Evolution of Pharmacy Practice and History
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Questions and Answers

Which figure is credited as the Father of Pharmacology for writing a seminal work in the first century AD?

  • Hippocrates
  • Carl Wilhelm Scheele
  • Dioscorides (correct)
  • Galen
  • What does pharmacovigilance primarily study?

  • Adverse effects associated with drug therapy (correct)
  • Cost analysis of drug therapies
  • Drug absorption and distribution
  • Natural product characteristics used in drugs
  • Which of the following best describes an independent pharmacy?

  • Privately owned with complete autonomy (correct)
  • Affiliated with a larger corporate chain
  • Operated by multiple owners under a brand name
  • Part of a franchise model with imposed guidelines
  • What was the main purpose of the Blueprint for Pharmacy document issued in 2008?

    <p>To propose advancements for improved patient safety (C)</p> Signup and view all the answers

    What does the term pharmacoeconomics analyze?

    <p>The cost of drug therapy to healthcare systems (B)</p> Signup and view all the answers

    What is the primary difference between the roles of pharmacists and pharmacy technicians in a pharmacy setting?

    <p>Only pharmacists are allowed to undertake specific restricted activities. (C)</p> Signup and view all the answers

    Which of the following statements best describes the historical evolution of pharmacy practice?

    <p>Initially, pharmacy was practiced by physicians before developing into its own specialty. (A)</p> Signup and view all the answers

    What is one of the key components of the Alberta College of Pharmacists' vision for pharmacy practice?

    <p>To enhance collaboration between pharmacy and other healthcare professions. (A)</p> Signup and view all the answers

    Which of the following best describes a primary healthcare service offered by modern pharmacy practice?

    <p>Providing preventive health screenings and consultations. (D)</p> Signup and view all the answers

    In the context of pharmacy practice, what does secondary healthcare primarily focus on?

    <p>Delivering specialized care and treatment following a referral. (B)</p> Signup and view all the answers

    What is the primary role of the federal government in Canada's health care system?

    <p>Providing funding support for provincial health services (B)</p> Signup and view all the answers

    Which standard is NOT explicitly required by the Canada Health Act for provincial and territorial health care insurance plans?

    <p>Direct management of long-term care facilities (A)</p> Signup and view all the answers

    Which of the following is considered a duty of pharmacists in promoting health care?

    <p>Monitoring and managing patients' disease conditions (B)</p> Signup and view all the answers

    What type of services are typically NOT covered by the publicly funded health care system in Canada?

    <p>Routine vision care (C)</p> Signup and view all the answers

    When a resident moves to a new province in Canada, how long can they use their original health care insurance card?

    <p>3 months (D)</p> Signup and view all the answers

    What is the main purpose of the provincial and territorial health care insurance plans' comprehensiveness requirement?

    <p>To insure all medically necessary services provided by specific health professionals (A)</p> Signup and view all the answers

    What was the significance of the Ebers Papyrus in the context of pharmaceutical history?

    <p>It was an early record indicating a rational approach to treating illness. (A)</p> Signup and view all the answers

    Which development marked the separation of the roles of physicians and pharmacists?

    <p>The establishment of apothecaries in 1240 AD. (C)</p> Signup and view all the answers

    What major change occurred in pharmacy roles during the 1950s and 1960s?

    <p>Pharmaceutical manufacturing expanded, limiting pharmacists' roles. (C)</p> Signup and view all the answers

    How was the Alberta College of Pharmacists (ACP) established?

    <p>As a result of Alberta pharmacists advocating for their association in 1905. (C)</p> Signup and view all the answers

    What was one of the contributions of Dioscorides to the field of pharmacology?

    <p>His work detailed treatments including dosage and adverse effects. (D)</p> Signup and view all the answers

    What is the significance of the United States Pharmacopeia (USP) in pharmacy practice?

    <p>It set the standards for pharmacy practice that are still used today. (B)</p> Signup and view all the answers

    What is the primary focus of the Alberta College of Pharmacy's Vision statement?

    <p>Ensuring the health of the public (D)</p> Signup and view all the answers

    Which type of pharmacy requires adherence to a head office for its operational procedures?

    <p>Chain of Pharmacies (A)</p> Signup and view all the answers

    What distinguishes a banner pharmacy from a completely independent pharmacy?

    <p>It has an agreement with a larger organization for branding (D)</p> Signup and view all the answers

    What is a characteristic feature of franchising in pharmacy practice?

    <p>Right to use a franchise name and operating methods (C)</p> Signup and view all the answers

    Which type of pharmacy is specifically designed to provide medication services primarily through delivery without in-person interaction?

    <p>Mail-Order Pharmacy (B)</p> Signup and view all the answers

    In what type of practice setting do patients typically experience short stays for active treatment?

    <p>Acute Care Hospital (A)</p> Signup and view all the answers

    Which of the following roles has changed significantly over the past decade in community pharmacy settings?

    <p>Pharmacist and pharmacy technician roles (A)</p> Signup and view all the answers

    What is a key requirement for an independent pharmacy owner regarding business operations?

    <p>Manage all aspects of the pharmacy autonomously (B)</p> Signup and view all the answers

    Which of the following specialties in pharmacy focuses on the study of adverse effects associated with drug therapy?

    <p>Pharmacovigilance (A)</p> Signup and view all the answers

    What aspect of pharmacy does pharmacoeconomics primarily address?

    <p>The cost analysis of drug therapies (B)</p> Signup and view all the answers

    Which pharmacy specialty is concerned with how drugs are absorbed and eliminated by the body?

    <p>Pharmacokinetics (B)</p> Signup and view all the answers

    Which of the following best describes the role of pharmacies in primary healthcare today?

    <p>Pharmacies often provide preventive care and health education. (C)</p> Signup and view all the answers

    In which type of care facility would you typically find patients requiring 24-hour assistance?

    <p>Long-term care facility (B)</p> Signup and view all the answers

    What does pharmacodynamics study in relation to drug interactions?

    <p>The effects of drug concentration on patient responses (D)</p> Signup and view all the answers

    Which specialty involves the scientific investigation of drug properties and characteristics?

    <p>Pharmacology (D)</p> Signup and view all the answers

    Which of the following types of pharmacies is least likely to be found in public view?

    <p>Radioactive drug laboratories (D)</p> Signup and view all the answers

    In pharmacy informatics, what is primarily utilized to improve pharmacy operations?

    <p>Digital health technologies (C)</p> Signup and view all the answers

    Which specialty would be most relevant for understanding the preparation and stability of drug formulations?

    <p>Pharmaceutics (B)</p> Signup and view all the answers

    Flashcards

    Early pharmacy practice

    Pharmacy practice was historically part of medicine, evolving into its own specialty.

    Pharmacy settings

    Pharmacists and technicians work in various settings like community pharmacies and institutions, requiring specific training.

    Pharmacy Technician Scope

    Pharmacy technicians have defined tasks and responsibilities, some of which are restricted only to pharmacists.

    Primary healthcare

    Healthcare focused on well-being and preventative care, which is sometimes provided by pharmacies.

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    Pharmacy technician role

    Assist pharmacists, performing tasks like filling prescriptions and inventory management. Specific activities are restricted to pharmacists.

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    Pharmacopeia

    A collection of drug lists, detailing their properties and uses.

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    Ebers Papyrus

    An ancient Egyptian document containing medicinal remedies, dating back to 1500 BC.

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    Dioscorides

    A first-century AD Greek physician considered the "Father of Pharmacology", known for his book "De Materia Medica".

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    Galen

    A second-century AD Greek physician who greatly influenced medicine and pharmacy, considered the "Father of Pharmacy".

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    Carl Wilhelm Scheele

    An 18th-century pharmacist-chemist who made numerous discoveries in chemical isolation.

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    What is Galen known for?

    Galen, a Greek physician, made significant contributions to medicine and pharmacy by developing recipes that were followed for 1500 years. He focused on extracting active ingredients and creating a classification system. Notably, his famous formula for cold creams has similarities to present-day formulations.

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    What is a pharmacopeia?

    A pharmacopeia is a collection of drug lists that provide information about medicinal remedies. The Ebers Papyrus, dating back to 1500 BC, is one of the earliest examples, demonstrating a rational approach to treating illnesses.

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    What is the USP?

    The United States Pharmacopeia (USP) is a drug standards reference book written in 1820. It has undergone numerous revisions and is considered the 'golden standard' for pharmacy practice in both Canada and the United States.

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    What is Martindale: The Extra Pharmacopeia?

    Martindale: The Extra Pharmacopeia is a comprehensive text of drug information written in Great Britain in 1883. It remains a valuable reference today, providing extensive information about pharmaceuticals.

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    What is patient-centred care?

    Patient-centred care is an approach to healthcare delivery that puts the patient and their treatment outcomes at the heart of the process, emphasizing their individual needs and goals.

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    What is the Alberta College of Pharmacy?

    The Alberta College of Pharmacy is a regulatory body responsible for governing licensed pharmacists, pharmacy technicians, and pharmacies in Alberta. Its purpose is to uphold the standards of the profession and protect the public.

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    Independent Pharmacy

    A pharmacy owned and operated independently, not affiliated with a larger corporation. They have full autonomy over operations, including merchandising, sales, and procedures.

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    Banner Pharmacy

    An independent pharmacy that partners with a larger organization for branding and marketing. They retain autonomy but follow some rules of the banner, gaining benefits like lower purchasing costs.

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    Chain Pharmacy

    A group of five or more pharmacies owned and operated by the same company or owner. They have centralized management, procedures, and marketing from a head office.

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    Franchise Pharmacy

    A pharmacy that uses another company's established business model, name, products, and operating methods in exchange for a fee. They have limited autonomy but benefit from brand recognition and support.

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    Food-Store Pharmacy

    A pharmacy located within a larger grocery store, operating under the policies of the head office. They provide convenient access to prescriptions alongside groceries.

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    Mail-Order Pharmacy

    A pharmacy providing services to patients who can't access a physical pharmacy, often delivering prescriptions. They must also operate as another type of community pharmacy in Alberta.

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    Compounding Pharmacy

    A pharmacy specializing in preparing custom medications, requiring specialized equipment and trained staff. They can create unique formulations or access hard-to-find ingredients.

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    Acute Care Hospital

    A hospital for active treatment of patients with short stays, focused on immediate care for illnesses or injuries.

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    Medicare

    Canada's publicly funded health care system, managed by 13 provincial and territorial plans, providing essential services to residents without direct out-of-pocket payments.

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    Canada Health Act

    A federal law setting standards for provincial and territorial health insurance plans, ensuring equal access to medically necessary services for all Canadians.

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    Public administration

    Provincial and territorial health insurance plans must be run by a public authority, not for profit, to ensure fairness and transparency.

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    Comprehensiveness

    Provincial and territorial plans must cover all medically necessary services by hospitals, physicians, and dentists (in hospitals).

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    Universality

    Provincial plans must cover all residents, regardless of their background or financial status.

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    Portability

    Residents can use their home province's health insurance card when traveling within Canada, providing continuity of care.

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    Rehabilitation Hospital

    A facility that provides intensive therapy to help patients regain function and independence after serious injuries, illnesses, or surgeries.

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    Long-Term Care Facility

    A facility for individuals who require 24-hour assistance and cannot live independently due to advanced dementia, age, or chronic health conditions.

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    Radioactive Drug Labs

    Pharmacies that specialize in preparing radioactive substances used in diagnostics and cancer treatments.

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    Pharmaceutics

    The science of preparing and dispensing drugs, ensuring their quality and stability.

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    Pharmacodynamics

    The study of how drugs affect the body and how their effectiveness changes with different dosages.

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    Pharmacoeconomics

    The analysis of drug costs to healthcare systems and society, aimed at finding the most effective and affordable treatments.

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    Pharmacognosy

    The study of natural products used as drugs, like plants, animals, or minerals.

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    Pharmacokinetics

    The study of how drugs are absorbed, distributed, metabolized, and eliminated by the body.

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    Pharmacology

    The broader science of drugs, their actions, properties, and characteristics.

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    Pharmacovigilance

    The study of adverse effects associated with drug therapy, helping prescribers choose safer options.

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    Study Notes

    Evolution of Pharmacy Practice

    • Pharmacy practice evolved from a secondary healthcare service provided by physicians to a distinct specialty, now offering many primary healthcare services.
    • Pharmacists and technicians' roles vary based on work settings.
    • NAPRA competencies and diploma courses equip professionals for various pharmacy settings, supplemented by on-the-job training.
    • Pharmacists and technicians collaborate to ensure safe and effective pharmacy services.

    Historical Figures and Pharmacy

    • Hippocrates (460-377 BC): Considered the Father of Medicine, he introduced scientific medicine, setting the stage for Western medicine.
    • Dioscorides (1st century AD): Known as the Father of Pharmacology for his comprehensive work, "De Materia Medica," detailing natural treatments, used for centuries.
    • Galen (130-200 AD): Considered the Father of Pharmacy, his work included formulating recipes and creating a classification system, influencing the field for over 1500 years.
    • Carl Wilhelm Scheele (1742-1786): A pharmacist-chemist, known for significant chemical discoveries, including oxygen, chlorine, and various organic compounds.

    Key Documents

    • Ebers Papyrus (1500 BC): One of the earliest records of medicinal remedies, demonstrating a rational approach to healthcare.
    • United States Pharmacopeia (USP, 1820): Established drug standards in the US, considered a gold standard in North America.
    • Martindale: The Extra Pharmacopeia (1883): A comprehensive drug information text still referenced today.
    • Blueprint for Pharmacy (2008): Outlined advancements needed to bolster patient safety..

    Pharmacy Settings

    Community Pharmacy

    • Independent Pharmacy: Privately owned, with full autonomy.
    • Banner Pharmacy: An independent pharmacy affiliated with a larger organization for branding support.
    • Chain of Pharmacies: Owned and operated by a single entity, often operated from a head office.
    • Franchise Pharmacy: Operates under another person's business model.
    • Food Stores/Mass Merchandisers: Pharmacies housed within larger retail stores.
    • Mail-order Pharmacies: Provide services to remote patients, in addition to other types of community pharmacies.
    • Compounding Pharmacies: Specializes in creating customized medications.

    Institutional Pharmacy

    • Acute Care Hospital: Provides active treatment for patients with short stays.
    • Rehabilitation Hospital: Provides comprehensive therapy for patients needing restoration of function.
    • Long-Term Care Facility: Provides 24-hour assistance to people unable to live independently.

    Other Pharmacy Settings

    • Radioactive drug labs
    • Drug distribution to federal agencies

    Areas of Specialty

    • Pharmaceutics: Art and science of preparing and dispensing drugs.
    • Pharmacodynamics: Relationship between drug concentration and patient response.
    • Pharmacoeconomics: Cost analysis of drug therapy.
    • Pharmacognosy: Study of natural substances used as drugs.
    • Pharmacokinetics: Study of drug absorption, distribution, metabolism, and excretion.
    • Pharmacology: Study of drug actions, properties, and characteristics including their relationships.
    • Pharmacovigilance: The study of adverse effects associated with drug therapy
    • Pharmacy Informatics: Application of information technology to enhance pharmacy operations.
    • Pathophysiology: The study of disease and illness caused by changes in normal body function.
    • Therapeutics: Application of pharmacological knowledge to treat disease.

    Pharmacy's Role in Healthcare

    • Primary Healthcare: First point of contact for patient health concerns and advice, including disease prevention.
    • Secondary Healthcare: Pharmacies play a crucial role in managing patients with existing conditions.

    Pharmacy Technician and Pharmacist Roles

    • Pharmacy technicians support pharmacists in diverse aspects of pharmacy operations (filling prescriptions, compounding, administrative tasks) under the direction of a pharmacist.
    • Pharmacists handle restricted activities (e.g., dispensing controlled substances, administering vaccines, clinical assessments).

    Scope of Practice for Pharmacy Technicians

    • Technicians have a defined scope of practice focused on safe and effective drug distribution under pharmacist direction.
    • Specific restricted activities are defined and legally outlined in regulations.

    Restricted Activities for Technicians

    • Dispense Schedule 1 and 2 drugs (after appropriate pharmacist review and oversight).
    • Compound, sell and provide Schedule 1 and 2 drugs, after pharmacist review and oversight.
    • Compound blood products (under stringent pharmacist direction).

    Regulatory Bodies

    • Alberta College of Pharmacy (ACP) governs pharmacy practice in Alberta, including licensing and establishing standards for pharmacists and technicians.

    Alberta College of Pharmacists – Vision and Mission

    • Vision: Focuses on public health related to the pharmacy profession.
    • Mission: Focused on public health and well-being.

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    Description

    Explore the development of pharmacy practice from a physician-based service to a distinct specialty offering primary healthcare. Learn about historical figures like Hippocrates, Dioscorides, and Galen who shaped the field, and understand the competencies required for modern pharmacists.

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