Clinical pharmacy is defined as a health specialty that promotes safe and effective medication use through the provision of patient care services. [SENTENCE 2] The concept of clinical pharmacy emerged in the 1960s in response to drug-related issues like the thalidomide tragedy and phenytoin toxicity. [SENTENCE 3] Over subsequent decades, the need for clinical pharmacy services was further recognized due to issues like poor health outcomes from drug misuse, antibiotic resistance, and adverse drug reactions.
Definition, Types of drug distribution systems, Dispensing of drugs to ambulatory (outdoor) patients, Distribution of controlled drug, Novel drug distribution methods
Introduction to Clinical Pharmacy Practice.pptxSHIVANEE VYAS
Clinical pharmacy is a branch of hospital pharmacy that deals with various aspects of patient care, including the dispensing of drugs and advising the patient on the safe and rational use of those drugs.
Hospital pharmacy is a service department of a hospital that receives, stores, dispenses and supplies drugs and medications to patients under the supervision of a qualified pharmacist. The key functions of a hospital pharmacy include dispensing drugs and preparing medications, maintaining drug inventories, ensuring drug quality, providing drug information to medical staff, and manufacturing drugs in-house when necessary. An effective hospital pharmacy aims to provide the right medication to patients at the right time, in the right dose and at minimum cost, while maintaining high professional standards. It requires qualified pharmacists and adequate space and facilities to fulfill its important clinical and administrative roles safely and effectively within the hospital.
Introduction to daily activities of clinical pharmacist.
Drug therapy monitoring,
Medication chart review
Clinical Progress
Pharmacist intervention
Detection and management of ADRs
DRUG INFORMATION SERVICE AND DRUG INFORMATION BULLETINSHIVANEE VYAS
"Drug information center is one of the departments of the hospital and gives the recent knowledge and information about the medical, pharmacy field at any time to the physicians, staff of the hospital and to the citizens”.
Clinical pharmacists can participate in ward rounds to optimize patient care. They monitor treatment, identify drug interactions, suggest alternate therapies, and assist with discharge planning. The goals are to improve understanding of patients, provide drug therapy information, and optimize management. Pharmacists prepare by reviewing medication charts and histories. During rounds, they address queries and make recommendations diplomatically. Effective communication and follow-up are important for pharmacist contributions to patient care decisions.
Community pharmacy provides pharmaceutical care and serves the public's need for medicines. In India, community pharmacies are privately owned medicine shops that serve local communities. Community pharmacists play an important role in providing patients access to healthcare by managing their medication needs. They are regulated under the Pharmacy Act of 1948 and must maintain certain legal records. To run a pharmacy properly, pharmacists must select an appropriate site, design an effective layout, stock medicines correctly, hire qualified staff, and keep various financial and legal records.
Introduction to clinical pharmacy practice definition & scope ShwetaMishra115
Clinical pharmacy involves pharmacists participating in patient care by providing drug information to healthcare professionals and patients. It aims to ensure patient well-being and safe, rational drug use. Clinical pharmacists take medication histories, monitor for drug interactions and adverse reactions, assist in drug selection and therapy, educate patients, and provide drug information to support optimal health outcomes. The scope of clinical pharmacy includes managing drug therapy for chronic conditions, controlling drug use, counseling patients, and collaborating with physicians and nurses through various educational and consultation activities.
Definition, Types of drug distribution systems, Dispensing of drugs to ambulatory (outdoor) patients, Distribution of controlled drug, Novel drug distribution methods
Introduction to Clinical Pharmacy Practice.pptxSHIVANEE VYAS
Clinical pharmacy is a branch of hospital pharmacy that deals with various aspects of patient care, including the dispensing of drugs and advising the patient on the safe and rational use of those drugs.
Hospital pharmacy is a service department of a hospital that receives, stores, dispenses and supplies drugs and medications to patients under the supervision of a qualified pharmacist. The key functions of a hospital pharmacy include dispensing drugs and preparing medications, maintaining drug inventories, ensuring drug quality, providing drug information to medical staff, and manufacturing drugs in-house when necessary. An effective hospital pharmacy aims to provide the right medication to patients at the right time, in the right dose and at minimum cost, while maintaining high professional standards. It requires qualified pharmacists and adequate space and facilities to fulfill its important clinical and administrative roles safely and effectively within the hospital.
Introduction to daily activities of clinical pharmacist.
Drug therapy monitoring,
Medication chart review
Clinical Progress
Pharmacist intervention
Detection and management of ADRs
DRUG INFORMATION SERVICE AND DRUG INFORMATION BULLETINSHIVANEE VYAS
"Drug information center is one of the departments of the hospital and gives the recent knowledge and information about the medical, pharmacy field at any time to the physicians, staff of the hospital and to the citizens”.
Clinical pharmacists can participate in ward rounds to optimize patient care. They monitor treatment, identify drug interactions, suggest alternate therapies, and assist with discharge planning. The goals are to improve understanding of patients, provide drug therapy information, and optimize management. Pharmacists prepare by reviewing medication charts and histories. During rounds, they address queries and make recommendations diplomatically. Effective communication and follow-up are important for pharmacist contributions to patient care decisions.
Community pharmacy provides pharmaceutical care and serves the public's need for medicines. In India, community pharmacies are privately owned medicine shops that serve local communities. Community pharmacists play an important role in providing patients access to healthcare by managing their medication needs. They are regulated under the Pharmacy Act of 1948 and must maintain certain legal records. To run a pharmacy properly, pharmacists must select an appropriate site, design an effective layout, stock medicines correctly, hire qualified staff, and keep various financial and legal records.
Introduction to clinical pharmacy practice definition & scope ShwetaMishra115
Clinical pharmacy involves pharmacists participating in patient care by providing drug information to healthcare professionals and patients. It aims to ensure patient well-being and safe, rational drug use. Clinical pharmacists take medication histories, monitor for drug interactions and adverse reactions, assist in drug selection and therapy, educate patients, and provide drug information to support optimal health outcomes. The scope of clinical pharmacy includes managing drug therapy for chronic conditions, controlling drug use, counseling patients, and collaborating with physicians and nurses through various educational and consultation activities.
A Ward round is a visit made by a medical practitioner, alone or with a team of health care professionals and medical students to hospital in-patients at their bedside to review and follow-up the progress in their health.
Usually at least one ward round is conducted
everyday to review the progress of each
patient outcome.
Pharmacist’s participating in medical ward
rounds promotes health care
Participation of the Pharmacists in ward
rounds in various practice settings helps to
provide rational drug use.
COMMUNITY PHARMACY AND MANAGEMENT – CHAPTER -1................... (1).pptSumit Tiwari
This document discusses the history and development of community pharmacy practice in India. It begins by defining community pharmacy practice as any place supervised by a pharmacist where pharmacy services are provided to the public. It then discusses how the role of pharmacists has expanded from primarily dispensing medications to providing more direct patient care services. The document also outlines some issues with the profession in India such as a lack of job opportunities and salaries that are too low. It suggests reforms such as recognizing pharmacists as healthcare team members in primary care settings and improving pharmacy education standards.
Hospital Pharmacy And Its Organization -Ravinandan A PRavinandan A P
Hospital pharmacy is the department, service, or domain in the hospital organization managed under the direction of a professionally competent, legally qualified pharmacist.
Formulary is an official or authorised publication of an approved list of medicines for use in a hospital, a group of hospitals a society a state or a region a country or a number of countries.
Hospital Formulary is a continually revised compilation of pharmaceuticals dosage agents and their forms that reflects the current clinical view of the medical staff.
This document outlines the process and importance of taking a thorough medication history. It discusses that medication history identifies allergies and past medication use, and is the starting point for medication reconciliation and review. The goals are to obtain complete information on all prescription and nonprescription medications, perceived benefits or side effects, and allergies. This helps identify potential medication problems and develop a care plan to improve outcomes. The document then describes how to collect both subjective and objective patient data, from various sources like interviews, records, and providers. It provides a script of questions to ask patients and tips for thorough history taking. The steps of patient selection, preparation, conducting the interview privately, documenting, and following up are also outlined.
Introduction to Clinical Pharmacy, Concept of clinical pharmacy, functions and
responsibilities of clinical pharmacist, Drug therapy monitoring - medication chart
review, clinical review
This document summarizes a seminar presentation on pharmacy and therapeutic committees. It defines a pharmacy and therapeutic committee as a policy-making body that advises the medical staff and hospital administration on drug therapy issues. The objectives of such committees are to provide advisory, educational, and safe/rational drug use guidance. The composition of a PTC includes physicians, pharmacists, nurses, and administrators. Key functions of a PTC are developing and revising formularies, managing adverse drug reactions, promoting patient health, and regulating the hospital pharmacy inventory.
Community Pharmacy
Organization and structure of retail and wholesale drug store, types and design, Legal requirements for establishment and maintenance of a drug store, Dispensing of proprietary products, maintenance of records of retail
and wholesale drug store
Community Pharmacy: Defined as a place where the medicines are stocked and dispensed to the patients or patient care givers under the supervision of a qualified and registered pharmacist upon the production of a prescription or when legally permitted without the prescription
The document discusses the importance of medication history interviews. A medication history interview involves collecting detailed information from a patient about all prescribed and non-prescribed medications they have taken. This information includes allergies, adherence to treatments, and use of alternative medicines. Collecting a thorough medication history helps prevent prescription errors, detect potential drug-related issues, and allows healthcare providers to develop better treatment plans by understanding a patient's complete medication use and history. The interview collects demographic data, medical information, and details on both current and past prescription and non-prescription medication use.
This document discusses drug distribution systems in hospitals. It covers both outpatient and inpatient distribution. For outpatients, drugs are dispensed from a pharmacy near the outpatient area. For inpatients, common distribution systems include individual prescriptions, floor stock systems, unit dose systems, and satellite pharmacies located on hospital floors. The goal is to efficiently provide needed drugs to patients while minimizing errors.
The Pharmacy and Therapeutics Committee (PTC) is responsible for establishing drug policies and formularies for hospitals. The PTC frames guidelines for drug selection, use, and monitoring. It aims to promote rational drug use and ensure drug safety. The PTC is composed of physicians, pharmacists, nurses and administrators. It meets regularly to review new drugs, adverse drug reactions, educational programs, and other drug-related issues. The PTC advises the hospital on drug policies and procedures to optimize patient care and safety.
Drug use evaluation (DUE) is a quality improvement process that reviews prescribing patterns to promote appropriate drug use. It involves identifying a drug or therapeutic area, developing criteria and standards, collecting data, evaluating results, providing feedback, and implementing interventions. The process then reevaluates drug use and revises the DUE program as needed. The presented document outlines the 11 steps of a DUE process focusing on monitoring renal function during aminoglycoside therapy.
Establishing a drug information centerkatta amulya
This document discusses establishing a drug information center. It begins by introducing the main functions of a drug information center which is to provide written or verbal drug-related information to healthcare professionals and the public. It then classifies drug information centers into hospital based, industry based, and community based. The document outlines the need for drug information centers by discussing their primary function of responding to drug therapy inquiries and services like drug evaluation, education, and pharmacovigilance. It also covers staffing, resources, literature databases, and concludes by emphasizing the importance of efficient drug information centers for optimal patient care.
The document discusses clinical pharmacy services provided at hospitals. It focuses on ward round participation, drug therapy review, and pharmacist interventions. Key services discussed include participating in ward rounds to optimize patient treatment, monitoring drug therapy through activities like therapeutic drug monitoring and medication order review, endorsing medication charts to prevent errors, and performing clinical reviews to evaluate treatment response and safety. The pharmacist plays an important role as part of the clinical team in these activities to enhance patient outcomes.
This document outlines a pharmaceutical care plan prepared by Malik Raoof. It describes the essential components of a care plan, including establishing a pharmacist-patient relationship and conducting a pharmacist workup of drug therapy. The workup contains elements like collecting patient data, developing a core pharmacotherapy plan addressing condition, outcomes, and regimen, and evaluating parameters. It also discusses documenting care using a FARM note or SOAP note. These notes standardize the format for recording subjective and objective patient findings, assessments, and developed care plans.
Prescribed medication order and communication skillssunayanamali
This document discusses various aspects of communication in pharmacy practice. It begins by defining communication and communication skills. It then discusses communicating with other health professionals like physicians and nurses, and the importance of effective communication. It also talks about medication history interviews and patient counseling. The document discusses different modes of communicating such as platform presentations, poster presentations, communicating with media, and publishing research papers.
The document discusses the evolution of the pharmacist's role from product-focused to patient-centered. It traces the shift from traditional compounding to a focus on clinical services, patient outcomes, and pharmaceutical care. The modern pharmacist promotes safe and effective medication use through activities like medication management, reviewing orders, educating patients, and monitoring treatment responses. The goals of pharmaceutical care are to ensure patients receive effective, safe, and economic drug therapy that improves quality of life by identifying and resolving drug-related issues.
Clinical pharmacy involves the science and practice of rational medication use to optimize patient outcomes. It focuses on direct patient care activities like medication management, patient education, and monitoring. The clinical pharmacist aims to ensure safety and effectiveness of drug therapy through activities like reviewing medications, addressing non-adherence, identifying drug interactions, and providing counseling. Clinical pharmacists practice in various settings like hospitals, ambulatory clinics, and retail pharmacies.
A Ward round is a visit made by a medical practitioner, alone or with a team of health care professionals and medical students to hospital in-patients at their bedside to review and follow-up the progress in their health.
Usually at least one ward round is conducted
everyday to review the progress of each
patient outcome.
Pharmacist’s participating in medical ward
rounds promotes health care
Participation of the Pharmacists in ward
rounds in various practice settings helps to
provide rational drug use.
COMMUNITY PHARMACY AND MANAGEMENT – CHAPTER -1................... (1).pptSumit Tiwari
This document discusses the history and development of community pharmacy practice in India. It begins by defining community pharmacy practice as any place supervised by a pharmacist where pharmacy services are provided to the public. It then discusses how the role of pharmacists has expanded from primarily dispensing medications to providing more direct patient care services. The document also outlines some issues with the profession in India such as a lack of job opportunities and salaries that are too low. It suggests reforms such as recognizing pharmacists as healthcare team members in primary care settings and improving pharmacy education standards.
Hospital Pharmacy And Its Organization -Ravinandan A PRavinandan A P
Hospital pharmacy is the department, service, or domain in the hospital organization managed under the direction of a professionally competent, legally qualified pharmacist.
Formulary is an official or authorised publication of an approved list of medicines for use in a hospital, a group of hospitals a society a state or a region a country or a number of countries.
Hospital Formulary is a continually revised compilation of pharmaceuticals dosage agents and their forms that reflects the current clinical view of the medical staff.
This document outlines the process and importance of taking a thorough medication history. It discusses that medication history identifies allergies and past medication use, and is the starting point for medication reconciliation and review. The goals are to obtain complete information on all prescription and nonprescription medications, perceived benefits or side effects, and allergies. This helps identify potential medication problems and develop a care plan to improve outcomes. The document then describes how to collect both subjective and objective patient data, from various sources like interviews, records, and providers. It provides a script of questions to ask patients and tips for thorough history taking. The steps of patient selection, preparation, conducting the interview privately, documenting, and following up are also outlined.
Introduction to Clinical Pharmacy, Concept of clinical pharmacy, functions and
responsibilities of clinical pharmacist, Drug therapy monitoring - medication chart
review, clinical review
This document summarizes a seminar presentation on pharmacy and therapeutic committees. It defines a pharmacy and therapeutic committee as a policy-making body that advises the medical staff and hospital administration on drug therapy issues. The objectives of such committees are to provide advisory, educational, and safe/rational drug use guidance. The composition of a PTC includes physicians, pharmacists, nurses, and administrators. Key functions of a PTC are developing and revising formularies, managing adverse drug reactions, promoting patient health, and regulating the hospital pharmacy inventory.
Community Pharmacy
Organization and structure of retail and wholesale drug store, types and design, Legal requirements for establishment and maintenance of a drug store, Dispensing of proprietary products, maintenance of records of retail
and wholesale drug store
Community Pharmacy: Defined as a place where the medicines are stocked and dispensed to the patients or patient care givers under the supervision of a qualified and registered pharmacist upon the production of a prescription or when legally permitted without the prescription
The document discusses the importance of medication history interviews. A medication history interview involves collecting detailed information from a patient about all prescribed and non-prescribed medications they have taken. This information includes allergies, adherence to treatments, and use of alternative medicines. Collecting a thorough medication history helps prevent prescription errors, detect potential drug-related issues, and allows healthcare providers to develop better treatment plans by understanding a patient's complete medication use and history. The interview collects demographic data, medical information, and details on both current and past prescription and non-prescription medication use.
This document discusses drug distribution systems in hospitals. It covers both outpatient and inpatient distribution. For outpatients, drugs are dispensed from a pharmacy near the outpatient area. For inpatients, common distribution systems include individual prescriptions, floor stock systems, unit dose systems, and satellite pharmacies located on hospital floors. The goal is to efficiently provide needed drugs to patients while minimizing errors.
The Pharmacy and Therapeutics Committee (PTC) is responsible for establishing drug policies and formularies for hospitals. The PTC frames guidelines for drug selection, use, and monitoring. It aims to promote rational drug use and ensure drug safety. The PTC is composed of physicians, pharmacists, nurses and administrators. It meets regularly to review new drugs, adverse drug reactions, educational programs, and other drug-related issues. The PTC advises the hospital on drug policies and procedures to optimize patient care and safety.
Drug use evaluation (DUE) is a quality improvement process that reviews prescribing patterns to promote appropriate drug use. It involves identifying a drug or therapeutic area, developing criteria and standards, collecting data, evaluating results, providing feedback, and implementing interventions. The process then reevaluates drug use and revises the DUE program as needed. The presented document outlines the 11 steps of a DUE process focusing on monitoring renal function during aminoglycoside therapy.
Establishing a drug information centerkatta amulya
This document discusses establishing a drug information center. It begins by introducing the main functions of a drug information center which is to provide written or verbal drug-related information to healthcare professionals and the public. It then classifies drug information centers into hospital based, industry based, and community based. The document outlines the need for drug information centers by discussing their primary function of responding to drug therapy inquiries and services like drug evaluation, education, and pharmacovigilance. It also covers staffing, resources, literature databases, and concludes by emphasizing the importance of efficient drug information centers for optimal patient care.
The document discusses clinical pharmacy services provided at hospitals. It focuses on ward round participation, drug therapy review, and pharmacist interventions. Key services discussed include participating in ward rounds to optimize patient treatment, monitoring drug therapy through activities like therapeutic drug monitoring and medication order review, endorsing medication charts to prevent errors, and performing clinical reviews to evaluate treatment response and safety. The pharmacist plays an important role as part of the clinical team in these activities to enhance patient outcomes.
This document outlines a pharmaceutical care plan prepared by Malik Raoof. It describes the essential components of a care plan, including establishing a pharmacist-patient relationship and conducting a pharmacist workup of drug therapy. The workup contains elements like collecting patient data, developing a core pharmacotherapy plan addressing condition, outcomes, and regimen, and evaluating parameters. It also discusses documenting care using a FARM note or SOAP note. These notes standardize the format for recording subjective and objective patient findings, assessments, and developed care plans.
Prescribed medication order and communication skillssunayanamali
This document discusses various aspects of communication in pharmacy practice. It begins by defining communication and communication skills. It then discusses communicating with other health professionals like physicians and nurses, and the importance of effective communication. It also talks about medication history interviews and patient counseling. The document discusses different modes of communicating such as platform presentations, poster presentations, communicating with media, and publishing research papers.
The document discusses the evolution of the pharmacist's role from product-focused to patient-centered. It traces the shift from traditional compounding to a focus on clinical services, patient outcomes, and pharmaceutical care. The modern pharmacist promotes safe and effective medication use through activities like medication management, reviewing orders, educating patients, and monitoring treatment responses. The goals of pharmaceutical care are to ensure patients receive effective, safe, and economic drug therapy that improves quality of life by identifying and resolving drug-related issues.
Clinical pharmacy involves the science and practice of rational medication use to optimize patient outcomes. It focuses on direct patient care activities like medication management, patient education, and monitoring. The clinical pharmacist aims to ensure safety and effectiveness of drug therapy through activities like reviewing medications, addressing non-adherence, identifying drug interactions, and providing counseling. Clinical pharmacists practice in various settings like hospitals, ambulatory clinics, and retail pharmacies.
Clinical pharmacy involves utilizing pharmacists' knowledge and skills to ensure safe and effective medication use. In developed countries, clinical pharmacy is well-established, but in India it is still developing. Clinical pharmacists work directly with patients and healthcare teams to optimize medication therapy, promote health, and prevent disease. They perform important functions like collecting patient data, identifying drug-related problems, monitoring treatment, and providing medication education.
2. Minimum Standard for Hospital Pharmacy_ASHP_2022-2023.pptxssuserca7d2c
I’m going back in a minute I need a little more help I have a couple things I have a question about for the next two days and then I’m not going back in for a little while I need help I have a little more money to pay my my mom has to go back in the house so I’m going back in to the hospital so I’m going back to my room so I’m going back home to do my homework
Clinical pharmacy is still developing in India. Clinical pharmacists work directly with patients, physicians, and other healthcare professionals to ensure safe and effective medication use. They collect patient medical histories, identify potential drug-related problems, establish treatment goals, evaluate treatment alternatives, monitor outcomes, and individualize drug regimens. In hospitals, clinical pharmacists are involved in prescription monitoring, advising medical staff, monitoring medication errors and adverse reactions, patient education, and participating in ward rounds.
Patient Safety is a health care discipline that emerged with the evolving complexity in health care systems and the resulting rise of patient harm in health care facilities.
It aims to prevent and reduce risks, errors and harm that occur to patients during provision of health care.
A cornerstone of the discipline is continuous improvement based on learning from errors and adverse events.
Let us see what Pharmacists, Doctors and Patients can do about it.
1) The document discusses pharmaceutical care, which aims to ensure safe and effective drug use through identifying and resolving drug-related problems.
2) It defines pharmaceutical care as the responsible provision of drug therapy to achieve definite outcomes that improve a patient's quality of life.
3) Key aspects of pharmaceutical care include assessing a patient's medication needs, developing and implementing a care plan to address actual or potential drug therapy problems, and monitoring the care plan.
brief review on clinical pharmacy, drug information centre & patient safety program
The lecture was presented at Al-Mahmoudiya General Hospital as part of the training course for fresh appointed pharmacist at 16/5/2023 at 11 & 15/5/2023
This document discusses rational drug use and outlines steps to improve rational prescribing. It defines rational drug use as "prescribing the right drug, in adequate dose for sufficient duration and appropriate to the patient's needs at lowest cost." Common causes of irrational drug use include lack of information, faulty training, poor communication, and promotional activities by pharmaceutical companies. Improving rational use requires identifying the patient's problem, making an accurate diagnosis, choosing an appropriate treatment, providing instructions to the patient, and monitoring the treatment's effectiveness. Overall the document emphasizes the importance of rational drug use for patient safety and effective treatment.
Clinical pharmacy involves utilizing a pharmacist's knowledge and skills to improve the safety, cost, and effectiveness of drug therapy for patients. The objectives of clinical pharmacy are to assist physicians in prescribing and monitoring drug therapy and to help nurses properly administer and document medications. Clinical pharmacists take medication histories, inform doctors about drug interactions and adverse reactions, educate patients about their treatment plans and proper storage of medications, and monitor drug therapy. In hospitals, clinical pharmacists obtain medication histories from admitted patients, prepare drug histories, participate in managing medical emergencies and chronic diseases, and monitor drug utilization.
Topic on the introduction to the clinical pharmacy services. INTRODUCTION TO PHARMACY PRACTICE & CONCEPT OF CLINICAL PHARMACY add the fundamentals on Contribute significantly to patient care through obtaining the accurate medication histories from patients or other sources.
verifying medication histories obtained by other health care professionals.
To obtain the correct information on aspects of drug use.
Compare medication for best
Assess the rationale for drugs prescribed.
Assess patient medication compliance.
Screen for DRPs.
Document allergies, S/E and adverse drug reactions.
Assess the evidence of drug abuse.
Drug Therapy Monitoring
provided by a clinical pharmacist for specific patients to optimize drug therapy to achieve health outcomes.
Medication Order Review.
Adverse Drug Reaction Management.
Clinical Review.
Therapeutic Drug Monitoring.
Pharmacist Interventions
The document discusses a hospital formulary, which is a list of pharmaceutical agents approved by a hospital's medical staff for use in treating patients. It includes important information about the drugs like dosage, indications, and side effects. The formulary system helps regulate drug procurement, prescribing, dispensing, and administration. It aims to provide effective treatment options while reducing costs and improving quality of care. The formulary must be regularly revised to reflect new drugs and policies. A pharmacy and therapeutics committee manages additions and deletions based on drug evaluations.
Clinical Pharmacy Introduction to Clinical Pharmacy, Concept of clinical pptxraviapr7
b) Clinical Pharmacy
Introduction to Clinical Pharmacy, Concept of clinical pharmacy
Functions and responsibilities of clinical pharmacist, Drug therapy monitoring
Medication chart review, clinical review., pharmacist intervention
Ward round participation, Medication history and Pharmaceutical care.
Dosing pattern and drug therapy based on Pharmacokinetic & disease pattern
Clinical pharmacy involves the application of scientific principles for patient care and optimization of medication therapy. It differs from traditional pharmacy by focusing on individual patient needs and drug therapy management rather than just drug preparation and dispensing. A clinical pharmacist engages in various activities like taking medical histories, patient education, monitoring drug therapy, and resolving medication-related problems to improve patient outcomes. Key requirements include communication skills and knowledge of therapeutics, disease states, and pharmacokinetics. The overall aim is to provide effective, safe, and economic drug therapy while improving patients' quality of life.
Clinical pharmacy may be defined as the science and practice of rationale use of
medications, where the pharmacists are more oriented towards the patient care
rationalizing medication therapy promoting health , wellness of people.
It is the modern and extended field of pharmacy.
“ The discipline that embodies the application and development (by pharmacist) of
scientific principles of pharmacology, toxicology, therapeutics, and clinical pharmacokinetics, pharmacoeconomics, pharmacogenomics and other allied
sciences for the care of patients”.
For proper use of medication rational drug use (RDU) is raised. Requirements of rational drug use and it's different steps and roles of pharmacists are described here.
The scope of community pharmacy includes drug information and actions, drug utilization, drug distribution, and drug selection or patient counseling. Specifically, community pharmacists provide information on pharmacology and toxicology of drugs, ensure proper stock control and drug distribution, engage in rational drug selection and counseling, and take on central responsibilities like ensuring accurate dosages, record keeping, and compliance with drug laws. They are also responsible for direct patient care like monitoring effectiveness and side effects of drugs, and educating patients through counseling on topics like medication administration and interactions.
The document provides an overview of clinical pharmacy, including its definition, development, scope, and the functions and responsibilities of clinical pharmacists. It discusses key aspects of clinical pharmacy practice such as medication chart review, clinical review, pharmacist intervention, ward round participation, medication history, and pharmaceutical care. The summary is as follows:
Clinical pharmacy deals with the safe and effective use of drugs in patient care. It aims to optimize medication use and promote health. Clinical pharmacists are involved in medication monitoring, patient education, and ensuring rational drug therapy.
Key responsibilities of clinical pharmacists include collecting patient data, identifying drug-related problems, establishing treatment goals, evaluating and modifying drug regimens, and monitoring treatment outcomes.
Can Allopathy and Homeopathy Be Used Together in India.pdfDharma Homoeopathy
This article explores the potential for combining allopathy and homeopathy in India, examining the benefits, challenges, and the emerging field of integrative medicine.
About this webinar: This talk will introduce what cancer rehabilitation is, where it fits into the cancer trajectory, and who can benefit from it. In addition, the current landscape of cancer rehabilitation in Canada will be discussed and the need for advocacy to increase access to this essential component of cancer care.
Deep Leg Vein Thrombosis (DVT): Meaning, Causes, Symptoms, Treatment, and Mor...The Lifesciences Magazine
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Michigan HealthTech Market Map 2024. Includes 7 categories: Policy Makers, Academic Innovation Centers, Digital Health Providers, Healthcare Providers, Payers / Insurance, Device Companies, Life Science Companies, Innovation Accelerators. Developed by the Michigan-Israel Business Accelerator
KEY Points of Leicester travel clinic In London doc.docxNX Healthcare
In order to protect visitors' safety and wellbeing, Travel Clinic Leicester offers a wide range of travel-related health treatments, including individualized counseling and vaccines. Our team of medical experts specializes in getting people ready for international travel, with a particular emphasis on vaccines and health consultations to prevent travel-related illnesses. We provide a range of travel-related services, such as health concerns unique to a trip, prevention of malaria, and travel-related medical supplies. Our clinic is dedicated to providing top-notch care, keeping abreast of the most recent recommendations for vaccinations and travel health precautions. The goal of Travel Clinic Leicester is to keep you safe and well-rested no matter what kind of travel you choose—business, pleasure, or adventure.
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Rate Controlled Drug Delivery Systems, Activation Modulated Drug Delivery Systems, Mechanically activated, pH activated, Enzyme activated, Osmotic activated Drug Delivery Systems, Feedback regulated Drug Delivery Systems systems are discussed here.
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1. Clinical Pharmacy
Definition, History, Scope and Activities
lecture by,
Dr. Prasanna Dahal
BpharmSc, PharmD, Msc (HC&HA)
Asst. Prof
Department of Pharmacy
PUCMAS
2. Definition
A health specialty in pharmacy which
through skills, activities and services provided to
patients and healthcare professionals promotes the
safe, effective and economic use of medicines.
Develops and promotes for the rational and
appropriate use of medicinal products and devices.
3. HISTORY OF CLINICAL PHARMACY
• The concept of clinical pharmacology started in 1960s with
two incidences.
• First, in 1962 "The Thalidomide Tragedy",
wherein it was found that consumption
of popular sedative thalidomide resulted in
birth of babies with sealed limbs.
• Second, in 1968 phenytoin toxicity was reported in
Australia which was because of change in formulation i.e.
switching over from calcium sulfate to lactose as an inert
excipient in the tablets
4. • During the 1970s and 1990s , the consequences of
drug misuse, such as
– poor health outcomes from drug treatment,
– antibiotic resistance,
– adverse drug reaction and economic loss of patients
the wider health care system were acknowledged
not just by the pharmacy profession but also by
the medical profession, consumer and patients
organization and the government.
• The 1990s were the period of awakening when the
profession recognized clearly that an urgent need
existed for pharmacist to contribute to improving
medication use in our community.
5. The need for clinical Pharmacy
• Clinical pharmacy is concerned with the promotion of
effective, safe and economical drug therapy. Clinical
pharmacy practice is the need of the hour. Drug use is
a complex process and there are many drug related
problems at various levels mainly involving
• Prescribers
• Patients
• Pharmacist
• The pharmaceutical industries
• Government
6. • Prescribers :
I. High patients load
II. A pill for every ill concept
III. Inadequate pharmacotherapeutic training in medical
curriculum
IV. Rely on handouts from pharmaceutical companies as
source of drug information.
V. Prescribing in brands ( risk in drug duplication)
7. • Pharmacist:
I. Retail pharmacy do not offer professional services.
II. Poor knowledge base (lack of clinical specific subject in
curriculum)
III. Lack of confident
IV. Lack of financial benefit
V. Non-pharmacist in pharmacy stores
• Pharmaceutical industry:
I. More than 100000 formulation available on market
II. Many irrational drug combinations
III. Doctors rely on promotional materials from company
IV. Lack of fully –fledged medical information departments in
company
V. Packet insert provides only technical information
(consumer information is often lacking)
8. • Government:
• Drug policies are mainly aimed at pharmaceutical
industry rather than patients e.g technical and
commercial matters like price control and licensing.
• Advertising and promotional claims are not strictly
regulated
• No policies related with pharmaceutical care practice in
hospital and clinics
• Patients:
• Illiterate
• Language barrier
• Poor adherence
• Low economy etc
9. • Clinical pharmacist play a crucial role in
management and preventing the drug related
problems arising from these areas.
10. GOALs of clinical pharmacy services
• to promote the correct and appropriate use of
medicinal products and devices.
These activities aim at:
• maximising the clinical effect of medicines
• minimising the risk of treatment-induced
adverse events
• minimising the expenditures for
pharmacological treatments.
11. Clinical Pharmacy requirements
Knowledge of
nondrug therapy
Therapeutic
planning
skills
Drug Information
Skills
Physical
assessment
skills
Patient
monitoring
skills
Communication
skills
Knowledge of
laboratory
and diagnostic skills
Knowledge of
the disease
Knowledge of
drug therapy
Patient care
12. Services and Scope–
Hospitals, community pharmacies, nursing homes, home
– based care services, clinics – all the settings where medicines
are prescribed and used (OTC included).
Also known as clinical pharmacist practitioner provides drug
therapy management under the supervision of a licensed
physician who provides the written prescription for the patients.
The drug therapy management includes – ordering, changing,
substituting therapies or ordering tests.
13. Functions
• Communication with healthcare professionals and patients regarding
drug therapy, wellness, and health promotion.
- Designing or modifying drug therapy, implementing, monitoring for
rational drug therapy.
- Counseling patients – disease condition; purpose, uses, effects of
medication; monitoring use of OTC, herbals or alternative medicine; use
of administering devices.
• Using the clinical data for optimization of therapy.
• Documentation of interventions and evaluate the outcomes.
• Training and education progs for all the healthcare practitioners and
general public.
14. Levels of action of the clinical
pharmacists in hospital
Three levels - Before, during and after
prescription.
1. Before the prescription:
• Clinical trials
• Formulary preparation
• Drug information
15. • Clinical trials- Ethical committee
participation; study monitoring;
dispensation and preparation of
investigational drugs.
- Decisions on which drug deserve to
be marketed.
• Formularies- Inclusion of drug in the
national and local formularies.
• Drug information and Counseling
16. 2. During the prescription:
• Influence attitudes and priorities of
prescribers for rational therapy.
• Monitors, detects and prevents harmful drug
interaction, ADRs and medication errors
through prescription evaluation (case sheet
review).
• Therapeutic drug monitoring.
• Direct decisions in case of drug selection in
the over the counter medications.
17. 3. After the prescription:
• Counseling.
• Preparation of personalized formulation viz;
unit dose, I.V preparations, investigational
drugs, etc.
• Drug use evaluation.
• Outcome research.
• Pharmacoeconomics studies.
• Check and improve the patients’ compliance
with their medications.
18. Activities/ Scope of Clinical
Pharmacists
• Patient interview
• Case-note review
• Medication chart review
• Ward round participation
• Patient counseling
• Drug information
• Therapeutic drug monitoring
• ADR monitoring
• Drug utilization evaluation
19. Patient Interview
• Carried out on a daily basis.
• Aim: Patients’ past medical history, past
medication history, social habits, allergies are
assessed.
• Important inputs given to the attending
physician that aid in the planning the present
therapeutic regimen.
• Compliance of patient is assessed.
20. Case note review
Involves:
• Review of patients clinical progress notes
• Discussion with other members of the health team
• Discussion with the patient
Information obtained evaluated for
• The clinical and pathophysiological condition treated
• Time frame of drug related effects
• The planned outcome of treatment
• Indication of an investigation and its need
21. Ward Round Participation
• Ward rounds with consultants/specialists
• Multi-disciplinary approach
• Medical and pharmacy students often present
Aim is to:
• Be present when prescribing decisions are made
• Provide information and advice relevant to
patients’ drug therapy – drug related reactions or
ADR
• Improve pharmacist’s own understanding of
therapy objectives
22. Medication Chart Review
• Correct patient identification
• Legibility of drug orders, generic name use,
dose
• Appropriate drug, dosage, route of
administration and duration of therapy
• Allergy documentation
• Additional directions for administration
• Drug interactions and duplications
• Legal requirements
23. Patient Counseling
• During admission and discharge
• May need to involve patient’s family
• Aim is that every patient should leave hospital knowing what
their medications are for and how to take them
• Compliance aids may be required eg. Written instructions,
medicine measures, tablet cutters
Attention to patients:
• With serious/unstable disease states
• Chronic diseases
• Co morbidities (mainly renal/hepatic) and multiple drugs
• Narrow therapeutic index drugs
• Special populations: Elderly, Paediatric , Pregnant, Lactating
mother
• Non-intentional non-compliers
24. Therapeutic Drug Monitoring
• Drugs with a narrow therapeutic index
Eg: Digoxin, theophylline, lithium, gentamicin, phenytoin etc.
• Drugs with a high incidence of adverse effects
• Difficult to define the therapeutic endpoint.
• Drugs associated with clinically significant interactions
• Diseases requiring constant monitoring (hepatic/renal
impairment, diabetes, obesity, burns, cystic fibrosis etc)
25. Medical Audit :
• The clinical pharmacist is either the initiator or a very active
member of a functioning committee. Following are the
activities, concerning medical audit:
i. Legislation and Contractual obligation.
iii.Regulation and registration of pharmacotherapy orders and
administration.
iv. Regulation of clinical experiments with drugs
v. Information per subject and per patient
vi.Pharmacotherapy-committee policy
vii.Regulation of information from the pharmaceutical
industry
ix. Formulary policy
x. Retrospective study of drug use patterns
xi. Medical audit committee work.
26. Education and training
One of clinical pharmacist’s main roles
• Patient education
• Education and training of staff and students
• Informal or formal meetings, lectures
• Guidelines and protocols
• Newsletter
• Continue medical education program
• training programs for pharmacists, nurses and
interns.
27. Clinical research
• The clinical pharmacist can participate in an
evaluation program on investigational drugs.
• He can help in conducting clinical trials based
on sound principles of clinical research and
biostatistical methods of evaluation.
28. Clinical Pharmacy Practice areas
• Ambulatory care
• Critical care
• Drug Information
• Geriatrics and long –term
care
• Internal medicine and
subspecialties
• Cardiology
• Endocrinology
• Gastroenterology
• Infectious disease
• Neurology
• Nephrology
• Obstetrics and gynecology
• Pulmonary disease
• Psychiatry
• Rheumatology
• Nuclear pharmacy
• Nutrition
• Pediatrics
• Pharmacokinetics
• Surgery
29. Limitations
Nepal scenario
Clinical pharmacy services not recognized in
the hospitals.
Even Regulatory frameworks/guidelines
does not recognize the need of clinical
pharmacist.
• Migration of the CP to the industries or
other countries.
• Lack of clinical pharmacy oriented practical
trainings in curriculum .
31. For presentation (Journal Club)
• JollyFrancis., SujaAbraham. Clinical pharmacists: Bridging the gap between patients and
physicians. Saudi Pharmaceutical Journal Volume 22, Issue 6, December 2014, Pages 600-602