Clinical pharmacy involves providing care and advice to patients regarding their medication therapy to promote health and prevent disease. The clinical pharmacist plays an important role in various areas like making decisions about drug therapy, counseling patients, and ensuring compliance. Some key responsibilities of a clinical pharmacist include taking medication histories, educating patients, monitoring drug therapy, and participating in research. Proper patient counseling and compliance are important to achieve the desired outcomes of medication therapy.
Describes in detail the concept of compliance to therapeutic regimen, difference between adherence and compliance, factors which influence compliance, methods of assessing, reasons for non-compliance and strategies to improve compliance to the therapy.
Describes in detail the concept of compliance to therapeutic regimen, difference between adherence and compliance, factors which influence compliance, methods of assessing, reasons for non-compliance and strategies to improve compliance to the therapy.
medication Adherence defined as the act of filling a new prescription for the first time.
The extent to which the patients take medications as prescribed by the prescriber.
Patient counselling ,steps of patient ppunseling,communication skill in patie...MerrinJoseph1
Dr.Merrin,Joseph,Department of pharmacy practice,Community Pharmacy , Pharm D Second year, patient counseling,definition,outcome/scope of patient counseling,steps in patient counseling,communication skill in patient couseling,verbal skills and non-verbal skills.
Dispensing of Prescription Rx & Ethic of Pharmacist with PatientsDashty Rihany
A prescription is an order form a registered practitioner or another properly licensed practitioner such as a physician, dentist, Doctor veterinarian or dermatologists etc. to a pharmacist to compound Pharmacy and dispense a specific medicine for the patient.
Role of the pharmacist in medication safety.Subash321
Role of the pharmacist in medication safety. In this you know about the medication safety, medication error & how to prevent medication error. And the role of the pharmacists in medication safety.
pharmacist patient education and counseling Hemat Elgohary
Lack of sufficient knowledge about their health problems and medications cause of patients’ non-adherence to their pharmaco-therapeutic regimens and monitoring plans so pharmacist need to have skills and knowledge to improve patient adherence and reduce medication-related problems
medication Adherence defined as the act of filling a new prescription for the first time.
The extent to which the patients take medications as prescribed by the prescriber.
Patient counselling ,steps of patient ppunseling,communication skill in patie...MerrinJoseph1
Dr.Merrin,Joseph,Department of pharmacy practice,Community Pharmacy , Pharm D Second year, patient counseling,definition,outcome/scope of patient counseling,steps in patient counseling,communication skill in patient couseling,verbal skills and non-verbal skills.
Dispensing of Prescription Rx & Ethic of Pharmacist with PatientsDashty Rihany
A prescription is an order form a registered practitioner or another properly licensed practitioner such as a physician, dentist, Doctor veterinarian or dermatologists etc. to a pharmacist to compound Pharmacy and dispense a specific medicine for the patient.
Role of the pharmacist in medication safety.Subash321
Role of the pharmacist in medication safety. In this you know about the medication safety, medication error & how to prevent medication error. And the role of the pharmacists in medication safety.
pharmacist patient education and counseling Hemat Elgohary
Lack of sufficient knowledge about their health problems and medications cause of patients’ non-adherence to their pharmaco-therapeutic regimens and monitoring plans so pharmacist need to have skills and knowledge to improve patient adherence and reduce medication-related problems
Introduction to daily activities of clinical pharmacist.
Drug therapy monitoring,
Medication chart review
Clinical Progress
Pharmacist intervention
Detection and management of ADRs
Medication Adherence- Introduction
Definition
Causes of medication non-adherence
Pharmacist role in the medication adherence
Monitoring of patient medication adherence.
dispensing pharmacy note to administrationbaharbarree
Abgabekategorie regulates which kinds of drugs can be dispensed by the pharmacist, and whether a prescription is necessary. Swiss medic, the Swiss authority for approving drugs, classifies the drugs under the appropriate category
It is a very important topic in healthcare. Pharmacists must be aware of few important counselling points for every medicine. Community Pharmacist must be aware of counselling.
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...Oleg Kshivets
Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Best Ayurvedic medicine for Gas and IndigestionSwastikAyurveda
Here is the updated list of Top Best Ayurvedic medicine for Gas and Indigestion and those are Gas-O-Go Syp for Dyspepsia | Lavizyme Syrup for Acidity | Yumzyme Hepatoprotective Capsules etc
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clinical pharmacy and modern dispensing practice. ...docx
1. Part II - Clinical pharmacy
Introduction to clinical pharmacy
practice
Content:
Definition
Functionof clinical pharmacist
Role of clinical pharmacist
Definition:
It is health science discipline in which pharmacist provide care, advice,
treatment of patient that involve monitoring of drug therapy which promote
health, wellness and disease prevention.
Or
It is an area of pharmacy concerned with science and practice of rational
medication use.
2. Career prospective:
Hospitals
Academic
Medical writing
Medical billing
Pharmacovigilance
Clinical research and
Drug development
Forensic pharmacy
Contract research
organization
Government sector
Patient counseling
Scope of clinical pharmacy:
Compounding and
dispensing of medicine
Medication history
Patient education and monitoring
Participation in new drug investigation
Formulation and management of drug policies
Drug information
Drug interaction
Pharmacoeconomics
3. Role of clinical pharmacist in various area of making decisionon drug
therapy
4. Modern dispensing aspects
Content
Introduction
Patient counseling
Patient compliance
Patient non compliance
Advice for use of common drugs
Medication history
Introduction:
The goal of therapy not achieved unless patient understand and follow
instruction for use of drug prescribed and minimize noncompliance.
As pharmacist is health professional his prior importance is to provide safe
and effective drug therapy to patient and increase their drug compliance.
Patient counselling:
Patient counselling is defined as providing medication information orally or
in written form to patient ondirection of use, advice onside effect, precaution,
storage, diet and lifestyle modification.
5. Name and action of drug
Route of administration
Time of administration
Duration of therapy
Storage of drugs
Restriction
Allergic reaction
Role of Pharmacist in patient counselling-
1) Name of the drug and its action- The pharmacist should inform the
patient about not only the name of drug but also its other name .He must
explain the use of that drug and action on the body.
2) Route of administration- It is important for the
pharmacist to inform the patient about the route of
administration of drug, whether the drug is to be
taken orally or it is to be applied locally or to be used
into eye, ear or nose or inserted rectally or vaginally.
The pharmacist should be sure that the patient
understands how to use ophthalmic preparations and
suppositories.
3) Time of administration- The pharmacist should instruct the patient
when to take the medication e.g. some drugs should be taken on empty
stomach i.e. about 1 hour before meal or 2-3 hours after meal to ensure
adequate absorption of drug.
4) Duration of therapy- The pharmacist should encourage the patient to
continue taking the medicine for the prescribed duration of the treatment.
6. He should explain that the course of treatment must be completed to
achieve best results.
5) Storage of drugs- The pharmacist should instruct
the patient regarding storage of drugs as per label on
the container. The patient should advise to store the
drugs in a separate cabinet where children will not
reach.
6) Adverse effects of drugs- The patient should be informed about the
adverse effects of the drugs, but it not necessary to inform about all the
side effects e.g. .Headache. The patient should be informed of those side
effects which will allay fears and help him to avoid injury to himself e.g.
change in colour of urine, drowsiness.
7) Restrictions- The patient should be informed well that he should avoid
certain drugs and foods during the therapy. E.g. Restriction of Tyramine
containing food in patients on MAO inhibitor therapy
7. 8) Allergic reactions- Before dispensing the drugs like penicillin or
sulphonamide, the pharmacist should ask the patient about his allergic
reactions in the past. It helps in avoid in further complications of
treatment.
9) Removal of drug from package- The patient is not familiar with the
packing of the productas the pharmacist. Hence, the pharmacist should
demonstrate the method of removal of drug from the package to the
patient so that he can handle it properly.
Patient compliance:
Definition;
It is defined as, patient understanding and adherence to direction for use of
prescribed medicine.
Patient noncompliance:
Definition;
It is defined as, patient not following direction for use of prescribed
medicine.
Consequences of Non- Compliance
The patient noncompliance result in either underutilization or
overutilization of drugs.
1. Underutilization of medications:
8. It may happen due to following reasons
i).Taking less than the prescribed dose.
ii).Discontinuing the drug before completing the course.
iii).Omitting 1 or more doses.
Underutilization may result in:
a) Danger of death: - underutilization of anticonvulsant drug results in
uncontrollable seizures and death.
b) Patient with antibiotic therapy if stop taking the drug when symptoms
disappears this will result in recurrence of the infection. e.g. Tuberculosis
c) Omitting a single dose of contraceptive pill may results in unwanted
pregnancy
2. Overutilsation of medication:
Excessive doseof drug may cause serious adverse drug reactions and toxicity
in the patients. It may happen due to following reasons
i). Taking more amount/quantity than the prescribed dose.
ii). Taking more than prescribed number of doses.
iii). Taking a dose at a time other than when needed.
Factor affecting (reason) patient noncompliance
i. Poorunderstanding of instruction: the instruction given by physician or
pharmacist may not be followed correctly.
ii. Unpleasant taste of medication: It is common problem with use of oral
dosage form.
iii. Multiple drug therapy: Greater the number of drugs patients is taking,
higher is the risk of noncompliance.
9. iv. Asymptomatic nature of patient: In case of asymptomatic patient, it is
difficult to Convenience a patient by explaining the value of drug therapy
results in noncompliance.
v. Measurementofmedication:Many times there is confusion to the patient
in measuring liquid preparations or number of tablets.
vi. Cost of medication: Because of high cost of drugs, poor patients are not
purchase such drug.
vii. Frequency of medication: Regular schedule of dosage intake cannot be
followed due to work load.
viii. Duration of therapy: Long duration treatment lead to patient
noncompliance.
Steps to improve patient compliance
o Educating the patient: by written and verbal communication
o Development of treatment plan with recognition of patient normal
pattern of activities
o Designation of specific time of day at which medication is to be taken
o Patient motivation and Monitoring therapy
Advice for use of common medication:
Effective communication between pharmacist and patient and giving advice
to patient greatly reduce chance of noncompliance.
Following type of advice or information is required by patient on their
prescribed medicine
Indication
Dose to be taken
10. Frequency of dosing
Administration in relation to food
Adverse effect
Duration of therapy
Drugs Advice
salicylate Do not take on empty stomach
tetracycline Do not take with milk or antacid
Antacid tablet Chew do not swallow
MAO inhibitor Avoid cheese, chocolate, alcoholic beverages
Emulsion, suspension Shake well before use
phenytoin Expose yourself to sunlight in morning
phenolphthalein This laxative may color urine and feces pink
Medication history:
It is job of pharmacist to take complete medication history of the patient and
document it. It provide vital information about patient.
The history include
Past and present use of medicine
Drug allergy
Adverse event
The initial drug history may completed within 24 to 28 hrs. After admission.
Objective:
To find out which drug cause allergy and ADR
To prepare list of patient current and past medication
To study patient compliance for drugs
11. To study his routine life
To know about diet preparation of patient
12.
13. Questions:
Define clinical pharmacy? What is scopeofclinical pharmacy?
Give the function of clinical pharmacist?
What is role of clinical pharmacist in various area of making decision on
drug therapy?
Define : patient counselling, patient compliance, patient
Noncompliance.
Describe patient consequences ofpatient noncompliance?
How will you improve patient compliance?
Name the factor contributing to patent noncompliance. Describe any four.
What advice will you give about following drugs:
Salicylate, tetracycline, antacid tablet, MAO inhibitor, emulsion,
suspension.
Write in short about medication history.
MCQ:
1. What is clinical pharmacy?
a. Productoriented approach
b. Patient oriented approach
c. Drug oriented approach
d. Hospital oriented approach
2. Objective of clinical pharmacy
a. To maximize patient role in drug use process
b. To decrease patient noncompliance
c. To maximize effective of drug therapy
14. d. All of above
3. Patient understanding and adherence to direction for use of
drugs is called as
a. Patient compliance
b. Patient noncompliance
c. Both a and b
d. None of above
4. Patient should not take milk with
a. Salicylate
b. Tetracycline
c. Barbiturate
d. NSAID
5. Which of following is not responsible for causing effect on
overutilization?
a. Taking more amount/quantity than the prescribed dose.
b. Taking more than prescribed number of doses.
c. Taking a dose at a time other than when needed.
d. Taking les then prescribed dose
6. It may cause sedation so don’t drive vehicle
a. Bisacodyl
b. Ampicillin
c. Diphenhydramine
d. All of above
7. Chew, do not swallow.
a. Antacid tablet
b. Rifampin
c. Tetracycline
15. d. Diclofenac
8. Factor that affect patient compliance
a. Cost of medication
b. Frequency of medication
c. Multiple drug therapy
d. All of Above
9. Role of pharmacist in counselling except
a. Information provider
b. Problem solver
c. Health promoter
d. Increase patient noncompliance
10. Medication history include
a. Past and present use of medication
b. Previous adverse effect
c. Drug allergy
d. All of above
11. The formula of % compliance
a. NDP+NME/NDP*100
b. NDP-NME/NDP*100
c. NME-NDP/NDP*100
d. NME+NDP/NDP*100