, review
articles, indexing services such as DRUGDEX,
Drug Information Database and abstracting
MEDLINE, MICROMEDIX, etc…
• Tertiary resources: Text books on various
aspects of drug use & practical guidelines.
• Micromedex• FDA website• Medscape • webMD• Drugs.com(dr
ug interaction checker)
• Who guidelines
• EBSCO journal services
Patient counselling
“It is the physicians or pharmacist’s responsibility to ensure the patient receives
the required information for the quality use of medicine.
Counselling implies the communication of information that would encourage therapeutic
outcome”
You can organize a patient counseling Event – to develop professional practice skills.
• Hypertension Dietary changes – Reduce sodium, Reduce alcohol, Eat more fruits and vegetablesRegular aerobic exercise – Walking, runningWeight loss – Eat less
• Diabetes – Less Carbohydrate, Fat and more fiber food
Physical activity – Walking, cyclingNo smoking, Alcohol intakeSulfonyl ureas – Glibenclamide 15-30 mts before food others taken with meal
Storage of medicines
• Proper storage of medication ensures efficacy, stability and safety.
THE PHARMACY AND THERAPEUTICS COMMITTEE IS A POLICY FAMING AND
RECOMMENDING BODY TO THE MEDICAL STAFF AND THE ADMINSTRATION OF HOSPITAL ON MATTERS RELATED TO
THERAPEUTIC USE OF DRUGS.
HOSPITAL FORMULARY
• Hospital Formulary is a continually revised compilation of pharmaceuticals including
important ancillary information that reflects the current clinical judgment of the medical
staff.
Contents…
• Introductory information- Acknowledgement, List of abbreviations, Intended usage of the formulary manual
• Basic information of the drug – Generic name, – dosage form, – strength – Indications – Pharmacological action – Precautions – Side effects – Dosage – form, – frequency Instructions – Drug interactions
• Supplementary information on each drug– Price – Regulatory category – Storage guidelines – Patient counselling information– Brand names
• Formulas for various diagnostic stains, diagnostic aids
• Table of common Lab-values
Size of the formulary
• It is sufficiently small in size so that it could be easily carried by clinicians, nurses etc, in the pockets of their uniform or lab coats.
• The hospitals may determine their own size of the formulary.
• Join together to create a better therapeutic outcome.
• For queries contact:DRUG & POISON INFORMATION CENTRE
Department of Pharmacy PracticeC.L. Baid Metha College of Pharmacy