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Clinical Pharmacy
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Dr Abdelfattah Marrie
Professor of ClinicalPharmacology and Pharmacy
Contacts
[email protected]
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Module Specifications
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Introduction to Clinical
Pharmacy
A key role for
pharmacists
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1-Preparing.2-Counting.
3-Dispensing.
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objectives
1. Define clinical pharmacy.2. Differentiate between
traditional
pharmacists role and Clinical
Pharmacist.3. Explain the qualification required
for clinical pharmacists.
. Describin! the communications"ills.
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objectives#. $ist the clinical pharmacists
responsibilities.%. Describe the daily wor" acti&ity of
clinical pharmacists.
'. (uidelines for Pharmacotherapy.). Principles of Clinical
Pharmaco"inetics and
Therapeutic Drug Monitoring(TDM).
*. Problem +riented ,pproach.
1-. Interpretation of laboratory testsresults.
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Clinical Pharmacy
Clinical pharmacy is defined
as that area of pharmacyconcerned with the science
and practice of rational
medication use.
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Clinical Pharmacy
Clinical Pharmacy includes all the
ser&icesperformed by pharmacists
practisin! in hospitals/ community
pharmacies/ nursin! homes/ home0
based care ser&ices/ clinics and anyother settin! where
medicines are
prescribed and used.
he term clinical does notnecessarily imply an acti&ity
implemented in a hospital settin!.
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4ow does clinical pharmacy
differ from pharmacy5
he discipline of pharmacyembraces the "nowled!e on6
o7ynthesis/oChemistry andoPreparation of dru!s.
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4ow does clinical pharmacy
differ from pharmacy5
Clinical pharmacy is moreoriented to the6o ,nalysis of
population needs withre!ards to medicines/o Dosa!e and ways of
administration/o Patterns of use and
o Dru!s effects on the patients.
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4ow does clinical pharmacy
differ from pharmacy5
he focus of attention mo&esfrom the dru! to the sin!le
patient or population recei&in!dru!s.
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(oal of Clinical Pharmacy
o promote the correct andappropriate use of medicinal
products and de&ices.
hese acti&ities aim at68aximisin! the clinical effect of
medicines.
8inimisin! the ris" of treatment0induced ad&erse
e&ents.
8inimisin! the expenditures for
pharmacolo!ical treatments.
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Clinical Pharmacy Requirements
no!ledge of
nondrug therapy
"herapeutic
planning
s#ills
Drug $nformation
S#ills
Physical
assessment
s#ills
Patient
monitoring
s#ills
Communication
s#ills
no!ledge of
la%oratory
and diagnostic s#ills
no!ledge of
the disease
no!ledge ofdrug therapy
Patient care
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Communication S#ills in
Clinical Pharmacy
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Communication in Clinical
Pharmacy
Communication is the
dialogue & 'er%al( !ritten or
others & %et!een thepharmacist and the patient
and)or other health carepro'iders to insure optimal
patient outcomes.
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$mportance
Proper communication*
+etter patient compliance.
,ess patient complains.
igh success rates of patient
outcomes.
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S#ills
se the proper type of
question.
/mpathetic response.
Responsi%le language use.
0sserti'eness.
Conflict management.
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"ypes of uestions
1. pen-ended questions gi'es the patient the
chance to ans!er using his)her options*
0. ery pen-ended4 sually starts !ith 56hat7
+. Moderately open4 usually %egins !ith 56ho7(56hen7( 56here7
and 5o!7
2. Restricted* "he patient ans!ers %y choosing
form options gi'en %y the inquirer.3. ,eading questions*
Phrasing the question in a
!ay that it implies the ans!er.
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0'oid
uestions that imply criticism
or accusing of the patient. "his
!ill pro'o#e a defensi'ereaction from the patient and
may gi'e improper ans!ers.
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/mpathetic Response
Specially in a deeply emotionalpatients*
Patience( and gi'e the patientadequate time.Reflecti'e
responding( that
includes acti'e listening thatreflects the thought or feeling
ofthe spea#er.
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$e&el of ,ction of Clinical
Pharmacists
Clinical pharmacy acti&ities may
influence the correct use of
medicines at three different le&els6o 9efore/
o Durin! and
o ,fter the prescription is written.
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1. 9efore the prescription
1.Clinical trials
2.:ormularies
3.Dru! information
.Dru!0related policies
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2. Durin! the prescription
1. Counsellin!acti&ity ;Physician Monitoring therapy(
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p g py
patient education and e'aluation
6hat criteria !ould you select to
monitor Mr 8+ therapy and !hat
information !ould you share !iththe patient B
