Hello Karyl, thank you for sharing your thoughts with us. I agree with your ideas. For your first note, Lia truly had so many medications to take everyday. Maybe at that time, the physicians considered little about drug interaction and medication compliance, what they mainly focus was the indication for each drug. They did not obey some parts of the philosophy of practice for healthcare providers.
For the second one that how will pharmacists influence Lia’s healthcare conditions and outcomes, I have my own opinion. From what I learned from pharmaceutical care course and labs so far, nowadays pharmacists pay very important roles in the whole patient-centered healthcare team. Pharmacists are the group of people who directly interact and talk with patients and their family a lot, as a result, they are also the people who can make great impact on patients. Through patient care process, pharmacists connect drug therapy problems and goals of therapy together to make suitable care plans for each individual patient. Pharmacists try their best to help patients get effective drugs, reduce adverse drug reactions and feel compliance about drugs. Pharmacists will also follow up the patients in order to get better outcomes.
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At the time when this story happened, the healthcare system and the educational system was not well-rounded compared with those of today. We cannot blame on the physicians in the story, they could do better without the many limitations at that time. With the development of science and technology, the world is always changing with fast speed. We cannot predict what the pharmacy world would like after we graduation, so I believe in order to build a good shape as an excellent pharmacist, we should not only grasp knowledge we learn from daily course, but also catch up with the newest information and research in
Healthcare professionals must talk to their patients about possible side-effects of drugs they are taking and make sure they understand what can happen. In doing so, patients may start to understand why something is happening to them and it is a normal side-effect, which can not only lead to trust from the patients to providers, but can lead to the passing of knowledge from one to another which may prevent future
In order to become doctors in the Western culture, they had to go to some medical school. The fact that none of the doctors had courses in “cross-cultural medicine” is a reflection of the Western system failure to teach this. Therefore, the doctors cannot be blamed for not understanding the Hmong culture because they were not taught to be culturally sensitive. Maybe if the doctors were trained to become more cultural, they could develop a proper relationship with the Lees in order to improve Lia’s health. Also, the doctors were thought to be the ones who were right because of their preparation and knowledge.
Nearly all their subjects had to be taken at precisely the same time, and in the same way, and the number of drugs was such that students had no time to explore subjects out of independent interest. In his experience, there’s less intellectual freedom than any other professional education in the United States. (The New Drug Story by Morris A. Bealle) The U. S. Congress agreed there needed to be a standards keeper in American medicine, so it created the American Medical Association (AMA) to standardize drug education in all American medical schools. (Abraham Flexner: A Flawed American Icon by Michael Nevins)
Lia’s tragic end would have been possibly avoided if her doctors were more sensitive and were communicating well with their patients. Moreover, the American Academy of Pediatrics agrees that physicians need to “...take into account the beliefs, values, actions, customs, and unique health care needs of distinct population groups. Providers will thus enhance interpersonal and communication skills, thereby strengthening the physician-patient
This may in the long run cut out unnecessary cost for the patients and lead to a diagnosis at an earlier time. With a patient having routine visits to their PCP this allows for a relationship to be built between provider and patient. Having trust in your provider is often an important quality when receiving care. Having a PCP, or gatekeeper, would allow them to follow up with health care maintenance and ensure patient compliance is followed. Especially in the world we live in currently, many health care words such as “Obama Care” and “Affordable care act” can be overwhelming and confusing for any patient.
MTM is used to describe the broad range of health care services provided by pharmacists. These services include comprehensive medication reviews, medication reconciliation, drug use review, the ordering and review of lab tests, immunizations, drug dosage adjustments, and identification of gaps in care. Integrated systems of care, such as accountable care organizations (ACOs), already view MTM as essential to care delivery and to meeting ACO quality and cost targets. Such organizations also are heavily invested in HIT, including e-prescribing and EHRs. MTM can improve medication adherence and patient outcomes among patients suffering from chronic diseases, thus cutting costs and improving the quality of care and patient
If the medications get to the doctor and delivers it to the patients, how will the patients know if that prescription is good enough for them to take? Just because getting free lunches in exchange for the
At that time doctors were not fully educated to the best of knowledge on
Similarly many doctor’s of the time believed strongly in the rest cure for women and if John to go against this common practice he would be questioned by many physicians. This is not to say that John shouldn’t
This caused an influx of new medical practices in the years to come. This was due to the fact that many people were dying in numbers larger than some populations, but the methods at hand were not sufficient. With the emergence of the first teaching hospital at the University of Pennsylvania and beyond, the opportunity to learn about diseases and how to treat them was available. This was entirely due to the fact that there was a demand for this; a need, and with comes a response.
They had to face many struggles that were unavoidable such as drugs,grades,and racism. The doctors had to live through a struggling time and they
I tried to reason about the doctor’s gross negligence while handling her case. I would ask myself repeatedly why the doctor’s failure of fiduciary duties to his patient was violated. I attuned that the doctor, who later admitted his mistake on behalf of my grandmother’s case, breached on a once established relationship with his patient. Being devoted to a patient’s wellbeing is an obligation that every doctor must fulfill. Continuing school and pursuing pre-med, I pray every day that I hold true to my devotion that one day I will deliver the care that every patient
Pharmacists are in a unique position to help. They have the ability and knowledge to implement programs as part of their daily practice to ensure that patients are adherent to their medications. As the medication experts, pharmacists should lead the way to improving medication adherence and providing optimal patient care. The provisions of this bill do not pose a mandate but where appropriate would require the proration of prescriptions, related cost sharing, and dispensing costs in order to conform the patient to one monthly refill that occurs on the same date each month.
REFLECTION OF THE INTERVIEW 2.1 Description A component of the Effective Communication module, is an Inter-professional Education (IPE) enrichment activity and we were put into groups with the Pharmacy students. There were in total 2 Nursing students and 3 Pharmacy students. We were tasked to interview a healthcare professional. We interviewed Dr Edwin Lim from Tzu Chi Free Health Screening and Free Clinic (TCFC). He specialises in Family Medicine.
In pharmacy practice, there are always multiple solutions for a single problem. Practitioner can suggest on the medication and dosage regimen, yet the final decision should lie on the hand of patient. (Robert J.C. et al., 2012) Most of the time, patient does not understand his/her own medical condition and medication plan, let alone making decision on it. Shared decision making, patient activation and broader patient engagement can significantly improve the treatment outcomes.