Clin. Pharm - Ch.1 Clinical pharmacy practice

Establish need for a drug

WHAT DUP stage:
Ensure there is an appropriate indication for each medicine and that all medical problems are addressed therapeutically. Consider deprescribing medicines that are no longer appropriate.

Select drug

WHAT DUP stage:

Select and recommend the most appropriate medicine based upon the ability to reach therapeutic goals, with consideration of patient variables, formulary status and cost of therapy

Select regimen

WHAT DUP stage:
Select the most appropriate medicines for accomplishing the desired therapeutic goals at the least cost without diminishing effectiveness or causing toxicity

Provide drug

WHAT DUP stage:
Facilitate the dispensing and supply process so that medicines are accurately prepared, dispensed in ready-to-administer form and delivered to the patient on a timely basis.

Administer drug

WHAT DUP stage:
Ensure that appropriate devices and techniques are used for medicines administration.

Monitor drug therapy

WHAT DUP stage:
Monitor medicines for effectiveness or adverse effects to determine whether to maintain, modify or discontinue.

Counsel patient

WHAT DUP stage:
Counsel and educate the patient or caregiver about the patient’s therapy to ensure proper use of medicines.

Evaluate effectiveness

WHAT DUP stage:
Evaluate the effectiveness of the patient’s medicines by reviewing all the previous steps of the DUP and taking appropriate steps to ensure that the therapeutic goals are achieved.

Clinical pharmacy

comprises a set of functions that promote the safe, effective and economic use of medicines for individual patients. It also process requires the application of specific knowledge of pharmacology, pharmacokinetics, pharmaceutics and therapeutics to patient care.

Pharmaceutical care

is a cooperative, patientcentred system for achieving specific and positive patient outcomes from the responsible provision of medicines. The practice of clinical pharmacy is an essential compon

Medicines optimisation

aims to ensure that the right patients get the right choice of medicine at the right time. The purpose is to help patients take their medicines appropriately and, by doing so, avoid unnecessary treatment, improve safety and outcomes, and reduce wastage. Ultimately it can support patients to take greater ownership of their treatment.