Several chronic illnesses including psychiatric disorder

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As the pharmacist of the local community pharmacy, you have been filling prescriptions for Mrs. Arthur for several years. She has an extensive medication profile which suggests that she has several chronic illnesses including a psychiatric disorder. In her dealings with you there has been nothing that indicated an inability to make competent decisions or to authorize appropriate treatment decisions. One day her husband, Bob, comes into the pharmacy and requests that you give him a copy of his wife's medication profile. He indicates that he wanted to be sure that his wife was receiving the correct medications and was being compliant in taking the drugs as prescribed.

For this problem we will use the RESOLVEDD method of problem solving developed by Dr. Raymond Pfeiffer. The steps of the process are:21 (R) Review facts involved. What are the relevant facts of the case? Who, if anyone, is at fault? How did the situation come about? Who is charged with making the decision? (E) Estimate of the problem or conflict involved in the case. What options do you have? What difficulties are presented by the case? What is the major ethical dilemma involved? (S) State the solutions with initial credibility. Group the options into a small number of potential choices. (O) Examine the outcomes of the solutions. What are the significant possible outcomes that will result from following each of the potential solutions? (L) Likely impact on those involved. In what way are those involved hurt or helped by the solutions? (V) Values upheld/compromised. Which of the basic values are upheld or sacrificed by the solutions? (E) Evaluation and refining of solution and weighing values. Which solution seems to have the best consequences for the individuals involved and sacrifices the least principles? (D) Decision arrived at, clarified, and shown to implement equal consideration of interest. Decide how the decision will be carried out, and explain why this was the best of the possible solutions. (D) Defense of that decision against objections to its main weaknesses. What are the major weaknesses of the decision? What are the best answers to objections based on the weaknesses?

Reference no: EM133483126

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