3. ETHIC 1
A pharmacist respects the covenantal
relationship between the patient and
the pharmacist
4. COVENANTAL
Meaning: Pharmacist has moral obligations, to help
individuals achieve optimum benefit from their
medications, to be committed to their welfare, and
to maintain their trust.
Relationship in which 2 parties make binding
promises to each other and work together to
a common goal.
5. SCENARIO 1
• A very beautiful patient walks into a Pharmacy and asks for prednisone for her
skin condition . The Pharmacist in charge finds this young woman very attractive.
He goes on to explain how the medication works and how to effectively use it in
order to deal with her condition beneficially. From that day onwards ,the
Pharmacist begins to check up on her regularly ,to see if any progress is being
made. The actions of the Pharmacist makes the young woman feel in safe hands
as she begins to trust the Pharmacist. The Pharmacist takes a professional
approach whereby he keeps his check ups strictly business which is to care for the
patient at a professional level despite the fact that he is attracted to her.
6. COMMENTARY
Good Morals- Even though the patient is beautiful and
the pharmacist is attracted to her, he is still respectful and
maintains a professional relationship during the time they
converse.
Maintains trust- Regular checkups by pharmacist showing
commitment to welfare of patient.
7. 😏 WHY REGULAR CHECKUPS? 😏
•Adverse effects associated with prednisone
use
8. SCENARIO 11
• A rich patient walks into a Pharmacy and requests for diazepam tablets, without a
prescription from the Doctor. He explains how he has panic attacks at night and
how his anxiety periods are worsening, plus how his schedule is too busy for him
to visit the doctor, thus making him very desperate and in urgent need for the
medication. The Pharmacist tries to explain to the patient that he cannot give this
drug without a doctor’s prescription, so the Rich man makes an offer to the
Pharmacist, this offer is a large sum of money which the Pharmacist fails to resist.
On top of that offer ,the Pharmacist asks for a better job opportunity and he is
promised that. The Pharmacist then sells the diazepam tablets without a
prescription.
9. COMMENTARY
Pharmacist has no moral obligations, he only cares
about getting a better job.
Patient’s welfare is jeopardized
10. ETHIC 2
A pharmacist promotes the good of
every patient in a caring,
compassionate and confidential
manner.
11. SCENARIO III
• You are a locum pharmacist at pharmacy X. A patient walks into the pharmacy and
asks for Betaco cough medicine. You cannot find it anywhere in the OTC section.
While scanning the OTC shelves, you realise there are no products containing
dextromethorphan available. You call your pharmacy manager to ask where the
dextromethorphan containing products are. The manager states that
dextromethorphan is a potentially harmful medicine and should not be available
to patients without counselling from the pharmacist. The manager also stresses to
give it to the patient if he really needs it, to counsel him on the risks, and to sell
him just one bottle.
12. COMMENTARY
Beneficence- Dextromethorphan is a dangerous drug,
without adequate counselling there is risk of injury and
harm to patient with continuous use.
Patient at heart, it is my duty to protect my patient
Autonomy- Competent and rational patients have the
right to freely select and purchase products approved for
sale in OTC section
13. SCENARIO IV
• A young lady nervously walks into a pharmacy with a prescription for logynon
birth control pills. As she is about to make her payment, the pharmacist looks at
her closely as she feels her face is familiar. She asks the young lady her age, and
questions her if she is related to Melody Chari. She is startled and replies that
she’s 17 and acknowledges that she is her daughter and quickly leaves the
pharmacy before receiving the pills. The pharmacist is shocked and concerned if
Melody, who is her colleague is aware that her daughter is taking birth control
pills, she is also worried about the pharmacological side effects of the pills. So she
decides to call Melody and ask her if she knew if her daughter was sexually active
and had a prescription for logynon birth control filled. This ended in tears. It did
not go well with Melody.
14. COMMENTARY
Protect dignity of patient- Really??? Was that necessary?
Privacy and confidentiality has been breached.
Wellbeing of patient- Wasn’t she worried though? She believed that the welfare
of patient was in jeopardy so parents had to know so the risks can be confronted.