Question

Explain briefly The challenges and dilemmas related to prescribing and What are the general principles apply in relation to prescribing?

Answer 1

Ans1) Pharmacists experience a number of moral dilemmas in clinical practice.

- The narrative method enables pharmacists to reflect directly on their feelings at the time these dilemmas occur.

- Most dilemmas involve the pharmacists’ professional relationships and often arise when the professional autonomy of pharmacists is challenged by patients’ and other health professionals’ behaviour.

2) Ten principles of good prescribing:

All prescribers should:
1) Be clear about the reasons for prescribing.
2) Take into account the patient’s medication history before prescribing.
3) Take into account other factors that might alter the benefits and harms of treatment.
4) Take into account the patient’s ideas, concerns, and expectations.
5) Select effective, safe, and cost-effective medicines individualized for the patient.
6) Adhere to national guidelines and local formularies where appropriate.
7) Write unambiguous legal prescriptions using the correct documentation.
8) Monitor the outcomes of treatment, both beneficial and adverse.
9) Communicate and document prescribing decisions and the reasons for them.
10) Prescribe within the limitations of your knowledge, skills, and experience.