In India, pharmacy practice is still in its infancy. But, the introduction of the Doctor of Pharmacy (PharmD) study program has sparked major debates regarding clinical pharmacy in the nation. Certainly, patients, doctors, nurses, other healthcare professionals, recruiters in the pharmaceutical businesses, prospective students, and their parents all have many questions regarding this profession and study program.
Here are the roles and responsibilities of a Clinical Pharmacist
- Rational drug use
- Therapeutic Drug Monitoring (TDM)
- Medication outcomes and comparative effectiveness
- Medication Therapy Management
- Pharmacogenomics & Pharmacoeconomics
- Pharmacokinetics and Pharmacodynamics
- Hematology and Oncology Pharmacists
- Transitions-of-care Services
Rational drug use
As a member of the patient care team, the pharmacist has the responsibility to ensure that the patient is using the best medication possible in the correct manner, which will improve rational drug therapy. Further, the new drug delivery systems enable the pharmacist to take on new responsibilities in the field of patient care. Likewise, the clinical pharmacist will play a significant role in the hospital's medication information dissemination and retrieval processes.
Therapeutic Drug Monitoring (TDM)
The ultimate goal of TDM is to select pharmacological doses that, using clinical pharmacokinetic principles, are tailored to the features of specific individuals. Therefore, it may be claimed, with merit, that this “specialty” supports the fundamental responsibilities of all pharmacists and affords them the chance to provide patients with something special.
Medication outcomes and comparative effectiveness
The use of team-based care in primary care practices, comparative effectiveness studies of pharmacy-based interventions, and methods. As a result, an increase in drug adherence is all urgently needed.
Medication Therapy Management
Principal Components of an MTM Service Model in Pharmacy Practice : Five essential components make up the MTM service model in pharmacy practice:
- Medication therapy review (MTR)
- Medication-related action plan (MAP)
- Personal medication record (PMR)
- Documentation and follow-up
- Intervention and/or referral
Drug-related problems (DRP) are examined in both inpatient and outpatient settings. For instance, they have the goal of reducing the impact of DRP on patients and establishing safe medication practices.
Different parameters are covered by pharmacoepidemiology.
- DRP management in different healthcare settings
- includes intravenous drug administration and DRP
- Relationships between antiepileptic drug use and bone health
- benefits and hazards of using over-the-counter medications for self-medication
Pharmacogenomics & Pharmacoeconomics
Pharmacogenomics is the use of genetic data from patients or diseased tissues (such as cancer tissue from a patient). Thus, they help prescribers choose the best medication and dosage for the patient.
The following three key areas make up a pharmacist's position in pharmacogenetics.
- The introduction of pharmacogenetic testing into clinical procedures.
- Creation of fresher research methodologies and the provision of research guidelines.
- Educating healthcare professionals and assisting in the creation of technology and infrastructure for pharmacogenetics
- In preparation for the real adoption of technology in the healthcare system.
Pharmacokinetics and pharmacodynamics
The pharmacists role in this section is to record and use several parameters. So, each is helpful for patient care. For instance, this includes:
- Volume of Distribution
- Drug Clearance
- Drug Elimination
- Dosing Variations
- The Half-Life
- Oral Availability
- Protein Binding
- Saturable Drug Metabolism
- Dosing and Age
- PH and Pharmacokinetics
- Drug Interactions
- Drug Transport
- Drugs in Pregnancy
Hematology and Oncology Pharmacists
An oncology pharmacists expertise and abilities assist a wide range of tasks in all facets of patient care. Furthermore, it involves from the bedside to putting policies into practice. Additionally, it caters from primary research to influencing other clinicians in the choice and administration of anticancer medicines.
The Joint Commission and other healthcare organizations stress the importance of streamlining the Transition-of-care (TOC) process. Moreover, they decrease prescription errors and prevent adverse events in the current healthcare system.
In addition to promoting health, wellness, and disease prevention in partnership with doctors and other healthcare providers, the cadre of clinical pharmacists can help patients use pharmaceuticals in a balanced or optimal way.