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Pharmacy Ethics Case Study

This case evaluation summarizes the care of a 61-year-old male patient with COPD who was admitted for an exacerbation. The patient was on Spiriva but needed combination therapy according to guidelines. There was an ethical dilemma as the pharmacist recommended the guideline-directed therapy of LAMA, LABA, and ICS, but the physician had only prescribed Spiriva. The pharmacist communicated with the physician and discussed changing the therapy. They resolved the dilemma by referring to guidelines and the physician prescribing Symbicort in addition to Spiriva, providing the recommended combination therapy.

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Mais Rajeh
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56 views2 pages

Pharmacy Ethics Case Study

This case evaluation summarizes the care of a 61-year-old male patient with COPD who was admitted for an exacerbation. The patient was on Spiriva but needed combination therapy according to guidelines. There was an ethical dilemma as the pharmacist recommended the guideline-directed therapy of LAMA, LABA, and ICS, but the physician had only prescribed Spiriva. The pharmacist communicated with the physician and discussed changing the therapy. They resolved the dilemma by referring to guidelines and the physician prescribing Symbicort in addition to Spiriva, providing the recommended combination therapy.

Uploaded by

Mais Rajeh
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

Narrative case evaluation sheet:

Student’s name: ‫ميس عصام محمد عبدالرحيم‬ Mark out of 5=

Reg.No:0166336

Component Assigned Comments Matched Competency


marks
Ethical Dilemma 1 Pharmacist-colleague relationship
category involved in the
case ( 1 mark)
The case : 1.5 AA 61 years old male known case
background Information of COPD 10ago last exacerbation
(0.5 mark) on March years he is grade 2 on
MMRC complains of SOB cough
Complication(0.5 mark) sputum wheezing admitted as a
case of COPD exacerbation he is on
Resolution and the spiriva 1*2 pt is COPD stage D he
story's end(0.5 mark) need combination therapy of
LAMA LABA ICS we contact
with physician and discussed with
him this TRP so he prescribed
symbicort 1*1
Identified ethical 1 Beneficence prevent harm prevent Innovation and problem solving
principles ( 1 mark) exacerbation reduce signs and
symptoms
0.5 Pharmacist colleagues relationship Innovation and leadership
Analyse the ethical pharmacist and physician have
dilemma (further
research about the ethical different opinions about
issues you identified to pharmacotherapy as
assist you in analysing recommendations for COPD stage
and discussing it in your D should start LAMA and LABA
essay) combination therapy and consider
( 0.5 mark) ICS but patient only on LAMA
Communication with 0.5 Communicate with physician and Interprofessional communication
team (pharmacist, Nurse, discussed with referral to Teamwork
Physician) and lead the Guidelines Professionalism
team to resolve the
ethical dilemma (0.5
mark)
Your final decision 0.5 Ethical dilemma was resolved when Professionalism
regarding the ethical we contacted with physician
dilemma (0.5 mark)

Prepared by: Dr. Shereen Aleidi


Assistant Dean of PharmD program and Hospital Affairs 2020/2021
1

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