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A Pharmacist with the above skills and attitudes should make himself an indispensable
partner in health care system of a nation.
Health care system: Pharmacists play a vital role in health care system through the
medicine and information they provide.
While responsibilities vary among the different areas of pharmacy practice, the
bottom line is that Pharmacists help patients get well. Pharmacist responsibilities
include a range of care for patients, from dispensing medications to monitoring patient
health and progress to maximize their response to the medication. Pharmacists
educate consumers and patients on the use of prescriptions and over-the-counter
medications, and advise physicians, nurses, and other health professionals on drug
selection and utility. Pharmacists also provide expertise about the composition of
drugs, including their chemical, biological, and physical properties and their
manufacture and use. They ensure drug purity and strength and make sure that drugs
do not interact in a harmful way. Pharmacists are drug experts ultimately concerned
about their patients’ health and wellness.
The World health organization (WHO) report on “The role of the Pharmacist in
the health care system” states that the competence of the Pharmacist is already
proven and control.
- In health promotion and social responsibilities;
- In the direction and administrative of pharmaceutical services;
- In drug regulation and control;
- In the formulation and quality control of pharmaceutical products;
- In the inspection and assessment of drug manufacturing facilities;
- In the assurance of product quality through the distribution chain;
- In drug procurement agencies and
- In National and institutional formulary & therapeutics committees.
In health promotion and social responsibilities: - A Pharmacist has an important
role to play in health promotion and primary, secondary and tertiary prevention,
especially in relation to the management of chronic diseases. Discussed below in
details-----
Sexually Transmitted Diseases-AIDS: - India has 3.5 million HIV positive cases,
which is about 10% of the global HIV cases and barely second to South Africa. HIV
drugs are expensive and beyond the reach of common man. Huge resource of
community Pharmacist can educate people in the prevention and information of
HIV/AIDS. For this, Federation of Indian Pharmacists project in India on involvement of
Pharmacist in fight against AIDS is very relevant.
Another sensitive issue is the increasing number of women patients suffering
from AIDS. The number rose from 7% in 1985 to 18% in 1995. Although many classes
of antiretroviral are available like protease inhibitors, nucleoside reverse transcriptase
inhibitors and non-nucleoside reverse transcriptase inhibitors, patients need close
monitoring and strict dietary regimen. Explaining to what HIV is, its transmission, risk
reduction, patient counseling are the components of the counseling that a community
Pharmacist can provide.
Pneumococcal disease and influenza: - The role of a Pharmacist in immunizing
adults against pneumococcal disease and influenza is discussed. Pneumococcal
disease and influenza each cause up to 40,000 deaths annually in the United States.
Vaccination against these diseases is encouraged for all people 65 years of age or
older and for those with certain chronic diseases or immunosuppressant. Influenza
virus vaccine should also be given to residents of long-term-care facilities, many
pregnant women, and health care workers. Pneumococcal vaccine is usually given
once in a lifetime; influenza virus vaccine is given annually in the fall. Advocacy of
immunization is consistent with the precepts of pharmaceutical care, and Pharmacists
can promote immunization by assuming the roles of educator, facilitator, and
immunizer. Despite lack of specific mention of it in accreditation standards, health-
system personnel have a duty to vaccinate adults, just as they do pediatric patients.
Pharmacists should review immunization records with patients periodically and at the
time of immunization. As with other drug products, formulary decisions and the
distribution, storage, and handling of vaccines are important Pharmacist
responsibilities. Pharmacoeconomic studies have demonstrated the value of
pneumococcal and influenza virus vaccines. Medicare covers these vaccines under
Part B. Pharmacists have an important role to play in promoting adult immunizations
against pneumococcal disease and influenza.
Chronic disease management: - A Pharmacist’s role in the control of the chronic
disease can range from the support of proven community programs such as screening
and disease management clinics for diabetes etc.
Nutrition Counseling: - Community Pharmacist can make, significant
contributions in assuring adequate nutrition by advising his patients about basic food
needs, keeping to correct improper food habits in children, advising on special
requirements, suggesting special diet instructions for diabetic patients and people with
food allergy and participating in school lunch programs and schemes like mid-day
meals etc. in rural areas.
There are certain facts such as women who often eat fish or omega-3-fatty acids
are less likely to suffer stroke, symptoms of hyper vitaminosis result in irregular
menstrual cycle and excessive intake during pregnancy may cause birth defects. The
Pharmacist can tell these facts to people to ensure better health. Now a days designer
foods i.e. nutraceuticals/ dietary supplements have not only gained considerable
acceptance but also have newfound use and applications. They are considered to
provide medical or health benefits. The community Pharmacist could explain these
new innovative products and their standardization.
Oral health: - A report of the surgeon Generas (May 2000) and the healthy
people 2010 focus area on oral health. The call to action seems expand on these
efforts by enlisting the expertise of individuals, health researchers and cure providers
communities and policymakers at all levels of society. A Pharmacist has numerous
opportunities on a daily basis to positively affect his trend.
The American dental association has published pamphlets for dentists and
Pharmacists that cover oral structures and diseases prevention to caries, OTC and
prescription dental drugs and how these two professions can collaborate
Environmental health: - About this a Pharmacists should adapt his methods of
health educations.
A Pharmacist role in environmental health is related primarily to being alert to
the conditions prevailing in the community and of working with others to adequately
control any of the attendant hazards
All elements of the natural environment can be altered, some time with harmful
results. Air, food, water and the earth can all become sources of illness in the home,
public or work environments. Such as Food remains a significant vehicle of disease
organisms. Al through pasteurization has eliminated milk as a medium for disease
distribution.
Mental health: - A Pharmacist should be aware of their local community mental
health services, especially those catering to ambulatory patients. The timely referral of
patients exhibiting unusual behavior to these facilities may be life saving, especially in
those persons who demonstrate suicidal tendencies.
Epidemilogy: - Epidemilogy is the study of the distribution and determination of
health related events in specific population and the application of this field in the
control of these events. Epidemilogy relates to the interaction of hosts and their
environment with attention to those particular agents in the environment that are
causal factors of disease. The alert Pharmacist who can apply the basic principal of
Epidemiology in their community will become a significant member of the health
team.
Health measurement: - A Pharmacist in the health professional in the most
frequent contact with the general public and this function as a community health
education makes the Pharmacist role unique. By staying abreast of local health
statistics Pharmacist can function as a valuable resource person to researchers
conduction epidemiological studies in the community.
Health education: - The objective of health education is to provide the
individualized information necessary for patients to modify their behavior, all in an
effort to live a healthier life. Pharmacists actively promote good health practices
through their own personal example and by reaching out to provide professional
information to the public. Many Pharmacists participate in patient health education
through the use of pamphlets & bulletins that cover every medical subject imaginable.
Participation of a Pharmacist in community health education programs must be
recommended but it is in the every person to person contact that the Pharmacist
serves most effectively.
Alcohols, Drug Abuse and Smoking Cessation: - The diseases of alcoholism and
drug abuse also come under the preview of the community Pharmacist. The
Pharmacist has a key role to help individuals who become dependent upon alcohol.
Drug abuse is similar to alcoholism yet different because it has been gaining more
acceptances among young people. Annual mortality from tobacco use exceeds that
from all other causes combined. Smoking is the greatest single preventable cause of
morbidity and mortality in India. It is the responsibility of a community Pharmacist to
take an active role in helping the smokers to stop smoking. Following a number of
smoking policies through out the pharmacy, by written information and posters, can
do this. The Pharmacist can advise on the products available to assist the patient in
giving up smoking. Counseling sessions can be made by the community Pharmacist to
stop smoking.
Consultancy service: - It’s another area in where a Pharmacist can play a role
directly in public health.
Conclusion: From the above consideration, it is clear that the Pharmacists have
definite beneficial roles regarding health matters. A Pharmacist is the legally qualified
and professionally competent person to handle drugs and allied supplies required for
the patients within and outside the hospital. It is a matter of regret that the
government of our country is taking very little effort to employ highly skilled pharmacy
personnel in different sectors of the health services. But in the developed countries,
Pharmacists are in unique position in this regard. So, the governmental health policy
should be modified by incorporation Pharmacist in different sectors to improve and
ensure the health service for the well being of people of our country.
[References: -
1. Remington (The science and practice of Pharmacy)
21st edition
2. Article: Pharmacists' Involvement with Vaccinations Leads to Preventive Health
Care Role
BY: Krysten. A. Modrzejewski
American society of health – System Pharmacists.
3. Article: Smoking Cessation Guidelines for Health Professionals - A guide to
effective smoking cessation interventions for the health care system
By: MARTIN RAW, PhD Freelance Consultant; Honorary Senior Lecturer in Public
Health
King's College School of Medicine and Dentistry, University of London, London,
UK
4. Article: A Randomized Trial of the Effect of Community Pharmacist Intervention on
Cholesterol Risk Management
The Study of Cardiovascular Risk Intervention by Pharmacists (SCRIP)
By: Ross T. Tsuyuki, BSc(Pharm),PharmD,MSc; Jeffrey A. Johnson, BSP,PhD;
5. Article: Health-system pharmacists' role in immunizing adults against
pneumococcal disease and influenza
By: JD Grabenstein and J Bonasso
American Journal of Health-System Pharmacy, Vol 56, Issue suppl_2, S3-S22
6. Article: The pharmacist should play an active role in family planning
NCBI, a service of the National Library of Medicine and the National Intuition of
Health
7. Article: Role of community pharmacist in ensuring better healthcare
By: Harish Dureja and Deepak Kaushik
Lecturers at Department of Pharmaceutical Sciences
M. D. University, Rohtak (Haryana)
8. Article: New role for pharmacists
By: Jessica Whiteside
University of Toronto
9. Article: Role of the pharmacist in healthcare system
By: S S Bhise
The author is principal, Government College of Pharmacy, Osmanpura,
Aurangabad
10. Article: Community pharmacy in Australia
NCBI, a service of the National Library of Medicine and the National Intuition of
Health
11. Article: SIUE school of Pharmacy
Board of Trustees, Souther Illinols University
12. http://www.pubmed.gov
13. http://www.pubmed.gov