Pharmacy ethics and decision-making are a critical part of pharmaceutical care. Pharmacists are routinely faced with decisions that impact the immediate and long-term health of patients, and must exercise professional judgement when the best choices are uncertain.
Current guides to ethical decision-making in healthcare are generally written for doctors or nurses, overlooking the distinctive needs of pharmacy professionals in this crucial area of practice.
People-Centred Pharmacy: Ethical Challenges in Everyday Practice remedies this oversight with a down-to-earth discussion of the common ethical dilemmas pharmacists face. Offering a commonsense focus, the book articulates an approach to practical ethical reasoning that considers the interests of all involved, including the pharmacist. The result is an invaluable resource for pharmacists and those studying the subject.
Readers will also find: - A text written in collaboration with pharmacy educators - Concrete examples drawn from empirical research into pharmacy practice - An interdisciplinary approach to the many dilemmas pharmacists face
People-Centred Pharmacy: Ethical Challenges in Everyday Practice is ideal for all pharmacy staff, as well as all students of pharmacy.
Table of Contents
Also by David Seedhouse xi
Foreword xiii
Acknowledgements xv
What to Expect from This Book xvii
Introduction xix
What Is a Person? xxv
The DPN xxxv
Chapter 1 Category One: Should I Supply? 1
Discussion 3
Discussion 5
So, What’s the Right Answer? 5
DPN Results 6
How Does This Knowledge Help the Pharmacist? 7
The Need for Value Judgements When the Rules Are Not Enough 7
Discussion 9
Related Categories 10
Discussion 11
Related Categories 12
References 12
Chapter 2 Category Two: Patient Choice 15
DPN Results 18
Agree with Refusing to Sell Angela Co- Codamol 19
Disagree with Refusing to Sell Angela Co- Codamol 20
Discussion 20
Related Categories 21
Discussion 23
Related Categories 23
Discussion 24
Related Categories 25
DPN Results 27
Agree Example 27
Disagree Example 28
Discussion 31
Discussion 33
Related Categories 34
References 34
Chapter 3 Category Three: Best Interests of the Patient or the Business? 37
Discussion 44
Related Categories 44
Discussion 45
Related Categories 46
Discussion 47
Discussion 48
Outline of the Bawa- Garba Case 48
Failings Within the Hospital System 49
Related Categories 50
References 50
Chapter 4 Category Four: Confidentiality 53
Discussion 56
Discussion 58
DPN Results 59
Discussion 60
Discussion 62
Related Categories 63
Discussion 63
Related Categories 64
Discussion 64
Related Categories 66
References 66
Chapter 5 Category Five: Individual or Family Decision? 69
Discussion 72
Related Categories 73
Discussion 74
Related Categories 74
Using the DPN 75
DPN Result 75
Agree Response 76
Disagree Response 77
Discussion 77
Related Categories 82
Using the DPN 82
Example Agree Response 83
Example Disagree Response 83
Discussion 83
Related Categories 84
References 84
Chapter 6 Category Six: Cultural Diversity 87
Discussion 89
Discussion 89
Related Categories 90
Findings Over Time 90
Disagree Comments 91
Agree Comments 91
Discussion 92
No Man Is an Island? 96
Why Does This Matter to the Pharmacist? 99
Related Categories 100
References 100
Chapter 7 Category Seven: Third- Party Request 101
Discussion 102
Related Categories 102
Discussion 103
Related Categories 104
DPN Results 104
Agree Examples 104
Disagree Example 105
Discussion 105
Related Categories 105
Discussion 107
Related Categories 107
DPN Result 108
Agree Examples 108
Disagree Examples 109
Discussion 109
Related Categories 110
References 110
Chapter 8 Category Eight: The Scope of My Professional Role 111
Discussion 113
Related Categories 113
Discussion 114
Related Categories 115
References 115
Chapter 9 Category Nine: Compliance 117
DPN Results 118
Discussion 121
Related Categories 121
DPN Results 122
Discussion 123
Use of ‘Fairness’ in an ‘Agree’ Response 123
Use of ‘Fairness’ in a ‘Disagree’ Response 123
Related Categories 123
Discussion 125
Related Categories 126
References 126
Chapter 10 Category Ten: Personal Values 129
DPN Result 130
Discussion 130
Disagree with Refusing Example (A) 130
Disagree with Refusing Example (B) 130
Related Categories 131
Discussion 131
Related Categories 132
Discussion 133
Related Categories 133
References 133
Chapter 11 Category Eleven: Public Health 135
DPN Results 137
Example Agree Response 138
Example Disagree Response 138
Discussion 139
Related Categories 140
Discussion 141
DPN Results 143
Example ‘Agree’ Response 144
Example ‘Disagree’ Response 144
Discussion 145
Related Categories 145
References 145
Chapter 12 Category Twelve: Professional Relationships 149
Discussion 151
Related Categories 153
Discussion 154
Related Categories 159
References 159
Healthcare Ethics as a Decision-Making Tool 161
Conclusion: Using Personal Judgement as a Pharmacy Professional 175
Postscript: Ethical Challenges Will Shape the Future of Pharmacy 177
Index 179
