Ethical and Legal Implications Of Prescribing Drugs Assignment Paper

Considering the ethical and legal principles for prescription drugs to patients is critical for Advanced Practice Nurses (APNs). When prescribing medicines, nurse practitioners should be accountable, responsible, and knowledgeable. This paper seeks to identify the ethical and legal implications for the stakeholders in the given scenario. It also aims to identify strategies for dealing with disclosure and nondisclosure, offer two strategies to support decision-making, and outline the prescription writing process Ethical and Legal Implications Of Prescribing Drugs Assignment Paper

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Ethical and Legal Implications

The pharmacist, prescriber, patient, and patient’s family are all embroiled in this situation. To deliver quality healthcare, it is critical to collaborate with all stakeholders, including the nurse practitioner, in order to legally and ethically administer the appropriate prescription for the client’s needs. The prescriber and the pharmacist must ensure that the drug is appropriate for the patient’s health problem as well as their budget. The client ought to voice concerns and be aware of the drug’s function. Furthermore, the patient’s family must act as the client’s advocate by posing questions to the best of their abilities to grasp the healthcare problem and the drug’s function. The client ought to voice concerns and be aware of the drug’s function. Furthermore, the patient’s family must act as the client’s advocate by posing questions to the best of their abilities to grasp the healthcare problem and the drug’s function. While it is not legally mandated that the patient and family members and the patient fully comprehend the function of medicines, it is nonetheless the correct ethical step Ethical and Legal Implications Of Prescribing Drugs Assignment Paper

Disclosure and Nondisclosure

In Virginia, pharmacists may market the selling price for all medicines dispensed by prescription in respect of the disclosure of medication prices. Although there is no law requiring healthcare professionals or other prescribers to reveal the retail prices of medicines to be administered, it is essential to build confidence between clinicians and patients, and not disclosing that a drug is costly will hinder or impede the establishment of that crucial confidence, particularly if the clinician wants the client to comply with the drug regimen. According to Jadoo & Lipoff (2018), when practitioners provide treatment alternatives to their clients, it is critical that they evaluate the patient’s efficacy and safety and their finances, particularly if health insurance does not align with the priority of managing the client’s illness Ethical and Legal Implications Of Prescribing Drugs Assignment Paper

Strategies to Guide Decision Making

Compliance with a treatment plan and patient satisfaction are the two main goals in patient care. When teaching a client why medicine has been recommended, Evidence-based practice is the safest option. Keeping updated formularies from a wide range of sources, like CVS, Walgreens, and Walmart can aid a client’s compliance. If that is not an option, several patient aid schemes, such as Merck’s, Glaxo’s, and Eli Lilly’s, provide platforms where one may seek prescription help for more expensive medicines.

When a patient is faced with a costly drug, the fact of the matter in prescription is that they require affordable treatment. Endorsing the use of generic and alternative therapies when a patient is faced with a costly drug is critical (Choudhry, Denberg, & Qaseem, 2016).

Process of Writing Prescriptions

The World Health Organization proposed a systematic approach to prescription that includes some elements to ethical prescription (Sheikh, 2017). These are the actions to take:

  1. Understanding the health status of the patient
  2. The treatment goal must be specified
  3. Selecting the most common treatment
  4. The patient and family are provided advice, cautions, and directions (5)
  5. Keep an eye on it
  6. Take medication prices into account.

Medication errors may be avoided using proper techniques like prescription software and electronic medication references (Schiff, 2018).Ethical and Legal Implications Of Prescribing Drugs Assignment Paper

References

Choudhry, N. K., Denberg, T. D., & Qaseem, A. (2015). Improving adherence to therapy and clinical outcomes while containing costs: Opportunities from the greater use of generic medications: Best practice advice from the clinical guidelines committee of the American College of Physicians. Annals of Internal Medicine, 164(1), 41. https://doi.org/10.7326/m14-2427

Jadoo, S., BS, & Lipoff, J., MD. (2018). Prescribing to save patients money: Ethical considerations. Journal of the American Academy of Dermatology, 78(4), 826-828. https://doi.org/10.1016/j.jaad.2017.08.012

Schiff, G., Mirica, M. M., Dhavle, A. A., Galanter, W. L., Lambert, B., & Wright, A. (2018). A prescription for enhancing electronic prescribing safety. Health Affairs, 37(11), 1877-1883. https://doi.org/10.1377/hlthaff.2018.0725

Sheikh, D., Mateti, U. V., Kabekkodu, S., & Sanal, T. (2017). Assessment of medication errors and adherence to WHO prescription writing guidelines in a tertiary care hospital. Future Journal of Pharmaceutical Sciences, 3(1), 60-64. https://doi.org/10.1016/j.fjps.2017.03.001

Scenario for Assignment 1:

During your lunch break at the hospital, you read a journal article on Pharmacoeconomics. You think of a couple of patients who have recently mentioned their financial difficulties. You wonder if some of the expensive drugs you have prescribed are sufficiently managing the patients’ health conditions and improving their quality of life Ethical and Legal Implications Of Prescribing Drugs Assignment Paper

 


Excellent
Good Fair Poor
Explain the ethical and legal implications of the scenario you selected on all stakeholders involved such as the prescriber, pharmacist, patient, and the patient’s family. 23 (23%) – 25 (25%)

The response accurately and thoroughly explains in detail the ethical and legal implications of the scenario selected on all stakeholders involved.

The response includes accurate, clear, and detailed explanations as to how these implications affect the prescriber, pharmacist, patient, and the patient’s family.

20 (20%) – 22 (22%)

The response explains the ethical and legal implications of the scenario selected on all stakeholders involved.

The response includes accurate explanations as to how these implications affect the prescriber, pharmacist, patient, and the patient’s family.

18 (18%) – 19 (19%)

The response inaccurately or vaguely explains the ethical and legal implications of the scenario selected for all stakeholders involved.

The response includes vague explanations as to how these implications affect the prescriber, pharmacist, patient, and the patient’s family.

0 (0%) – 17 (17%)

The response vaguely and inaccurately explains the ethical and legal implications of the scenario selected for all stakeholders involved, or the response is missing.

The response vaguely and inaccurately explains how these implications affect the prescriber, pharmacist, patient, and the patient’s family, or is missing.

Describe strategies to address disclosure and nondisclosure as identified in the scenario selected. Be sure to reference laws specific to your state. 18 (18%) – 20 (20%)

An accurate, detailed, and clear description of strategies to address disclosure and nondisclosure as identified in the scenario selected is provided.

The response includes specific, detailed, and accurate reference to state laws related to the scenario.

16 (16%) – 17 (17%)

An accurate description of strategies to address disclosure and nondisclosure as identified in the scenario selected is provided.

The response includes accurate reference to state laws related to the scenario.

14 (14%) – 15 (15%)

A vague or inaccurate description of strategies to address disclosure and nondisclosure as identified in the scenario selected is provided.

The response includes inaccurate or vague reference to state laws related to the scenario.

0 (0%) – 13 (13%)

A vague and inaccurate description of strategies to address disclosure and nondisclosure as identified in the scenario selected is provided, or is missing.

The response includes vague and inaccurate reference to state laws related to the scenario, or is missing.

Explain two strategies that you, as an advanced practice nurse would use to guide your decision making in this scenario, including whether you would disclose your error. Be sure to justify your explanation. 18 (18%) – 20 (20%)

The response accurately and thoroughly explains in detail at least two strategies that an advanced practice nurse would use to guide decision making in the scenario.

The response accurately and completely explains whether they would disclose the error, including an accurate, detailed, and clear justification for the explanation provided.

16 (16%) – 17 (17%)

The response accurately explains at least two strategies that an advanced practice nurse would use to guide decision making in the scenario.

The response accurately explains whether they would disclose the error, including an accurate justification for the explanation provided.

14 (14%) – 15 (15%)

The response inaccurately or vaguely explains at least two strategies that an advanced practice nurse would use to guide decision making in the scenario, or only explains one strategy.

The response inaccurately or vaguely explains whether they would disclose the error, including a justification that is vague, inaccurate, or misaligned to the explanation provided.

0 (0%) – 13 (13%)

The response inaccurately and vaguely explains only one strategy that an advanced practice nurse would use to guide decision making in the scenario, or is missing.

The response inaccurately and vaguely explains whether they would disclose the error, with no justification provided, or is missing.

Explain the process of writing prescriptions including strategies to minimize medication errors. 18 (18%) – 20 (20%)

The response provides an accurate, detailed, and thorough explanation of the process of writing prescriptions, including detailed strategies to minimize medication errors.

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16 (16%) – 17 (17%)

The response provides an accurate explanation of the process of writing prescriptions, including some strategies to minimize medication errors.

14 (14%) – 15 (15%)

The response provides an inaccurate or vague explanation of the process of writing prescriptions, including inaccurate or vague strategies to minimize medication errors.

0 (0%) – 13 (13%)

The response provides an inaccurate and vague explanation of the process of writing prescriptions, including inaccurate and vague strategies to minimize medication errors, or is missing.

Written Expression and Formatting – Paragraph Development and Organization:
Paragraphs make clear points that support well developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused–neither long and rambling nor short and lacking substance.
5 (5%) – 5 (5%)

Paragraphs and sentences follow writing standards for flow, continuity, and clarity.

4 (4%) – 4 (4%)

Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time.

3.5 (3.5%) – 3.5 (3.5%)

Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%–79% of the time.

0 (0%) – 3 (3%)

Paragraphs and sentences follow writing standards for flow, continuity, and clarity less than 60% of the time.

Written Expression and Formatting – English writing standards:
Correct grammar, mechanics, and proper punctuation
5 (5%) – 5 (5%)

Uses correct grammar, spelling, and punctuation with no errors

4 (4%) – 4 (4%)

Contains a few (1–2) grammar, spelling, and punctuation errors

3.5 (3.5%) – 3.5 (3.5%)

Contains several (3–4) grammar, spelling, and punctuation errors

0 (0%) – 3 (3%)

Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding

Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running head, parenthetical/in-text citations, and reference list Ethical and Legal Implications Of Prescribing Drugs Assignment Paper 5 (5%) – 5 (5%)

Uses correct APA format with no errors

Ethical and Legal Implications Of Prescribing Drugs Assignment Paper