This document discusses effective communication between physicians and pharmacists. It describes the roles and professional development of physicians and pharmacists. Pharmacists were traditionally seen as "lick, stick, and pour" dispensers but are now clinical pharmacists who work directly with physicians and patients to optimize medication use. The document outlines several ways physicians and pharmacists can communicate effectively, including through prescribing guidelines, drug information services, patient counseling, and pharmacy and therapeutics committees. Developing relationships and understanding each other's roles is important for collaborative patient care.
Patient Counselling is needed for
Better patient understanding to their illness and role of medication.
Improve medication adherence.
Improve dosage regimen adherence.
More effective Drug treatment.
Reduce incidence of adverse drug effect and unnecessary healthcare cost.
ADR reporting.
Improve quality of life for patient.
Raising image of Pharmacist & its profession.
Patient Counselling is needed for
Better patient understanding to their illness and role of medication.
Improve medication adherence.
Improve dosage regimen adherence.
More effective Drug treatment.
Reduce incidence of adverse drug effect and unnecessary healthcare cost.
ADR reporting.
Improve quality of life for patient.
Raising image of Pharmacist & its profession.
In this slides included clinical pharmacy introduction and pharmaceutical care, also explanation about the goals and objectives of the clinical pharmacy requirements
Barriers of patient counseling in a community pharmacy and Strategies to over...MerrinJoseph1
Second Pharm -D , Patient Counseling Barriers and Strategies to overcome the barriers-pharmacist specific barriers,patient specific barrires and system based barriers and how to overcome the barriers for effective patient counseling in a community pharmacy.
Introduction to clinical pharmacy, Concept and Objectives of clinical pharmacy, Function and responsibilities of clinical pharmacist, Clinical Pharmacy services.
Drug distribution is one of the basic service provided by the hospital pharmacy.
Drug distribution system falls in to 3 categories -
1)Ward – controlled system
2)Pharmacy controlled imprest based system
3)Pharmacy controlled patient issue system
Basic introduction to patient counselling for the clinical pharmacy services. Educating the patient on their disease, medication and lifestyle for better patient care and quicker recovery.
Patient Counseling is defined as providing medication information Orally or in written form to the patients or their representatives on directions of use, on side effects, precautions, storage, diet, life style modifications.
In this slides included clinical pharmacy introduction and pharmaceutical care, also explanation about the goals and objectives of the clinical pharmacy requirements
Barriers of patient counseling in a community pharmacy and Strategies to over...MerrinJoseph1
Second Pharm -D , Patient Counseling Barriers and Strategies to overcome the barriers-pharmacist specific barriers,patient specific barrires and system based barriers and how to overcome the barriers for effective patient counseling in a community pharmacy.
Introduction to clinical pharmacy, Concept and Objectives of clinical pharmacy, Function and responsibilities of clinical pharmacist, Clinical Pharmacy services.
Drug distribution is one of the basic service provided by the hospital pharmacy.
Drug distribution system falls in to 3 categories -
1)Ward – controlled system
2)Pharmacy controlled imprest based system
3)Pharmacy controlled patient issue system
Basic introduction to patient counselling for the clinical pharmacy services. Educating the patient on their disease, medication and lifestyle for better patient care and quicker recovery.
Patient Counseling is defined as providing medication information Orally or in written form to the patients or their representatives on directions of use, on side effects, precautions, storage, diet, life style modifications.
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 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”.
This power point presentation will be helpful for pharmacy students to learn about good drug dispensing practices. you will learn about drug dispensing, various requirements for good drug dispensing, steps to be followed during drug dispensing, importance of drug dispensing to promote rational use of medicine.
The all the content in this profile is completed by the teachers, students as well as other health care peoples.
thank you, all the respected peoples, for giving the information to complete this presentation.
this information is free to use by anyone.
Similar to Effective communication between physician and pharmacist. (20)
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
Title: Sense of Taste
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 structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
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New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
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These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
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2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
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mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
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ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
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Effective communication between physician and pharmacist.
1. 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
2. PHARMACIST
ADMIN
PHYSICIANS
PATIENTS
• Chemists or druggists,
• healthcare
professionals
who
practice in pharmacy, the field of
health sciences focusing on safe and
effective medication use.
• The role of the pharmacist is "lick,
stick, and pour" dispensary
• "lick & stick the labels, count the
pills & pour liquids"
NATIONAL
GUIDELINES
8. • 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.
9. 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.
10. • 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.
13. 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
14. Part 1: The process of rational treatment
• Step 1: Define the patient's problem
• Step 2: Specify the therapeutic objective
• Step 3:
• Step 4:
• Step 5:
• Step 6:
(What do you want to achieve with
the treatment? )
Verify the suitability of your Ptreatment
Check effectiveness and
safety
Start the treatment
Give information, instructions and
warnings
Monitor (and stop?) treatment
15. 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.
17. 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.
19. 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
21. Parts of prescription
•
•
•
•
•
Name, address, telephone of prescriber
Date
Drugs
Name/I.D no., age & gender of patient
Signature or initials of prescriber
23. Drugs with similar names
Chlorpromazine - Chlorpheniramine
Carbamazepine - Carbimazole
Clotrimazole
- Co-trimaxazole
Cetirizine
- Cinnarizine
Mebendazole
- Metronidazole
Betadine
- Betnovate
Doctors are legally obliged to write clearly
Tab.Dimol & Tab.Divalin
Tab.Amoxil & Tab.Daonil
(REF: WHO prescriber guidelines page 67)
24. Drug name and dosage form
• Brands differ as same as the sarees brands
– Especially in India
• Use only generic names in the Prescription
• Use brands only if needed…
27. Dosage strength and frequency
• ng/mg/µg
• OD/BD/1/2tablets
• Half tablet/capaules
– Entricoated/sustained release
• Decimals
– O.5/.5
– 150/1.50
• Duration
– 3 === days/weeks
– antibiotics
Never use
unofficial
abbreviations
– or invent
your own
abbreviations
– it is not safe
to do so.
30. • “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.”
31. What kind of information?
1. New Drug or its Product Information/
Identification
2. Availability
3. Contraindications/Safety
4. Adverse Drug Reactions/Drug Interactions
5. Efficacy/Treatment/Choice of drug
6. Pregnancy/Lactation/Pediatrics
7. Drug Profile/Indications/Dosage/
Pharmacokinetic information
8. Toxicology
9. Counselling information
32. Resources….
• Primary resources: Research papers/Journal
•
•
•
•
•
Micromedex
FDA website
Medscape •
webMD
Drugs.com(d
rug
interaction
checker)
• Who
guidelines
•
• EBSCO
journal
services
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.
34. “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.
35. • Hypertension Dietary changes – Reduce
sodium, Reduce alcohol, Eat more fruits
and vegetables
Regular aerobic exercise – Walking, running
Weight loss – Eat less
• Diabetes – Less Carbohydrate, Fat and
more fiber food
Physical activity – Walking, cycling
No smoking, Alcohol intake
Sulfonyl ureas – Glibenclamide 15-30 mts
before food others taken with meal
36. Storage of medicines
• Proper storage of medication ensures
efficacy, stability and safety.
• Room temperature - 15⁰C - 30⁰C
• Cool – 8⁰C - 25⁰C
• Cold - 2⁰C - 8⁰C
• Warm - 30⁰C - 40⁰C
• Excessive heat – Any temp. above 40⁰C
37. Potency & Temperature for storage of
Vaccines
Vaccine
Temperature
Potency maintained for
Oral Polio (OPV)
-20⁰C
4⁰C to 8⁰C
1 Year
3 months
Bacillus Calmette
Guerine (BCG)
Diphtheria, Pertusis,
Tetanus (DPT)
4⁰C to 8⁰C
1 Year
4⁰C to 8⁰C
2 Years
Measles
0⁰C to 2⁰C
2 Years
Typhoid (TAB)
4⁰C to 8⁰C
8 months
Tetanus toxoid (TT)
Hepatitis B
4⁰C to 8⁰C
4 Years
40. PHARMACY AND THERAPEUTIC COMMITEE
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.
41.
42. 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.
43. 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
44. • 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
45. 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.
47. • For queries contact:
DRUG & POISON INFORMATION CENTRE
Department of Pharmacy Practice
C.L. Baid Metha College of Pharmacy
• www.clbaidmethacollege.com
Go-to “DIC Request Form”