The "how" of prescribing is an important as what we prescribe. Drugs are part of everyday life for many people. The era of "social chemistry", the "inflation of drug use", or the "social use of drugs" create special difficulties for the "how" of prescribing. It is important that the expectation and fears of the patient are being taken seriously. The manner of prescribing has to depend on whether the patient interprets them negatively, as punishment and violent intrusion. But applications of drugs can also have a passive character, such as is the case with teas and baths. The physician should be aware of the contents of the package inserts, and keep them in mind so as to avoid mistaken interpretations by the patient. The psychological aspects of drug side effects are very important. A further concern is consideration of aspects of human interaction in diagnosis and therapy, also when applying medical drugs. Simplification of medication, written instruction concerning drug therapy addressed to the patient, intensified conversations with the patients on effects and side-effects of drugs are only a few practical examples of how patients can be influenced to the prescribed drugs more regularly.
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http://dx.doi.org/10.1007/BF02075074 | DOI Listing |
Anaesthesia
September 2024
Background: Excessive opioid prescribing following surgery contributes to the growing opioid crisis. Prescribing practices are modifiable, yet data to guide appropriate prescription of opioids at surgical discharge remain sparse. This study aimed to evaluate factors associated with opioid consumption following discharge from surgery.
View Article and Find Full Text PDFHeliyon
April 2024
Faculty of Educational Studies, Universiti Putra Malaysia, UPM, Serdang, 43400, Selangor, Malaysia.
China's distinctive educational approach, particularly its emphasis on ideological and political education, has garnered considerable academic attention for its impact on shaping individual values, fostering citizenship, and maintaining social stability. Despite the Chinese government's prioritization of ideological and political education, academic research in this field appears constrained, with existing studies predominantly focusing on normative and descriptive aspects. Normative research delineates how ideological and political education should be executed, while descriptive research illustrates its practical implementation.
View Article and Find Full Text PDFRes Pract Thromb Haemost
February 2024
Haematology Department, Singapore General Hospital, Singapore.
Background: Prescribing DOACs presents with challenges in the elderly and patients with renal and hepatic impairment. To mitigate safety risks, pharmacists have a role in detection, prevention, and resolution of DOAC-associated drug-related problems (DRPs).
Objectives: To identify the types of DOAC-associated DRPs in patients on DOAC therapy and factors that predispose patients to DOAC-associated DRPs.
Background: Balancing opioid stewardship and the need for adequate analgesia following discharge after surgery is challenging. This study aimed to compare the outcomes for patients discharged with opioid versus opioid-free analgesia after common surgical procedures.
Methods: This international, multicentre, prospective cohort study collected data from patients undergoing common acute and elective general surgical, urological, gynaecological, and orthopaedic procedures.
Cancer Manag Res
January 2023
Kulliyyah of Medicine, International Islamic University Malaysia, Kuantan, Pahang, Malaysia.
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