Pharmacy practice I


Introduction

Ms Karen Kennedy
38 lectures, 8 hours of whole class tutorials and 36 hours of small group tutorials and practical work.
Since a large amount of time spent by a pharmacist is in one-to-one communication with patients, doctors and other members of the health profession, the students will be taught the rudiments of oral and written communication skills and will learn aspects of human behaviour so as best to undertake the counselling of patients when dispensing medicines. This segment of the subject forms a motivational and educational component to prepare the student for the studentship period at the end of first year. It also serves as a prerequisite for the second-year subject in pharmacy practice which will cover counselling, social pharmacy and illness behaviour in greater depth. It should also be remembered by the student that the ideals of modern day pharmacy practice as enunciated during these early lectures and practicals in 'Pharmacy practice I' must be carried over into other areas of the course and into the subsequent three years of the undergraduate program and the post-Bachelor of Pharmacy internship period as well as future practice as a qualified pharmacist. Thus, the major aims of this subject are to provide students with a knowledge and understanding of the legal, ethical, behavioural and scientific requirements for the practice of pharmacy. This, in turn, is closely associated with 'Pharmaceutics I'. The subject is also designed to instil in students an appreciation of the need to express concern, compassion and sensitivity in patient care through an understanding of human behaviour.

General objectives

In this teaching program students are expected to develop:

Syllabus

Professional pharmacy

Historical aspects and the roles of modern day pharmacists. The development of pharmacy as a profession. Pharmacy and medicine, professional roles of the pharmacist, ethical considerations. Role of the pharmacist in the maintenance of patient's health. The health care system in Australia. Pharmaceutical care.
The prescription. The model prescription, the legal requirements of a prescription, types of prescriptions, common pharmaceutical Latin abbreviations. Trade names, generic names. The role of the pharmacist in relation to the physician, the prescription and the patient. Recording of prescriptions and patient profiles.
Dispensing. The qualities of a properly dispensed medicine. Dispensing drill as applied to pharmacy practice.
Legal aspects of pharmacy. Sources of formulae, legal precedents for standards, introduction to the Pharmacists Act and Regulations, the Drugs, Poisons and Controlled Substances Act, Schedules to the Act and Regulations.
Commonly used drugs. Common reference texts are used to research the pharmacy of selected drugs.

Communications in pharmacy practice

The use of English. Introduction to what constitutes good written English. Styles of English. Layout and presentation for essays etc. Introduction to good oral communications skills.
Report writing. The main features of a report. Clarity of style. Conclusions of reports. References and bibliography.

Human behaviour

Nature of human behaviour. Approaches, scope, research and measurement, the place of human behaviour in the health profession.
Development. Factors governing development, early years, cognitive development, personality and social development, identification, adolescence, search for identity, middle years, old age, how to relate to geriatric patients.
Perception. An overview, perceptual processes. Prescription reading and perception, patient/professional perception.
Consciousness and control. Consciousness, sleep, dreams, psychoactive drugs and consciousness. The non-therapeutic use of drugs.
Conditioning and learning. Classical, operant conditioning, reinforcement, cognitive and individualising learning. Learning procedures and good counselling.
Remembering. Memory, short term, long term, improving memory, aids to memory, improving patient compliance.
Emotions and motivation. Motivational concepts, basic drives, hunger, obesity, sex, theories of motivation, aggression, emotion, emotional expression, motivation and the pharmacist, motivation and the patient.
Mental abilities. Genetic and environmental determinants of intelligence, testing aptitude and achievements, effect of age on body processes and intelligence, communication with less able individuals.
Personality and its assessment. Shaping of personality, approaches to personality, trait, social learning, psychoanalytic, phenomenological, the noncompliant personality.
Abnormal behaviour. An introduction to the classification of psychopathologies as laid down by the Diagnostic and statistical manual of mental disorders 4th edition (DSMIV). Handling difficult clients.
Conflict and stress. Frustration, anxiety, stress, defence mechanisms. Illness related to stress. The health professional and stress.
The therapies. Patients' symptoms, attitudes, means of modifying behaviour in a positive direction. Applications to patients.

Practical and tutorials

Practical classes are designed to provide experience in dispensing.
Twelve 3-hour sessions in the dispensing of medicines. A three-hour session will also be held in which each student will present a five to ten minute oral dissertation on a given aspect of drug use as depicted by 'Self-care cards'. In conjunction with the lectures and practicals a 'drug in profile' will be displayed each week. Students are expected to maintain records of the pharmacy of these 'drugs in profile' in a specially provided manual.

Textbooks

Recommended texts

Atkinson R L and others Introduction to psychology 12th edn, HBJ, 1996
Mosby's medical nursing and allied health dictionary 5th edn, Mosby, 1998 (or other medical dictionary)
Pharmaceutical Society of Australia Australian pharmaceutical formulary 16th edn, PSA, 1997
Pharmacy Board of Victoria Pharmacy board guidelines PBV, 1999
Thompson N Written communication 8th edn, Macmillan, 1986
Victorian College of Pharmacy Department of Pharmacy Practice drugs in profile handbook VCP, 1999
Victorian College of Pharmacy Department of Pharmacy Practice 'Self care cards' and 'The essentials for health and fitness leaflets' manual VCP, 1999
Victorian College of Pharmacy Pharmacy practice I and Human behaviour manual VCP, 1999
Victorian College of Pharmacy Pharmaceutics I/Pharmacy practice I practical manual VCP, 1999

Reference books

Martindale W The extra pharmacopoeia 31st edn, Pharmaceutical Press, 1996
Upfal J The Australian drug guide 4th edn, Bookman, 1997

Journal references

Australian Journal of Hospital Pharmacy
Australian Journal of Pharmacy
Australian Pharmacist

Assessment

Subject assessment will reflect the learning objectives outlined above. Methods of assessment will include: