IV. Информативное чтение. Направлено на развитие компетенции ОК-1, ОК-5, ОК-6, ПК-48 (40 мин)

The Pharmacist’s Extended Role

A pharmacist's undergraduate and pre-registration training ensures that pharmacists have extensive pharmacological, pharmaceutical and clinical knowledge relating to drug compounds and medicaments. Moreover, pharmacists are required to develop pharmaceutical skills unique among health professionals. These skills enable pharmacists to be more than just dispensers of medicines.

At the point of handing over a dispensed medicine, pharmacists have an opportunity to reiterate and reinforce the prescribers instructions and, where appropriate, give additional advice and information. By reinforcing the prescriber's instructions, already provided on the medicine's label, pharmacists may facilitate the likelihood of compliance of patients with the prescribed drug regimen. Moreover, since pharmacies are readily accessible in most communities, pharmacists are frequently asked for advice on health care. Such advice may involve the diagnosis and treatment of minor illness and, where necessary, the referral of patients to a general practitioner.

Advising patients on minor ailments, recommending treatments and 'counselling' patients on the correct way to use purchased or prescribed medication form the major elements of the 'extended role'.

Studies of the British public's health have indicated that 90 per cent of individuals suffer from at least one minor ailment within a two-week period (British Market Research Bureau, 1987). Pharmacists in the community are uniquely placed to advise patients on the most appropriate and effective way of dealing with such ailments. Pharmacies are visited daily by an estimated six million people (Pharmaceutical Journal, 1988b), including those who are healthy as well as those who are ill. Pharmacists are unique amongst health professionals in that they are readily available to the public, and can be consulted without the necessity of a prior appointment. Pharmacists are therefore able both to advise on matters of health care, and provide treatment when necessary. Health I care advice may be provided by the pharmacist through personal consultation and or by the provision of educational literature.

1. Advise patients on minor ailments.

2. Advise patients on sensible and effective ways of using medicines.

3. Provision of domiciliary services to housebound/isolated patients.

4. Participation in continuing education of community health care practitioners.

5. Health education and promotion.

6. Supervision of supply and safekeeping of medicines in residential homes.

7. Keep records of prescribed and purchased medication.

8. Registration of elderly patients.

9. Advise prescribers on economic and effective prescribing and on the

effects of medicines.

10. Monitoring and reporting adverse drug reactions and interactions.

11. Advising general practitioners on the administration and handling of complex substances.

12.Diagnostic testing, e.g. measurement of blood pressure and blood glucose and cholesterol levels.

extensive – обширный

skills – навыки

dispenser – распространитель

reiterate – повторять

reinforce – усиливать

facilitate – облегчать

likelihood – подобие, вероятность

compliance – уступчивость, согласие

ailment – недомогание

counsel – советовать

purchased – купленный

on matters of – по вопросам

Упражнение 1. Прочитать и перевести текст, используя слова.

extensive – обширный

skills – навыки

dispenser – распространитель

reiterate – повторять

reinforce – усиливать

facilitate – облегчать

likelihood – подобие, вероятность

compliance – уступчивость, согласие

ailment – недомогание

counsel – советовать

purchased – купленный

on matters of – по вопросам

Упражнение 2. Найти в тексте информацию о:

1) знаниях, необходимых для фармацевта в практической деятельности;

2) навыках, требуемых для фармацевта;

3) помощи населению при выдаче лекарств;

4) уникальность фармацевтической работы