Oral+Presentation+Case+17

= Oral Presentation Case 17 =

//You are a locum pharmacist working in a community pharmacy in a rural area on a Sunday afternoon. An hour before closing a lady phones up and says that her husband is coming in to collect an antibiotic for what she calls a ‘bladder infection’. She says that she has had these symptoms before, and took an antibiotic which cleared it up within a day. She doesn’t have a prescription, and is not able to get to the doctor until Wednesday, but because she ‘knows’ the doctor she says he’ll write anything you suggest. According to her, if the pharmacy owner was on, he would give her something. You look at her dispensing history, and there is no antibiotic listed.

Outline the ethical issues this raises, and describe how you will respond to the husband when he arrives.//

Consequentialism
- wrong drug, wrong indication - adverse effects for patient - lost of trust by doctor and community - legal penalties - not upholding PSA code of conduct eg, health and wellbeing of patient not cared for - set bad precedent - other people want drug with no script
 * Bad consequences of supplying**

- money -popularity with this patient - respect patient autonomy
 * Good consequences of supplying**

Decisions
not supply, but provide necessary infomation, may need to refer husband to doctor