People-Centred Pharmacy: Ethical Challenges In Everyday Practice

Also by David Seedhouse 

Foreword 

Acknowledgements 

What to Expect from This Book 

Introduction 

What Is a Person? 

The DPN 

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

Discover people-centred decision-making for pharmacists in this clear and practical volume

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.

David Seedhouse is a widely read author and Honorary Professor of Deliberative Practice, Aston Pharmacy School, Birmingham, UK.