Princples
Loyalty
The principle of fidelity broadly requires that
we act in ways that are loyal. This includes
keeping our promises, doing what is expected
of us, performing our duties and being
trustworthy.
A pharmacist respects the __________ relationship between the patient and pharmacist.
covenantal
E stands for
Evaluate the facts
verifiable and objective information
Fact
WG is a 68 year old woman who arrives at your pharmacy in an agitated state. You recognize her, since she is a regular at your pharmacy, and you have formed a good patient-provider relationship with her. She tells you, the pharmacist, that she hasn't been sleeping well and someone stole her benzodiazepine medication for anxiety that she has been taking for over a year now. You know that benzodiazepines can cause withdrawal symptoms, but are also drugs of abuse. You check to see when she last picked up her medication, and you see she's only had the script for a total of 5 (five) days. Its Friday at 7:30pm, your pharmacy is about to close in 30 minutes, and her doctor's office is closed over the weekend.
What are the facts?
She has anxiety.
You have a good patient-provider relationship.
She does not have access to medication that can cause withdrawals.
Benzodiazepines are drugs of abuse.
She could potentially lose access to the drug for at least a weekend.
Justice
The moral obligation to act on the basis of fair adjudication between competing claims. Linked to fairness, entitlement and equality.
A pharmacist respects the _________ and ________ of each patient.
autonomy, dignity
T stands for
Think about the conflict presented
Conclusion drawn from facts
Opinion
WG is a 68 year old woman who arrives at your pharmacy in an agitated state. You recognize her, since she is a regular at your pharmacy, and you have formed a good patient-provider relationship with her. She tells you, the pharmacist, that she hasn't been sleeping well and someone stole her benzodiazepine medication for anxiety that she has been taking for over a year now. You know that benzodiazepines can cause withdrawal symptoms, but are also drugs of abuse. You check to see when she last picked up her medication, and you see she's only had the script for a total of 5 (five) days. Its Friday at 7:30pm, your pharmacy is about to close in 30 minutes, and her doctor's office is closed over the weekend.
What is in conflict?
Patient-provider relationship damage
patient needs medication but cant access them
drug of abuse, but also severe withdrawal symptoms
Beneficence
The act or quality of being kind or doing good resulting in benefit.
A pharmacist acts with _________ and ________ in professional relationships.
honesty, integrity
H stands for
How many principles apply?
Opinion based on insufficient or unexamined evidence
Prejudice
WG is a 68 year old woman who arrives at your pharmacy in an agitated state. You recognize her, since she is a regular at your pharmacy, and you have formed a good patient-provider relationship with her. She tells you, the pharmacist, that she hasn't been sleeping well and someone stole her benzodiazepine medication for anxiety that she has been taking for over a year now. You know that benzodiazepines can cause withdrawal symptoms, but are also drugs of abuse. You check to see when she last picked up her medication, and you see she's only had the script for a total of 5 (five) days. Its Friday at 7:30pm, your pharmacy is about to close in 30 minutes, and her doctor's office is closed over the weekend.
What principles apply?
loyalty, beneficence, nonmaleficence
Nonmaleficence
Asserts an obligation not to inflict harm intentionally
"Do no harm"
A pharmacist seeks ________ in the distribution of health resources.
justice
I stands for
Identify applicable codes and code sections
Conviction based on personal or cultural faith
Belief
Autonomy
capacity for free action and rational choice, and in healthcare specifically, the possibility of exercising these capacities without interference from others.
Displays: Intentional decision-making
– With understanding
– Without controlling influences
A pharmacist maintains professional _________.
competence
C and S stand for
Compare different options
Select the best option under the circumstances
WG is a 68 year old woman who arrives at your pharmacy in an agitated state. You recognize her, since she is a regular at your pharmacy, and you have formed a good patient-provider relationship with her. She tells you, the pharmacist, that she hasn't been sleeping well and someone stole her benzodiazepine medication for anxiety that she has been taking for over a year now. You know that benzodiazepines can cause withdrawal symptoms, but are also drugs of abuse. You check to see when she last picked up her medication, and you see she's only had the script for a total of 5 (five) days. Its Friday at 7:30pm, your pharmacy is about to close in 30 minutes, and her doctor's office is closed over the weekend.
What do you do? Justify your answer and refer to at least one APhA Ethics Code and one principle.
Dispense 72-hour supply, Promotes the good of every patient in a caring, compassionate, and confidential manner, guided by nonmaleficence and beneficence.
Dispense 72-hour supply, Respects the covenantal relationship between the patient and pharmacist, guided by loyalty to patient.
Does not dispense, Serves individual, community, and societal needs, guided by loyalty to profession or community by preventing potential drug abuse or illegal distribution of drugs.