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    Narrative Case Evaluation

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    Mais Rajeh
    This case evaluation summarizes the care of a 61-year-old male patient with COPD who was admitted for an exacerbation. The patient was on Spiriva but needed combination therapy according to guidelines. There was an ethical dilemma as the pharmacist recommended the guideline-directed therapy of LAMA, LABA, and ICS, but the physician had only prescribed Spiriva. The pharmacist communicated with the physician and discussed changing the therapy. They resolved the dilemma by referring to guidelines and the physician prescribing Symbicort in addition to Spiriva, providing the recommended combination therapy.

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    Narrative Case Evaluation

    Uploaded by

    Mais Rajeh
    11 views2 pages
    This case evaluation summarizes the care of a 61-year-old male patient with COPD who was admitted for an exacerbation. The patient was on Spiriva but needed combination therapy according to guidelines. There was an ethical dilemma as the pharmacist recommended the guideline-directed therapy of LAMA, LABA, and ICS, but the physician had only prescribed Spiriva. The pharmacist communicated with the physician and discussed changing the therapy. They resolved the dilemma by referring to guidelines and the physician prescribing Symbicort in addition to Spiriva, providing the recommended combination therapy.

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    Narrative case evaluation

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    This case evaluation summarizes the care of a 61-year-old male patient with COPD who was admitted for an exacerbation. The patient was on Spiriva but needed combination therapy according to guidelines. There was an ethical dilemma as the pharmacist recommended the guideline-directed therapy of LAMA, LABA, and ICS, but the physician had only prescribed Spiriva. The pharmacist communicated with the physician and discussed changing the therapy. They resolved the dilemma by referring to guidelines and the physician prescribing Symbicort in addition to Spiriva, providing the recommended combination therapy.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    11 views2 pages

    Narrative Case Evaluation

    Uploaded by

    Mais Rajeh
    This case evaluation summarizes the care of a 61-year-old male patient with COPD who was admitted for an exacerbation. The patient was on Spiriva but needed combination therapy according to guidelines. There was an ethical dilemma as the pharmacist recommended the guideline-directed therapy of LAMA, LABA, and ICS, but the physician had only prescribed Spiriva. The pharmacist communicated with the physician and discussed changing the therapy. They resolved the dilemma by referring to guidelines and the physician prescribing Symbicort in addition to Spiriva, providing the recommended combination therapy.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    Narrative case evaluation sheet:

    Student’s name: ‫ميس عصام محمد عبدالرحيم‬ Mark out of 5=

    Reg.No:0166336

    Component Assigned Comments Matched Competency


    marks
    Ethical Dilemma 1 Pharmacist-colleague relationship
    category involved in the
    case ( 1 mark)
    The case : 1.5 AA 61 years old male known case
    background Information of COPD 10ago last exacerbation
    (0.5 mark) on March years he is grade 2 on
    MMRC complains of SOB cough
    Complication(0.5 mark) sputum wheezing admitted as a
    case of COPD exacerbation he is on
    Resolution and the spiriva 1*2 pt is COPD stage D he
    story's end(0.5 mark) need combination therapy of
    LAMA LABA ICS we contact
    with physician and discussed with
    him this TRP so he prescribed
    symbicort 1*1
    Identified ethical 1 Beneficence prevent harm prevent Innovation and problem solving
    principles ( 1 mark) exacerbation reduce signs and
    symptoms
    0.5 Pharmacist colleagues relationship Innovation and leadership
    Analyse the ethical pharmacist and physician have
    dilemma (further
    research about the ethical different opinions about
    issues you identified to pharmacotherapy as
    assist you in analysing recommendations for COPD stage
    and discussing it in your D should start LAMA and LABA
    essay) combination therapy and consider
    ( 0.5 mark) ICS but patient only on LAMA
    Communication with 0.5 Communicate with physician and Interprofessional communication
    team (pharmacist, Nurse, discussed with referral to Teamwork
    Physician) and lead the Guidelines Professionalism
    team to resolve the
    ethical dilemma (0.5
    mark)
    Your final decision 0.5 Ethical dilemma was resolved when Professionalism
    regarding the ethical we contacted with physician
    dilemma (0.5 mark)

    Prepared by: Dr. Shereen Aleidi


    Assistant Dean of PharmD program and Hospital Affairs 2020/2021
    1

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