Awareness of Pharmacist Health Care Systems

Awareness of Pharmacist Health Care Systems Abstract:- The aim of the study was to investigate the awareness of local population of Islamabad region regarding the pharmacists and their supplementary/independent prescribing in a primary health care system, and further to identify the importance and need of pharmacist’s independent prescribing. Also to prove that the introduction of pharmacist’s prescribing has the potential to minimize fragmentation within the primary health care system, optimize management of medication, and improve patient care and access to medication. We performed an observational study on patients who visited the pharmacies for medication, and took their views and suggestions through a calibrated questionnaire to evaluate the importance and need of pharmacist independent prescribing. After the consent from the patient, complete medical history was noted and Physical Examination were performed to diagnose the disease and need of the patient. Appropriate prescribing and Interventions were done. After one week telephone calls were made to record the response of patients. Majority of population was in the favor of pharmacist independent prescribing. Introduction: From the last few decades the health care got a tremendous change which make it more accessible to the common person. Pharmacist who is an important part of healthcare team, now his roles have extended from the traditional job of dispensing medicines and elementary medication counseling to working with other health-care professionals at patient bed site and in community (Nkansah, Mostovetsky et al. 2010). Pharmacists are among the most easily available health-care providers. They have roles in medication review, health promotion, and disease management, with in-depth knowledge of pharmacology, clinical Pharmacotheraputics, and patient care skills that are currently underused. Prescribing is not an easy task; it involves significant expertise to apply drug therapy skills, but that is a type of skill that pharmacists can improve. Independent prescribers are responsible for the evaluation of the patients with diagnosed or un-diagnosed disorders, and for decisions about the clinical mana gement required and drawing up a treatment plan. The independent prescriber also has the authority to prescribe the medicines required as part of the plan. United Kingdom was the leading country which introduced new role i.e., Pharmacist independent Prescriber (Avery and Pringle 2005).In United States 38 states were allowed for Collaborative drug therapy management in 2003, however Florida was pioneered in Independent Pharmacist Prescribing (Tonna, Stewart et al. 2008). Method and Materials: Design of this study was based on observational method. A survey was done in order to make findings about independent prescribing of pharmacist in the region of Islamabad. Customers of different pharmacies are being asked questions about prescribing manners in the form of questionnaire. By using this method, full medication history from the patient was available to assess the patient compliance, their understanding of the disease, treatment and related issues. Three Pharmacies of Islamabad Region were selected to accomplish the purposes of this study. Twenty nine patients were randomly selected from these pharmacies who visited the pharmacies with some general diseases and asked the pharmacist for medication. The selected population of twenty nine patients was informed and made clear about the objectives and purposes of the research study and a permission was taken from each of the patient involved in this study through the consent form. The Pharmacists at the pharmacies were provided with a case history sheet to take history of the patients so that effective medication with minimum interactions could be provided. The history sheet included patient’s name, age, sex, chief complaint, history of present illness, the diagnosis made etc. Each of the twenty nine patients visiting the pharmacies was asked about their medication histories and the history sheets were filled to keep the record. After the review of patient history, diagnosis was made and prescription was given to the patient. The therapy outcomes and patient satisfaction was evaluated by telephonic interviews from each of the patient. For this purpose a questionnaire was designed, which contained validated questions to evaluate patient satisfaction with the therapy outcomes and patients were asked for their views and suggestions about independent prescribing by the pharmacist. This questionnaire contained open ended, close ended and choice questions that helped to assess the need of pharmacist in primary health care system as independent prescriber. Results:- The first question which was asked to the patients was whether they know about the pharmacist. This question helped to evaluate how much population of Islamabad region is familiar with pharmacist. 93.1% of population in this study was knew about pharmacist. Discussion:- This study has considered the views of patients about pharmacist independent prescribing. The patients involved in this study were all supportive of pharmacist independent prescribing. Patients were satisfied majorly due to the cost effective medications prescribed by the pharmacist and reduced/minimal hospital visits that contributed to save the fee of physician. As when there is a pharmacist available in a community, the burden on the shoulders of a physician is much reduced, patients do not need to take appointments from the physician, hence, it’s time saving for the patients to visit the pharmacist for the medication. Some patients suggested for a separate independent setup for the pharmacist. These were the patients who were fully satisfied with the independent prescribing of a pharmacist. Some of the patients suggested that pharmacist has more knowledge about medicines, their interactions, contraindications, ADRs so they can prescribe independently. In this study majority of the patients were satisfied with the therapeutic outcome of the Pharmacist Prescribing. Similar studies was conducted in UK and it was found that the participants highly appreciated the extending scope of practice for pharmacist (Latter, Blenkinsopp et al. 2010). Another study, Pharmacists were evaluated for their independent prescribing and it was found that patients were satisfied with the pharmacist knowledge and their prescription (Stewart, MacLure et al. 2011). Recently a survey was conducted regarding patients experience and perception of care provided by the pharmacist independent prescriber, most of the patients were satisfied with the pharmacist prescribing. In comparison with Physician prescribing, most of the patients stated no difference in their practice of care provided (Tinelli, Blenkinsopp et al. 2013). Conclusion:- All patients in this study were supportive of pharmacist independent prescribing in primary health care system. There should be an independent setup for the pharmacist to practice diagnosis and prescribe rationalized treatment. Pharmacists are good in general diseases but need practice in broader area of major diseases.

Emile Durkheim’s Theory of Crime and Crime Causation Essay

Abstract The concept of â€Å"crime† has over the ages been subject to various definitions as the society tries to address it. Criminology is thus the study of crime and crime causation. It concerns itself with understanding the deep essence of crime as an act or omission, and all the reasons behind its occurrence. In this pursuit, criminology draws on various other fields such as sociology, biology, psychology, etc. This field of study is often argued to be a subdivision of sociology which the larger field since its main focus is grounded in social realities. Hence, during the twentieth century, the sociological approach to crime was the most influential, thus scholars such Emile DURKHEIM bought about considerable impact to the common perception of crime. He was a French sociologist who, viewing the whole society as a reality, perceived crime as a mere element of the society; a completely natural phenomenon and which serves certain significant functions. This work is therefore intended to, throughout a concise discussion, explicate and analyze the theory of crime and its causation as perceived by Emile Durkheim, mainly considering its natural and functional characteristics. †Emile DURKHEIM (1858-1971) viewed inequality as a natural and inevitable human condition that is not associated with social maladies such as crime unless there is also a breakdown of social norms or rules† Explain and Assess Durkheim’s theory on crime and crime causation. Introduction Criminology is understood to be the study of crime and crime causation as social phenomena; it thus concerns itself with the study of the causes of crime and the treatment of the offenders.1 In this pursuit, criminology, as a subdivision of sociology2, draws on many fields inter alia psychology, biology, anthropology, etc. In the twentieth century, the sociological approach to criminology became the most influential approach; this is basically the study of social behavior, systems, and structures. 3 Emile DURKHEIM, a French sociologist, is amongst the scholars who exerted great influence on criminology during that period. He, unlike other scholars, both in and outside the field of sociology, perceived criminal behaviors as normal part of all societies. No society, he argued, can ever have complete uniformity of moral consciousness4, and thus, there has always been some deviant characters from the commonly accepted moral values. This write-up is therefore intended to briefly explicate and analyze the theory on crime and its causation as observed by E. Durkheim. Scholars in almost all the fields (related to criminology in particular) before and after Durkheim have endeavored to find the cause for crimes. In this regard, they have attempted to find the causation of criminal behavior in different factors, including external factors such as in natural and supernatural forces,5 climate, economic conditions, density of population or  certain ecological areas.6 In contrast to all the above factors, Durkheim maintained that the only explanation in relation to crime causation is to be found in essentially looking into ‘the very nature of the society’.7 In this respect, he was convinced that the individual is rather ‘a product’ than an ‘author’ of the society; he is, otherwise, a small image of the world in which he lives, hence, the causation of his behaviors, be they criminal or not, could be found only by understanding the society in which he lives. For E. Durkheim, crime is therefore immanent in society an d results from social interaction. Simply put, criminality proceeds from nothing but the very nature of humanity itself and, far from being transcendent, it is immanent.8 In his writings, Durkheim emphasizes on the immanence of crime; its causation as solely based upon the material world. Rejecting all definitions of crimes, as per the commonsense of any society, as acts that are harmful to society, Durkheim observes that all crimes, as a common characteristic, consist in acts universally disapproved of by members of each society; they shock sentiments, which, for a given society, are found in all healthy consciences. 9 Put simply, a crime is a deviant behavior only because it goes against social norms. From this perspective, arguably, the French sociologist seems to In reference to the pre-classical school of criminology whereby crime causation was understood as based upon supernatural forces, i.e. forces beyond the natural or human capacities. Adopt the legal definition of crime, as any act that the law makes punishable.10 However, unlike the proponents of that legal definition, he hold the view that the said act punishable by the law serves a significant social function which is to support and reassure the same social norms or  laws of a society. From the above elements, one would deduce that according to this theory, a crime is, arguably, a paradoxical phenomenon. Durkheim, the theorist, suggests that a crime is normally caused by or results from social interactions, and it is not deviant per se unless so declared by the laws or social norms. This is arguably Durkheim’s eminence in the field of criminology which rests upon his broad approach to anti-social behavior.11 However, it will be worth remembering that Durkheim, after identifying the essence of crime and causation, he went further to attribute to this phenomenon a certain function. This is what makes him different from all the scholars in the field of criminology. He observed that, not only is crime something normal in societies, it also plays some significant function. The Normality and Functionality of Crime Unlike other social scientists before and after him, Durkheim maintains that criminality is Normal factor rather than a Pathological one.12 Especially in current societies, this might seem really strange. According to Durkheim, crime is normal because a society the society cannot get rid of it; it is utterly impossible for a society to exempt from criminality. He argues that it is a phenomenon, not due to any imperfection of human nature or society, but from the  normal course of affairs in that given society. Hence, it is the fundamental conditions of the social organization that logically imply it. Crime is hence all a part of the totality of a society. The criminal behavior is a behavior completely normal like any other and thus its complete eradication is quite impossible. Durkheim articulates; â€Å"A society exempt  from it (crime) would necessitate a standardization of the moral concepts of all individuals which is neither possible nor desirable.†14 From this contention, one would concur with Durkheim on the fact that a society cannot get ride with or completely eradicate criminality. The criminal justice system is well-set, not to completely eradicate criminality, but to try as much as they can to reduce its level. Furthermore, Durkheim was of the view that crime serves a non-negligible role within the society. The social function he attributes to crime is inextricably linked with the society’s legal system, in that it supports or reassures the social norms of the society by the fact that it is considered as going against the said norms.15 One of the main justifications for his belief is that the fact that crime is found in all society simply suggests that it must be performing some necessary functions; otherwise it would have degrading over the ages and by the end of the day, abolished in an advanced society. 16 One of the most effective and necessary functions, he argued, crime plays is ‘social change’.17 Crime could be considered as one of the effective sources of change in a society. This could be exemplified by, in line with his definition of crime, the events that happened in the United States with the Anti-miscegenation Laws that promoted racial segregation.18 These laws began being violated as the American society progressed, it reached a point where, in violation those laws (social norms), many people started having inter-racial relationships. To some extent, the violation of those social norms, which could be regarded as crime, brought about social change in the US. Durkheim further argues that without crime, there could be no evolution in law.19 For instance, every individual’s right to express himself should be guaranteed for any society to progress. Hence, the opportunity for a genius or an artist to carry out his work affords the criminal his originality at a lower level.20 Thus, there has to be a certain evolution of the laws in order to face such situation from time to time. He further drew some analogy to the trial of Socrates; â€Å"According to the Athenian Law, Socrates was a criminal, and his condemnation was more than just. However, his crime, namely, the independence of his thought, rendered a service both to his country and the humanity.†21 In terms of evolution of the laws, this trial that occurred in the ancient ages is significant. From the above contentions, one would thus say, that crime should no longer be conceived as an evil that cannot be repressed. It should be considered, instead, as a normal phenomenon which can be faced for purposes of reducing its rate in the society. Conclusion Crime, according to Durkheim, is a normal phenomenon in the society that at the same time serves certain social functions. This paper emphasized on the fact that, unlike other scholars in the field of criminology, Durkheim perceived crime in, arguably, a kind of paradoxical manner in the sense that he started by defining crime as being caused by social interactions. For him, it is an act caused by social interaction, which (act) is not a crime per se, but it one becomes after being so declared by the social norms. He however recognized the negative part of crime, anyway, by conceding that crime is an act that shocks sentiments, which, for a given society, are found in all healthy consciences. He finally suggests that, without condoning crime or presenting apology for it, crime must no longer be conceived as an evil that the society could be exempted from, but rather a reality that exists as part of the society to members of the society can react through punishment.22 Therefore, in stating that crime could be perceived as merely a normal and natural element, he conceived the whole society as reality which is meant to move and evolve. BIBLIOGRAPHY Black’s Law Dictionary; (8th Ed. 2004). West’s Encyclopedia of American Law, edition 2. S.v. â€Å"Criminology.† Retrieved July 27 2014 from http://legal-dictionary.thefreedictionary.com/Criminology Durkheim, E. The Rules of Sociological Method, Edited by G. E. Gatlin, 1938. http://kpulawandsociety.wordpress.com/2012/10/18/durkheim-crime-serves-asocial-function/; Retrieved on July 27, 2014. Hamlin, J. The Normality of Crime. Durkheim and Erikson, Department of Sociology and Anthropology. UMD (2009). Walter A. Lunden; Pioneers in Criminology XVI–Emile Durkheim (1858-1917); Journal of Criminal Law and Criminology. Vol. 49|Issue 1, Article II (1958). Prins, A., Criminalite et Repression, Bruxelles, 1886. http://www.s-cool.co.uk/a-level/sociology/introduction-to-deviance/reviseit/deviance-durkheims-contribution. Retrieved on July 27, 2014.

Preventing The Burn Guy Montag Versus Society - 972 Words

Preventing the Burn: Guy Montag Versus Society Ana is a girl who followed trends and participated in activities the â€Å"cool kids† attended in high school. At first, she follows trends because an abundant amount of students claim it seems entertaining. However, that was not the case for her. Ana came to the conclusion that the activities were not amusing; she only followed trends because she thought it would create a popular reputation for herself. She decided to be unique and became determined to achieve what was best for herself. Such a follow-the-leader type situation is not uncommon in high school as it inhabits people to follow others’ actions to fit in. Fortunately, a person like Ana will always strive to be an individual and live the way he or she assumes is best. Unfortunately, a willingness to practice nonconformity such as Ana’s takes time to develop, and other individuals in society frequently then overlook their freedoms and are commonly unaware of living in censored communities. In this type of restrained community, people follow laws blindly and shield themselves from reality. Ray Bradbury in Fahrenheit 451 to protest such societal censorship depicts Guy Montag as an evolving deviant, rebellious protagonist. Partaking in a society of absolute censorship seems to be a priority for Montag at first, but as his mentality grows he constructs a deviating life. After meeting a girl, Montag slowly begins to evolve into a round, dynamic character. The young,

Essay on Nursing Research Article Critique - 990 Words

The development of knowledge requires a number of processes in order to establish credible data to ensure the validity and appropriateness of how it can be used in the future. For the healthcare industry, this has provided the ability to create and form new types of interventions in order to give adequate care across a of number of fields within the system. Research then, has been an essential part in providing definitive data, either by disproving previous beliefs or confirming newly found data and methods. Moreover, research in itself contains its own process with a methodological approach. Of the notable methods, quantitative research is often used for its systemic approach (Polit Beck, 2006). Thus, the use of the scientific method is†¦show more content†¦In this study, they surveyed Ohio nurses in order to determine the connection between the amount of perceived stress and the prevalence or risk of developing and eating disorder. 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