Titlebook: Hospital pharmacy and the patient; Proceedings of a sym Tom Bradley Conference proceedings 1983 MTP Press Limited 1983 hospital.pharmacy

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Hospital pharmacy and clinical pharmacokinetics — is academia in touch?hing hospital. The question also requires certain further refinement in that it could relate to whether academia is in touch with developments in clinical pharmacokinetics and the hospital pharmacist and patient, or whether academia is in touch with the training of graduates to meet possible developments which will arise in the future.

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Conference proceedings 1983 intravenous feeding, cytotoxic drugs and new insulin therapy, are fully trained by the health-care professionals (doctors, pharmacists and nurses) to encourage self-reliance and understanding which are vital to success. There are hazards in treating these patients in the home environment, e.g. micr

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Handling cytotoxic drugs — health and safety hazardsoften 50 or less) that can be included in carcinogenisis bioassays and because these tests may detect only the more potent carcinogens. Animal carcinogenicity tests are also costly (now almost $300 000 per substance tested) and time consuming (about 3 years) (Hollstein and McCann, 1979).

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An evaluation of the use of case studies in clinical pharmacy training priority. The training programme devised then has been described previously (Tobin, 1980; Godfrey ., 1979). The course was based on formal lectures held weekly, immediately after work. The course provided background information on common disease concepts and was designed to stimulate course members to undertake private study.

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An integrated approach to ward pharmacyp by a drug information service. Ward pharmacy commitment consists of 20 wards being covered by the equivalent of six in-patient service day pharmacists and ten wards being covered by pharmacists from other areas of activity.

Desert

Care of the home parenteral nutrition patientevent, e.g. mesenteric infarction. Some patients have the whole gut present but in a severely diseased state whilst others have undergone extensive resection. If parenteral nutrition needs to continue for many months or years it is usual for the patient to leave hospital and continue the therapy at home.

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Is providing the regimen sufficient?uences of patient self-care are fully understood, especially if the therapy is to continue for long periods. Parenteral nutrition is a particular example where treatment may be continued at home and in which considerable care is needed to ensure that it is carried out effectively and safely.

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