Role of Community Pharmacists in Healthcare

enjoyment of club Pharmacists in healthc beINTRODUCTIONCommunity apothecarys whitethorn be regarded as the wellness avocationals most accessible to the public1 and whose operate are coveted by the public and patients. Round the world, millions of people visit lodge pharmacies for their unremarkable health accusation requirements. Pharmacists are placed as the first fountainhead of contact in the health anxiety system because of their ease of approach2. They dispense medications in accordance with a prescription medicine or without prescription when permitted, as in the case of OTC medicines. In addition to the cater of medicines the overlord services of a club pharmacist should also cover patient counselling, do medicates information to health bang professionals, patients and public, participation in healthcare programmes.3The main activities of conjunction pharmacists include 3, 4, 5Processing of prescriptionsThe pharmacist checks for the legality, safety and a ppropriateness of the prescription order and decides whether the medication should be handed to the patient with appropriate counselling, by a pharmacist. The federation pharmacist is in a unique perplex to be fully mindful of the patients past and flow medicate history and, consequently, can show essential advice to the prescriber.Care of patients or clinical chemists shopThe pharmacist seeks to collect and integrate information around the patients drug history, clarifies the patients understanding of the mean dosage regimen and method of administration, and advises the patient of drug-related precautions.Monitoring of drug customThe pharmacist can participate in ar celestial orbitments for observe the utilization of drugs, such as practice research projects, and schemes to analyze prescriptions for the monitoring of adverse drug reactions.Extemporaneous preparation and small-scale manufacture of medicinesNew developments in drugs and tar systems may well extend the need for individually adapted medicines and hence addition the pharmacists need to continue with chemists formulation. Pharmacists assume in the small-scale manufacture of medicines, which must accord with good manufacturing and scattering practice guidelines.Traditional and alternative medicinesIn some countries, as in India, pharmacists supply traditional medicines and dispense homoeopathic prescriptions.Responding to symptoms of boor ailmentsThe pharmacist receives requests from members of the public for advice on a variety of symptoms and, when indicated, refers the inquiries to a medical examination practitioner. If the symptoms relate to a self-limiting minor ailment, the pharmacist can supply a non-prescription medicine, with advice to consult a medical practitioner if the symptoms persist for more than a few days. Alternatively, the pharmacist may give advice without supplying medicine.Informing health care professionals and the publicThe pharmacist can compile and mai ntain information on all medicines, and specially on newly introduced medicines, suffer this information as necessary to other health care professionals and to patients, and use it in promoting the rational use of drugs, by providing advice and explanations to physicians and to members of the public.wellness promotionThe pharmacist can reach part in health promotion campaigns, locally and nationally, on a wide range of health-related topics, and particularly on drug-related topics (e.g., rational use of drugs, alcohol abuse, tobacco use, despair of drug use during pregnancy, organic solvent abuse, poison prevention) or topics abide got-to doe with with other health problems (diarrheal distempers, tuberculosis, diabetes care, leprosy, HIV-infection/AIDS), nutritional counselling and family planning. They may also take part in the education of local alliance groups in health promotion, and in campaigns on disease prevention, such as the Expanded broadcast on Immunization, a nd malaria and blindness programmes.Domiciliary servicesIn a trope of countries, the pharmacist provides an advisory as well as a supply service to residential homes for the elderly, and other long-term patients. In some countries, policies are macrocosm developed under which pharmacists will visit certain categories of house-bound patients to provide the counselling service that the patients would have received had they been able to visit the pharmacy. clownish and veterinary practicePharmacists supply animal medicines and medicated animal feeds. worldwide scene of Community chemistsCommunity pharmacy practice evolved in a period after Second World War. A pharmacist began to carry out functions that were new to pharmacy. The popular motto of patient oriented practice and drug use control came into practice.6Around the world there are community pharmacists who are drug experts providing patient care in their community pharmacies. In many countries community pharmacies are place s where individuals may obtain health advice avail with managing their disease status with medication.In UKpharmacist have constituent in uncomplicated care public health. In community pharmacies the concept of responsible pharmacist is adopted from 2005. In Canada community pharmacies offer professional services wish well home deli genuinely of prescription, in remembering blood contract monitoring device, in store screening/risk assessments, patient library, in store educational seminar/programs, trial prescriptions, patients call screen system, in store disease management, home visits, out of store educational seminars/program documented care plans.InBrazilcommunity pharmacies provide pharmaceutical services like drug dispensing, blood pressure measurement, capillary glucose test, cholesterol/triglyceride test, nebulization, administration o injectables compounding. In Germany community pharmacists contributes to health promotion promote rational prescribing and appro priate use of medicine along with this they provide drug information, pharmaceutical care preventive care services.In Finlandmedication counseling by community pharmacists was made mandated by law in 1983. In Australia, disease state management in asthma diabetes is being considered for reimbursement in Portugal, programs exists for diabetes, asthma hypertension. In Sweden all pharmacies have an information technology-based drug related problem documentation system a new national drug related problem database.8Community apothecarys shop in IndiaThe contemporaries of community pharmacy practice in India can be traced back to the Colonial period when allopathic drugs were introduced and were made available through drug stores towards the end of the nineteenth century. The pharmacy practice scenario and especially community pharmacy practice during pre-independence era was highly unregulated and there were no restrictions on the practice of pharmacy in India.7When we look into ou r country, as compared with the global setting, things are totally different and honestly it is quite disturbing. More or less, with very few exceptions, pharmacies are the drug selling shops and not yet healthcare settings. The true community pharmacy concept is not developed yet. Although community pharmacist is of key importance in providing better healthcare, the situation and agent of the community pharmaceutical service has stood where it was in its commencement.6Today, community pharmacists romance an weighty component in any country as they take indebtedness for patients medicine related needs for access to healthcare. However, in India only the supply of medicines remains the core activity of the community pharmacist. just about community pharmacists in the country still hardly offer patient-oriented service. The role of the pharmacists in the community, and with it their medicine management, may change in the wake of the rapid growth of domestic medicine output and national healthcare expenditure.7The profession of pharmacy in India can seize the opportunity and respond to changes in thehealth care system, in part, by making pharmaceutical care its mission. Good Pharmacy Practice Guidelines aim to set standards for practice of pharmacy as a profession in India. It is also an affirmative story conveying that we ourselves control our professions standards, not anyone else. These guidelines aim to provide the framework to meet the criteria that has the potential to make pharmacy profession pertinent to the society. Hence it is necessary that every individual pharmacist should be sensible of the guidelines and uplift their profession.Prevalence of diabetes and the role of community pharmacist in diabetes care gibe to recent estimates, approximately 285 million people worldwide (6.6%) in the 2079 year age group will have diabetes in 2010 and by 2030, 438 million people (7.8%) of the adult population, is expected to have diabetes9. Between 2010 a nd 2030, there will be a 69% improver in numbers of adults with diabetes in developing countries and a 20% increase in developed countries.10It is estimated that the total number of people with diabetes in 2010 to be around 50.8 million in India, rising to 87.0 million by 2030. According to the World Health Organization (WHO) criteria, the prevalence of known diabetes was 5.6% and 2.7% among urban and hoidenish areas, respectively. India is ranked first among the top10 countries for estimated numbers of adultswith diabetes, 2010 and 2030 11.Several studies have reported the role of pharmacists in diabetes care. Community Pharmacists for diabetes patients intervention think in Japan showed a marked increase in HbA1C levels.12 A Study conducted in Tamil Nadu has turned out to show that community pharmacists are in a unique position to monitor and counsel rural patients with diabetes. This study demonstrates the supreme impact that the community pharmacist can have in achieving the primary(a) therapeutic goal in diabetes patients of overall diabetes control. 13It is evident that community pharmacy in its broad meaning has not yet gain into practice and the community pharmacist has a major role to play in diabetes care. An evaluation will reflect how far our pharmacists are aware of their role and will help to improve themselves in their profession. Hence our study aims at assessing the knowledge, attitude and practice of the community pharmacist towards Good Pharmacy Practice and diabetes with an objective of imparting academic and professional updation through professional development initiatives.ReferencesKrishna Goudar Bhimaray, Mahadevamma C, Yoganada R, Shaik Shafiya Begum. The key role of community pharmacist in Health care system. An over view.Adepu R, Nagavi BG. General practitioners perceptions about the broaden roles of the community pharmacist in the state of Karnataka A study. Indian J Pharm Sci. 2006 68(1) 36-40.Report of WHO Consultative Grou p New Delhi, India. The role of the pharmacist in the health care system N- December 1988 p 10-12.Stephen Greenwood, Australian Health Consumer number one 20052006 Value of the current system of community pharmacy p 10 13Rai Awani Kumar, Saini Rakesh, A Textbook of Community Pharmacy Roles and responsibilities of community pharmacist p 2 3Ishita, Deepak Kaushik Harish Dureja Role of community pharmacist in ensuring better healthcare http//www.pharmabiz.com/article/detnews.asp?articleid=22582sectionid=46Subal Chandra Basak, Dondeti Sathyanarayana Community Pharmacy Practice in India Past, Present and Future, Southern Med Review script 2 Issue 1 April 2009 p 11 14 international Scenario Community Pharmacy http//www.pharmainfo.net/vijayaratna/blog/community-pharmacy-india-and-some-issuesIDF Diabetes Atlas, 4th edition. International Diabetes Federation, 2009.J.E. Shaw , R.A. Sicree, P.Z. Zimmet, Diabetes Atlas Global estimates of the prevalence of diabetes for 2010 and 2030A Ra machandran, AK Das, SR Joshi, CS Yajnik, S Shah, KM Prasanna Kumar legitimate Status of Diabetes in India and Need for Novel Therapeutic Agents Supplement to japi june 2010 vol. 58Okada H, Nakagawa Y, Onda M, Shoji M, Fukuoka K, Ishii Y, Sakane N Community Pharmacists for Diabetes Patients Intervention Study in Japan poke ProjectR Venkatesan, AS Manjuladevi , S Sriram Role of community pharmacist in improving glycemic control, Perspectives in clinical research