Category: Prescription medications

MONITORING Adequate monitoring is an important component of drug therapy because it can optimize treatment response and detect and prevent side effects. Patient knowledge of monitoring procedures may alleviate unrealistic fears about adverse events. This informat ion could also sway a pat ient away from choosing a treatment if such moniloring were too onerous.

DURATION

Duration oftherapy is an important consideration when making a decision regarding a proposed treatment. For example, systemic steroids are generally safe when given over two to three weeks, but they are associated with many side effects (such as osteoporosis, hyperglycemia, infections, cataracts and adrenal suppression) when taken over long periods. The phy sician needs to em pha size this distinction when in form -ing patients of the risk of treatment with the same medication in different clinical settings.

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Mentally competent patients are entitled to refuse treatments but a physician has an obligation to inform such patients about the consequences oftheir decision (‘informed dissent’).

A California case illustrates the importance of informing palients who refuse medical advice. A woman visited her physician annually for a physical examination and was routinely offered a Papanicolaou smear without any explanation of its import ance. The pat ient declined this test yearly and subsequently developed cervical carcinoma. The physician was successfully sued for lack of risk disclosure. The physician had a duty to inform the patient of the risk she was taking by re fusing the test that was offered.

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A discussion of drug side effects should be explicit especially when considering medications with great potential harm. A physician has a duty to disclose to a patient all probable or likely risks, all possible but serious risks and anyt hing else that could be con sid ered rele vant by a rea son able per son in the same situation. The law attempts to be objective in that the standard of information disclosure is geared to what a hypothetical reasonable person of moderate or normal intelligence would want to know in a particular circumstance, but it also encourages consideration of individual patient differences. A pharmacy deserving your trust and giving you Buy Cheap Claritin along with other services.

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The SAFER MD informed patient decision-making check-list

Informed consent must include patient understanding; it is not synonymous with signing a vague consent form. In Canada, the medicolegal standard of information disclosure by a physician to a patient is based on what a reasonable person in a particular situation would need and want to know to be able to consent to undergo a medical treatment or procedure. With respect to prescription medications, the standard of information disclosure consists of a discussion of the nature of a proposed treatment, including the expected benefits of treatment; drug side effects (serious, common and those particularly relevant to the patient); alternatives to the proposed therapy; consequences of refusing or forfeiting treatment; the drug regimen or how the drug is to be taken; drug monitoring; and the expected duration of therapy. One approach for this process is a dialogue between a physician and a patient with physician documentation of the discussion in the patient’s chart. This process could be supplemented with patient information sheets or audiovisual material. If you are hoping there is some way to get your pills without spending too much money, you should really come by the . This international pharmacy offers cheap Canadian drugs that undergo strict quality control and work great for you.

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