communityPharmacy definition scope rolepptx

communityPharmacy definition scope rolepptx

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  Community Pharmacy NITHIN MANOHARR M.Pharm,(PhD),MSc.Psychology, Asst.Professor Dept Of Pharmacy Practice Pushpagiri College Of Pharmacy
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  DEFINITION A community pharmacyis a healthcare facility that is able to provide pharmacy services to people in a local area. A community pharmacy dispenses medicine, typically involving a registered pharmacist with the education, skills and competence to deliver professional service to the community.
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  • Community pharmacistsare the health professionals most accessible to the public. • They supply medicines in accordance with a prescription or, when legally permitted, sell them without a prescription. • In addition to ensuring an accurate supply of appropriate products, their professional activities also cover  counseling of patients at the time of dispensing of prescription and non-prescription drugs,  drug information to health professionals, patients and the general public, and  participation in health-promotion programmes. • They maintain links with other health professionals in primary health care.
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  Drug information andtheir actions. Drug utilization. Drug distribution. Drug selection (or) patient counselling SCOPE OF COMMUNITY PHARMACY
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  Drug information andtheir actions: Besides proper understanding of biological and physical science community pharmacy also provides grasp on pharmacology, toxicology, route of administration stability and their information regarding drugs. Drug utilization: Stock control reports on prescription and controlled drugs dispense, drug purchases, inspection and improvement in operations and such other aspects which demand attention.
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  Drug distribution: Quantities ofdrugs are localised physically outside of the pharmacy to have control for the internal distribution for patients. Drug selection: Rational drug therapy Training of health care professionals. Maintainance based on clinical guidelines. Essential drug concept.
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  Role of communitypharmacist  Central pharmacist responsibilities.  Patient care area responsibilities.  Direct patient care responsibilities.  General responsibilities.
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  Central pharmacist responsibilities: •To ensure that established policies and procedures are followed. • Check up for accuracy of dosages prepared. • Unit dose formulations. • Intravenous mixture. • Provide for proper drug control. 1. Ensure that drugs are stored and dispensed properly. Eg:- Investigational drugs. 2. Ensure that all state federnal drugs laws are followed.
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  • To ensurethat good techniques are used in compounding intravenous mixtures and extemperious preparations. • Provide for proper record keeping and billing. • Patient medication records. • Extemperious compound records. • Intravenous mixtures records billing. • Investigational drug records. • Reports (monthly loaded records)
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   General responsibilitiesof a pharmacist: • Dispensing (or) compounding of drugs. • Patient counselling. • Drug information services to physician. • Health care promotions (or) health services. • Respond to the symptoms and minor elements. • Consultation to pregnant women, children, gediatric patients regarding to health care.
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  Direct patient carearea: • Effective / ineffectiveness of drugs. • Side effects. • Toxicity of drugs. • Allergic drug reactions. • Drug interactions. • Appropriate therapeutic outcome.
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  Patient counselling area: •Medication to be self administered in the hospital. • Discharge medication. • Provide education to the pharmacists, clerks, students, residents and other nursing staff. • Sometimes provide information to physician and medical students regarding the new drug information.
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  SCOPE OF COMMUNITYPHARMACY • steep rise in the field of medical and health services due to introduction of various latest techniques and globalization of medical profession • Population of whole world is rising tremendously day by day, • medical and health services are insufficient for overall improvement of health status • there is a requirement of equal participation of all health professionals to obtain a common goal of disease prevention and health promotion
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  • Community pharmaciststrives for most effective, appropriate, safe and economic treatment of the patient. • Nowdays the scope of community pharmacy is expanding to the following areas: Informing health care professionals and the public • Community Pharmacy compile and maintain information on all medicines, and particularly on newly introduced medicines, provide this care information as necessary to other health professionals and to patients.
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  Care of patientsor Clinical pharmacy The pharmacist seeks to • collect and integrate information about the patient’s drug history, • clarify the patient’s understanding of the intended dosage regimen and method of administration, and • advises the patient of drug-related precautions, and in some countries, monitors and evaluates the therapeutic response.
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  Processing of prescriptions Communitypharmacist verifies the legality, safety and appropriateness of the prescription order, checks the patient medication record before dispensing the prescription. ensures that the quantities of medication are dispensed accurately.
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  Over the countermedications, self medication • Community pharmacies are in position to overview and intervene in the use of OTCs and give advice on self-medications. • Awareness about OTCs and self medication is been delegated by the community pharmacy through patient counseling, leaflets and other educational techniques.
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  Increasing demand inchronic care • Chronic diseases such as asthma, diabetes, cardiovascular diseases such as hypertension, Chronic obstructive pulmonary disease (COPD) needs long term medical and pharmaceutical care. • Community pharmacies can run various health care programs, patients' disease / medication education programs for its clients where in patients will be benefited for their health.
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  Health promotion • Communitypharmacist can take part in health promotion campaigns, locally and nationally, on a wide range of health-related topics, and particularly on drug-related topics (e.g., rational use of drugs, alcohol abuse, tobacco use, discouragement of drug use during pregnancy, organic solvent abuse, poison prevention) or topics concerned with other health problems (diarrheal diseases, tuberculosis, leprosy, HIV- infection/AIDS) and family planning.
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  Drug selection • Communitypharmacy plays an important role for appropriate selection of drugs which will be given to patients to encounter disease. It involves various type of activities: • Adoption of essential drug concept • Training of health professionals • Maintenance guidelines of data based on clinical • Consumer strategies. education and regulatory
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   Lifestyle changesand pharmaceutical demands • Economic growth and socio-structural changes in modern Indian community have rapidly changed the life-style of the community. • Along with drugs for disease ailments, there is changing trend in the population for use of life style drugs. • There is increasing demands for therapies such as anti- obesity drugs, anti-ageing cosmetic interventions, erectile dysfunction disorders, anti-oxidants etc. • increasing trend towards consumption of specialized nutraceuticals such as isolated protein supplements and dietary supplements. • There needs special input from the community pharmacy and pharmacist towards appropriate use of these medications.
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  Patient counseling andevaluating • Pharmacists led counseling improves clinical outcomes, quality of life, drug and disease knowledge, patients’ satisfaction with service, • Content of the counselling : Name and description of the medicine, indications, route of administration, dose and dosage form, directions for use, duration of therapy, special directions, precautions, side effects, and contraindications
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  Domiciliary services In anumber of countries, the pharmacist provides an advisory as well as a supply service to residential homes for the elderly, and other long-term patients. In some countries, policies are being developed under which pharmacists will visit certain categories of house-bound patients to provide the counselling service that the patients would have received had they been able to visit the pharmacy.
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  Role and Responsibilitiesof Community Pharmacist