PHARMACY PRACTICE MODULE PHARMACY PRACTICE-III Third year Lecturers: A. Serracino Inglott, L.M. Azzopardi Lecture No. Lecture Title 1 24/10/11 2 24/10/11 3 31/10/11 4 31/10/11 5 7/11/11 6 7/11/11 07/10/2011 LA PHR-3106 8 credits Lecture Schedule Description Observational methods Surveys Questionnaire construction Data preparation and analysis Schizophrenia, which is a chronic, Schizophrenia debilitating illness where the goal of treatment is to control psychotic symptoms, is discussed. A comparative approach to antipyschotic medications is adopted. Pharmacists are in a position to fill the Pharmacists’ care plans pharmaceutical care gap that occurs in and Pharmacist the practical setting whereby there is Prescribing lack of optimal amount of therapeutic planning. A general introduction to the planning phase and the development of disease specific drug treatment protocols is presented so as to serve as a basis for disease-oriented discussions in these credits. An introduction to the concept of pharmacist prescribing is presented. The pharmacists interventions during Cardiovascular disorders the diagnostic and treatment phases are aimed to help patients achieve the desired outcomes of therapy. Clinical assessment and parameters that should be monitored in cardiovascular disease are discussed. Depression is an affective disorder Mood disorders where patient presents with varying degrees of low mood. Drug treatment is the mainstay of treatment in moderate to severe depression but for treatment to be successful it should be supported by non-pharmacologic strategies. Management of acute and major depression is discussed. The management of hypertension, Hypertension which is considered a major risk factor for cardiovascular and cerebrovascular disease, is discussed. Review of causes of lack of responsiveness to antihypertensive therapy and of considerations for individualizing drug therapy due to co-existing disease states. Lecturer LA Research methodology-III LA ASI ASI LA ASI 1 7 14/11/11 8 14/11/11 9 21/11/11 10 21/11/11 11 28/11/11 12 28/11/11 13 12/12/11 14 12/12/11 15 19/12/11 16 19/12/11 17 9/01/12 07/10/2011 LA The management of hypertension, which is considered a major risk factor for cardiovascular and cerebrovascular disease, is discussed. Review of causes of lack of responsiveness to antihypertensive therapy and of considerations for individualizing drug therapy due to coexisting disease states. Depression is an affective disorder Mood disorders II where patient presents with varying degrees of low mood. Drug treatment is the mainstay of treatment in moderate to severe depression but for treatment to be successful it should be supported by non-pharmacologic strategies. Management of acute and major depression is discussed. A condition where there is impairment Ischaemic heart disease in the supply of oxygenated blood to cardiac tissue. Treatment of risk factors is discussed and patient education necessary is emphasised. Diagnostic criteria to differentiate Anxiety disorders generalized anxiety disorder from the normal response to stress are reviewed. The use of antidepressants and benzodiazepines in the treatment of anxiety disorder is discussed. The goal of therapy in cardiac failure is Congestive heart failure to control symptoms of heart failure. Medications used to treat heart failure with special reference to common management mistakes are discussed. Difficulties in falling asleep or staying Sleep disorders asleep or lack of refreshment from sleep are common complaints. The rational use of hypnotic drugs and the counselling that should be undertaken on proper sleep hygiene are discussed. When hyperlipidaemia is uncontrolled Hyperlipidaemia by diet and lifestyle modifications alone, drug therapy is considered. Review of drug therapy, risk of side effects and medication expenses and dietary compliance. Eating disorders are discussed with Eating disorders special reference to anorexia nervosa and bulimia. Management of thrombosis with Thrombosis particular reference to patient education. Antihistamine drugs and Comparative approach to allergic rhinitis antihistamine drugs used for allergic rhinitis and the common cold. Skin Disorders Management of skin allergies, acne Hypertension II ASI LA ASI LA ASI LA ASI LA ASI LA ASI 2 18 9/01/12 19 16/01/12 20 16/01/12 21 13/02/12 and psoriasis is reviewed. Use of drugs for urinary retention, Genito-urinary disorders urinary incontinence and urological pain is reviewed. Review of adrenergic drugs, Dispensing of cholinergic and cholinergic blocking adrenergic and drugs; their indications, side effects to cholinergic drugs be expected and patient counselling. Menopause and Hormone replacement therapy (HRT) Dementia and Alzheimer’s disease 22 13/02/12 Menstrual cycle disorders and contraception 20/02/12 Risks and use of medicines 20/02/12 Quality standards in pharmacy practice 23 24 25 27/02/12 Hepatitis infection 26 27/02/12 HIV infection 5-9/03/12 12/03/12 26 March –18 May 07/10/2011 LA Pharmacy Symposium Discussion Practical attachments Menopause is associated with problems resulting from the ensuing loss of oestrogen in the body. HRT is discussed considering advantages offered, pharmaceutical dosage forms available and patient education. Treatment options in particular innovative disease-specific therapy are discussed. Measurement of patients’ quality of life and of the decline in cognitive symptoms will be presented as pharmacotherapy outcome measurements. Occurrence of menstrual cycle disorders and treatment options is discussed. Oral contraception with emphasis on patient counselling and on the various preparations available is discussed. Medication errors are a cause of concern and require establishment of controlled drug distribution systems and comprehensive pharmacy services. Methods and issues considered in addressing this issue are discussed. The concept of evaluation of professional services provided by the pharmacist is presented. Methods adopted to evaluate quality of professional services provided are reviewed. Audit exercises and validation tools are discussed. The management of viral infectious diseases will be discussed taking as an example Hepatitis infection. Various treatment modalities are presented. The treatment regimens used in the management of HIV infected patients are discussed. Pharmacist interventions in this speciality are presented. LA ASI LA ASI LA ASI LA ASI LA ASI/LA ASI/LA 3