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Happy Pharmacists Day 2021
Pharmacy : Always Trusted For Your Health
K V GOPINATH
PHARMACIST - CLINICAL
T T D Aswini Hospital Tirumala
Andhrapradesh India-517 504
Mob: 89789 93810
E-mail: gopinath.karnam@gmail.com
World Pharmacists Day : Pharmacy : Always Trusted For Your Health 25 September 2021 1
Most Trusted Professionals
World Pharmacists Day : Pharmacy : Always Trusted For Your Health 25 September 2021
2
Elements of Trust
World Pharmacists Day : Pharmacy : Always Trusted For Your Health 25 September 2021 3
Relationship
Communication
skills
Honesty
safety
Good will
Competency
Active
listening empathy
Expertise
Skills
Automation
Technology
Values
Respect
sympathy
Confidentiality
Rapport
Explain
Consistency
Show
collaboration
Theme of the Trust
Trust in Healthcare
Professionals
Less Symptoms
Satisfaction
HRQOL
World Pharmacists Day : Pharmacy : Always Trusted For Your Health 25 September 2021 4
Functional Services of Pharmacists
Functional
services
Community
Hospital
Clinical
Academic
Clinical
research
Regulatory
Industry
Information
Technology
World Pharmacists Day : Pharmacy : Always Trusted For Your Health 25 September 2021 5
Pharmacists Need to Build Trust with
Their Patients ???
• Telemedicine
• Automation
• Artificial Intelligence -
“AI and machine learning
facilities, combined with the lower
cost of automated systems, have put
automation within reach for even
smaller pharmacies “
World Pharmacists Day : Pharmacy : Always Trusted For Your Health 25 September 2021 6
Hospital Pharmacy
INVENTORY MANAGEMENT
• Issue of Daily Indents
• Issue of Costly Drug Forms
• Medical Reimbursements
• Monthly Consumptions Reports
• Preparing Annual Indents
• Physical Stock Verifications
• Monitoring Shelf-Life of Drugs
• Tools and Plants
• Audits and its Compliance
• Stock Receival from CDS
• Dispensing of Drugs
• Patient Counselling
• Raising Daily Indent
• Review of Prescriptions
• Monitoring of ADR and Reporting
• Monitoring of Drug Interactions
• Daily Expenditure Maintenance
• Prescription Refills
World Pharmacists Day : Pharmacy : Always Trusted For Your Health 25 September 2021 7
DISPENSING SERVICES
Clinical Pharmacist – Daily activities !
• Medication history review.
• Ward round participation
• Drug therapy monitoring.
• Treatment chart review
• Medication administration review
• Patient counseling and education
• Monitoring of treatment outcome
• Therapeutic drug monitoring
• Adverse drug reaction management
• Drug information and poison information
• News letter development
World Pharmacists Day : Pharmacy : Always Trusted For Your Health 25 September 2021 8
Special skills of a clinical pharmacist
• Knowledge of pharmacotherapeutics
• Knowledge of disease process
• Knowledge of pharmaceutical products
• Strong communication skills
• Drug monitoring skills
• Knowledge of physical and laboratory findings
• Drug information & Therapeutic planning skills
World Pharmacists Day : Pharmacy : Always Trusted For Your Health 25 September 2021 9
Pharmaceutical Care Point in Hospitals
• Help in tracking errors, identifying trends, and be
a voice for bringing concerns back to the
organization
• No documentations especially in
pharmacotherapy , hardly we see the terms like
add on / change / remove drug therapy of a entity
on prescriptions or medication orders
• Therapy manager - ideally a pharmacist to break
the barriers to strengthen healthcare
World Pharmacists Day : Pharmacy : Always Trusted For Your Health 25 September 2021 10
Specialties of a pharmacist in healthcare
• Critical Care Pharmacist
• Drug Information Specialist
• Home Care Pharmacist
• Hospice Pharmacist
• Infectious Disease Pharmacist
• Psychiatric Pharmacist
• Poison Control Pharmacist
• Long-term Care Pharmacist
• Managed Care Pharmacist
• Military Pharmacist
• Nuclear Pharmacist
• Nutrition Support Pharmacist
• Oncology Pharmacist
• Operating Room Pharmacist
• Pediatric Pharmacist
• Pharmacist in a Grocery Chain
• Pharmacy Benefit Manager
• Primary Care Pharmacist
• Veterinary Pharmacist
• Regulatory Pharmacist
• Public Health Service Pharmacist
World Pharmacists Day : Pharmacy : Always Trusted For Your Health 25 September 2021 11
Patient Oriented Services - MTM
1) Assessments of the patient’s health status
2) Formulating a medication treatment plan
3) Selecting, initiating, modifying, or administering medication therapy
4) Monitoring the patient’s safety and effectiveness
5) Medication review to identify, resolve, and prevent medication ADR
6) Documenting the care delivered
7) Providing verbal education and training to patient
8) Patient adherence
9) Coordinating and integrating medication therapy management services
“A program that provide services to the patient to strengthen health care by
improving health and decrease healthcare cost” Let us start Professionalism
rather….”
World Pharmacists Day : Pharmacy : Always Trusted For Your Health 25 September 2021 12
Clinical Pharmacist Vs Community Pharmacist
1) Clinical pharmacists –
– Optimize medication therapy
– Manage chronic medical conditions
– Improve medication use and management and address medication adherence
– Medication therapy evaluations
– Recommendations to patients, physicians and other
2) Community Pharmacists–
• They interact directly with the public but tend to have limited interaction with providers
• Also perform MTM
• Immunization services
• Patient counseling
• Refilling
World Pharmacists Day : Pharmacy : Always Trusted For Your Health 25 September 2021 13
What does it take to be an community
pharmacist?
Communication
Technical Skills
Human
Relations
Entrepreneurial
Skills
Drive
Thinking
World Pharmacists Day : Pharmacy : Always Trusted For Your Health 25 September 2021 14
How do community pharmacy help people?
Nutrition 91%
Delivery 86%
Patient Charge Accounts 86%
Compounding 79%
Herbal Medicine 75%
Community Outreach 67%
Hospice 62%
DME 61%
Health Screening 58%
Ostomy 52%
Assisted Living 48%
Source: 2007 NCPA Pfizer Digest
World Pharmacists Day : Pharmacy : Always Trusted For Your Health 25 September 2021 15
Evidence Based Practice
• A case study - A 45 HT patient with Tab Atenolol 25 mg. His vital sign
BP measured @ 160/90 mm Hg . On follow up BP level measured @
160/ 70 mm Hg but a patient complain of faint and discontinued the
medicine without authorization. Here the intervention is systolic
pressure is 160 mm Hg and expected to reduce to normal. Despite it, the
diastolic pressure is reduced to < 70 mm Hg . Does the patient is a HT
or pre hypertensive?
“Healthcare interventions can no longer be based on opinion on
individual experiences alone. Scientific evidences build up from good
quality research is used as a guide and adopted to each individual
patients circumstances…. “
In this case diastole is a concern as the patient is less than 50
years old. Close monitoring of the patient and non-pharmacological
method may help in patients
Close Monitoring a “TRUST Building Process “
World Pharmacists Day : Pharmacy : Always Trusted For Your Health 25 September 2021 16
Management of Chronic Diseases –
Hospital & Community Pharmacists
Hypertension
Diabetes
Asthma
Rheumatoid Arthritis
Epilepsy
Tuberculosis and
Leprosy
Adverse Effects of Drugs & Adverse Events
Poly Pharmacy
Paradoxical Reactions
Vaccination Failure
Irrational Use and Lack of Efficacy
Drug interactions
Poisoning and Over Dose
Abuse and Misuse of Drugs
Medication Errors
World Pharmacists Day : Pharmacy : Always Trusted For Your Health 25 September 2021 17
Disease Management Services Offered
• Blood Pressure Monitoring 69%
• Diabetes Training 50%
• Immunizations 43%
• Lipid Monitoring 19%
• Weight Management 14%
• Smoking Cessation 14%
• Osteoporosis 11%
• Asthma 10%
Source 2007 NCPA Pfizer Digest
World Pharmacists Day : Pharmacy : Always Trusted For Your Health 25 September 2021 18
Professional Activity Reflects in Image
• Dry powders of antibiotics for reconstitution
• Dry powder for reconstitution - Parenteral and solid
dosages like tablets into syrups ( e.g. antiretroviral
drugs )
• Better patient compliance as well product stability
& efficacy
• A standard practice for reconstitution procedure and
labelling along with date of best before use should be
mentioned.
World Pharmacists Day : Pharmacy : Always Trusted For Your Health 25 September 2021 19
Career in pharmacy for the money!
Loose Trust Value Added Services
• MTM
• Immunisation
• Blood Glucose Monitoring
• Blood Pressure
• Cholesterol Monitoring
• Parenteral Administration
• TPN
• TDM
• Pharmacovigilance
• Patient Counselling
• I V admixtures
World Pharmacists Day : Pharmacy : Always Trusted For Your Health 25 September 2021 20
A good pharmacist is a happy pharmacist -
9 star pharmacist
Caregiver Decision-
maker
Life-long-
learner
Manager
Teacher
Leader
Researcher
communicator
Entrepreneur
World Pharmacists Day : Pharmacy : Always Trusted For Your Health 25 September 2021
21
Advanced Level Frame work
• Pharmacists can develop their
abilities through delivery of
services, higher level of
responsibility, risk challenges and
accountability, working with
colleagues and by working across
boundaries, disciplines and
sections
• Expert Professional
Practices
• Working with others
• Leaders
• Management
• Education, training and
development
• Research and Evaluation
World Pharmacists Day : Pharmacy : Always Trusted For Your Health 25 September 2021 22
Conclusion
“Trust comes through your higher education, skills, risk management and
services there by confidence, accuracy, precision and transparency in
quality pharmacy practice ”
“A day healthcare professionals loose to fill trust in patients, all services are
replaced by Robots ”
World Pharmacists Day : Pharmacy : Always Trusted For Your Health 25 September 2021 23
World Pharmacists Day : Pharmacy : Always Trusted For Your Health 25 September 2021 24
• Management Of DR.MGR
Educational & Research Institute
• Prof Dr S Geetha Lakshmi Vice
Chancellor
• Dr N Hari Krishnan Principal
• Dr Komal
• Co-Speakers
• Staff & Students
World Pharmacists Day : Pharmacy : Always Trusted For Your Health 25 September 2021 25

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Pharmacy always trusted for your health.ppt1234

  • 1. Happy Pharmacists Day 2021 Pharmacy : Always Trusted For Your Health K V GOPINATH PHARMACIST - CLINICAL T T D Aswini Hospital Tirumala Andhrapradesh India-517 504 Mob: 89789 93810 E-mail: gopinath.karnam@gmail.com World Pharmacists Day : Pharmacy : Always Trusted For Your Health 25 September 2021 1
  • 2. Most Trusted Professionals World Pharmacists Day : Pharmacy : Always Trusted For Your Health 25 September 2021 2
  • 3. Elements of Trust World Pharmacists Day : Pharmacy : Always Trusted For Your Health 25 September 2021 3 Relationship Communication skills Honesty safety Good will Competency Active listening empathy Expertise Skills Automation Technology Values Respect sympathy Confidentiality Rapport Explain Consistency Show collaboration
  • 4. Theme of the Trust Trust in Healthcare Professionals Less Symptoms Satisfaction HRQOL World Pharmacists Day : Pharmacy : Always Trusted For Your Health 25 September 2021 4
  • 5. Functional Services of Pharmacists Functional services Community Hospital Clinical Academic Clinical research Regulatory Industry Information Technology World Pharmacists Day : Pharmacy : Always Trusted For Your Health 25 September 2021 5
  • 6. Pharmacists Need to Build Trust with Their Patients ??? • Telemedicine • Automation • Artificial Intelligence - “AI and machine learning facilities, combined with the lower cost of automated systems, have put automation within reach for even smaller pharmacies “ World Pharmacists Day : Pharmacy : Always Trusted For Your Health 25 September 2021 6
  • 7. Hospital Pharmacy INVENTORY MANAGEMENT • Issue of Daily Indents • Issue of Costly Drug Forms • Medical Reimbursements • Monthly Consumptions Reports • Preparing Annual Indents • Physical Stock Verifications • Monitoring Shelf-Life of Drugs • Tools and Plants • Audits and its Compliance • Stock Receival from CDS • Dispensing of Drugs • Patient Counselling • Raising Daily Indent • Review of Prescriptions • Monitoring of ADR and Reporting • Monitoring of Drug Interactions • Daily Expenditure Maintenance • Prescription Refills World Pharmacists Day : Pharmacy : Always Trusted For Your Health 25 September 2021 7 DISPENSING SERVICES
  • 8. Clinical Pharmacist – Daily activities ! • Medication history review. • Ward round participation • Drug therapy monitoring. • Treatment chart review • Medication administration review • Patient counseling and education • Monitoring of treatment outcome • Therapeutic drug monitoring • Adverse drug reaction management • Drug information and poison information • News letter development World Pharmacists Day : Pharmacy : Always Trusted For Your Health 25 September 2021 8
  • 9. Special skills of a clinical pharmacist • Knowledge of pharmacotherapeutics • Knowledge of disease process • Knowledge of pharmaceutical products • Strong communication skills • Drug monitoring skills • Knowledge of physical and laboratory findings • Drug information & Therapeutic planning skills World Pharmacists Day : Pharmacy : Always Trusted For Your Health 25 September 2021 9
  • 10. Pharmaceutical Care Point in Hospitals • Help in tracking errors, identifying trends, and be a voice for bringing concerns back to the organization • No documentations especially in pharmacotherapy , hardly we see the terms like add on / change / remove drug therapy of a entity on prescriptions or medication orders • Therapy manager - ideally a pharmacist to break the barriers to strengthen healthcare World Pharmacists Day : Pharmacy : Always Trusted For Your Health 25 September 2021 10
  • 11. Specialties of a pharmacist in healthcare • Critical Care Pharmacist • Drug Information Specialist • Home Care Pharmacist • Hospice Pharmacist • Infectious Disease Pharmacist • Psychiatric Pharmacist • Poison Control Pharmacist • Long-term Care Pharmacist • Managed Care Pharmacist • Military Pharmacist • Nuclear Pharmacist • Nutrition Support Pharmacist • Oncology Pharmacist • Operating Room Pharmacist • Pediatric Pharmacist • Pharmacist in a Grocery Chain • Pharmacy Benefit Manager • Primary Care Pharmacist • Veterinary Pharmacist • Regulatory Pharmacist • Public Health Service Pharmacist World Pharmacists Day : Pharmacy : Always Trusted For Your Health 25 September 2021 11
  • 12. Patient Oriented Services - MTM 1) Assessments of the patient’s health status 2) Formulating a medication treatment plan 3) Selecting, initiating, modifying, or administering medication therapy 4) Monitoring the patient’s safety and effectiveness 5) Medication review to identify, resolve, and prevent medication ADR 6) Documenting the care delivered 7) Providing verbal education and training to patient 8) Patient adherence 9) Coordinating and integrating medication therapy management services “A program that provide services to the patient to strengthen health care by improving health and decrease healthcare cost” Let us start Professionalism rather….” World Pharmacists Day : Pharmacy : Always Trusted For Your Health 25 September 2021 12
  • 13. Clinical Pharmacist Vs Community Pharmacist 1) Clinical pharmacists – – Optimize medication therapy – Manage chronic medical conditions – Improve medication use and management and address medication adherence – Medication therapy evaluations – Recommendations to patients, physicians and other 2) Community Pharmacists– • They interact directly with the public but tend to have limited interaction with providers • Also perform MTM • Immunization services • Patient counseling • Refilling World Pharmacists Day : Pharmacy : Always Trusted For Your Health 25 September 2021 13
  • 14. What does it take to be an community pharmacist? Communication Technical Skills Human Relations Entrepreneurial Skills Drive Thinking World Pharmacists Day : Pharmacy : Always Trusted For Your Health 25 September 2021 14
  • 15. How do community pharmacy help people? Nutrition 91% Delivery 86% Patient Charge Accounts 86% Compounding 79% Herbal Medicine 75% Community Outreach 67% Hospice 62% DME 61% Health Screening 58% Ostomy 52% Assisted Living 48% Source: 2007 NCPA Pfizer Digest World Pharmacists Day : Pharmacy : Always Trusted For Your Health 25 September 2021 15
  • 16. Evidence Based Practice • A case study - A 45 HT patient with Tab Atenolol 25 mg. His vital sign BP measured @ 160/90 mm Hg . On follow up BP level measured @ 160/ 70 mm Hg but a patient complain of faint and discontinued the medicine without authorization. Here the intervention is systolic pressure is 160 mm Hg and expected to reduce to normal. Despite it, the diastolic pressure is reduced to < 70 mm Hg . Does the patient is a HT or pre hypertensive? “Healthcare interventions can no longer be based on opinion on individual experiences alone. Scientific evidences build up from good quality research is used as a guide and adopted to each individual patients circumstances…. “ In this case diastole is a concern as the patient is less than 50 years old. Close monitoring of the patient and non-pharmacological method may help in patients Close Monitoring a “TRUST Building Process “ World Pharmacists Day : Pharmacy : Always Trusted For Your Health 25 September 2021 16
  • 17. Management of Chronic Diseases – Hospital & Community Pharmacists Hypertension Diabetes Asthma Rheumatoid Arthritis Epilepsy Tuberculosis and Leprosy Adverse Effects of Drugs & Adverse Events Poly Pharmacy Paradoxical Reactions Vaccination Failure Irrational Use and Lack of Efficacy Drug interactions Poisoning and Over Dose Abuse and Misuse of Drugs Medication Errors World Pharmacists Day : Pharmacy : Always Trusted For Your Health 25 September 2021 17
  • 18. Disease Management Services Offered • Blood Pressure Monitoring 69% • Diabetes Training 50% • Immunizations 43% • Lipid Monitoring 19% • Weight Management 14% • Smoking Cessation 14% • Osteoporosis 11% • Asthma 10% Source 2007 NCPA Pfizer Digest World Pharmacists Day : Pharmacy : Always Trusted For Your Health 25 September 2021 18
  • 19. Professional Activity Reflects in Image • Dry powders of antibiotics for reconstitution • Dry powder for reconstitution - Parenteral and solid dosages like tablets into syrups ( e.g. antiretroviral drugs ) • Better patient compliance as well product stability & efficacy • A standard practice for reconstitution procedure and labelling along with date of best before use should be mentioned. World Pharmacists Day : Pharmacy : Always Trusted For Your Health 25 September 2021 19
  • 20. Career in pharmacy for the money! Loose Trust Value Added Services • MTM • Immunisation • Blood Glucose Monitoring • Blood Pressure • Cholesterol Monitoring • Parenteral Administration • TPN • TDM • Pharmacovigilance • Patient Counselling • I V admixtures World Pharmacists Day : Pharmacy : Always Trusted For Your Health 25 September 2021 20
  • 21. A good pharmacist is a happy pharmacist - 9 star pharmacist Caregiver Decision- maker Life-long- learner Manager Teacher Leader Researcher communicator Entrepreneur World Pharmacists Day : Pharmacy : Always Trusted For Your Health 25 September 2021 21
  • 22. Advanced Level Frame work • Pharmacists can develop their abilities through delivery of services, higher level of responsibility, risk challenges and accountability, working with colleagues and by working across boundaries, disciplines and sections • Expert Professional Practices • Working with others • Leaders • Management • Education, training and development • Research and Evaluation World Pharmacists Day : Pharmacy : Always Trusted For Your Health 25 September 2021 22
  • 23. Conclusion “Trust comes through your higher education, skills, risk management and services there by confidence, accuracy, precision and transparency in quality pharmacy practice ” “A day healthcare professionals loose to fill trust in patients, all services are replaced by Robots ” World Pharmacists Day : Pharmacy : Always Trusted For Your Health 25 September 2021 23
  • 24. World Pharmacists Day : Pharmacy : Always Trusted For Your Health 25 September 2021 24
  • 25. • Management Of DR.MGR Educational & Research Institute • Prof Dr S Geetha Lakshmi Vice Chancellor • Dr N Hari Krishnan Principal • Dr Komal • Co-Speakers • Staff & Students World Pharmacists Day : Pharmacy : Always Trusted For Your Health 25 September 2021 25