Week8-Ethics and standard of dispensing.pdf

NM T100 -HOM EOPATHY HOM E OPAT HIC PRE PA RAT I O N A ND D IS PE NS I NG LEARNING OUTCOMES Identify and describe the ethics and standards of practice that must be considered when prescribing Homeopathic therapeutics. Summarize the steps required to potentize a homeopathic remedy and apply the eth...

NM T100 -HOM EOPATHY HOM E OPAT HIC PRE PA RAT I O N A ND D IS PE NS I NG LEARNING OUTCOMES Identify and describe the ethics and standards of practice that must be considered when prescribing Homeopathic therapeutics. Summarize the steps required to potentize a homeopathic remedy and apply the ethics and standards of practice to the dispensing of homeopathic remedies. HOMEOPATHIC REMEDIES PREPARATION METHODS Plants SOURCE OF REMEDIES Minerals: chemicals, elements, compounds, natural minerals, mineral springs Animals: Venoms, milks, feathers, diseased tissue or pathological microbial culture (nosodes), healthy tissue (Sarcodes) OTHER UNCOMMON SOURCES Synthetics: Chemical compounds, allopathic medicines, etc Imponderables: immaterial dynamic energies such as Sol, X-ray, Magnetis polus, etc REMEDY CARRIERS USED IN PREPARATION Solid vehicles: • Saccharum lactis (milk sugar) or cane sugar/dextrose, sucrose... Forms: Globules or pellets, tablets Liquid vehicles • Distilled water, alcohol, glycerin, saline (eye drops), ether, olive oil, almond oil, sesame oil coconut oil, sandalwood oil, lavender oil, rosemary oil. Semi solid vehicles: • Paraffin, beeswax, lanoline, any topical cream TERMINOLOGY Remedy: Homeopathic medicine Potency: the number of serial dilutions and succussions in preparation of the remedy Potentization/Dynamization: The process by which the dynamic power of the substance is released by serial dilutions and succussions. TERMINOLOGY Succussion: vigorous taping of the container which used for potentization of liquid potencies Trituration: The process of diluting a non-soluble substance by grinding it to a fine powder and mixing it with lactose powder. This method is used for solid substances up to 3rd centesimal potency and then will continue potentization in liquid form. POTENCIES Decimal: (1/10) first potency contains the one-tenth part of the original medicine. (1x or 1D) Centesimal: (1/100) first potency contains the one-hundredth part of the original medicine. (1 C; 1M= 1000, 10M=10 000, CM: 100 000) Fifty Millesimal-LM or Q potency:(1/50 000) The last discovery of Hahnemann for a rapid, gentle and permanent cure (Q1 or LM1) DILUT ION • Image courtesy of HomeoGuide.com ADVANTAGES OF HOMEOPAT HIC REMEDIES • Ethical trials • Sustainable (using very minimum of original substance) • Cost effective • Easy to use (especially for children) • The manufacturing industry causes less harm to nature or humans DISPENSING HOMEOPATHIC REMEDIES DEFINITION: “Dispensing” means to provide medicines or devices for specific treatments. This includes the packaging, labeling and security necessary to safeguard the substances or devices provided. Dispensing includes both technical and cognitive components performed by Registrants. Source: website for College of homeopaths of Ontario DISPENSING STANDARDS The dispensing methods of homeopathic medicines have been very controversial among homeopaths. Dispensing is considered as an important and integral part of the treatment. A D VA NTA G E / OF F IC E BA S E D D IS PE NS I NG •Since homeopathic medicines are not easily available in all pharmacies, many homeopaths or naturopaths in Canada prefer to dispense the homeopathic medicines at their office. • Dispensing at the office not only allows practitioners to have control on the quality and efficacy of the dispensed medicine, but also provides more convenience for patients and increases the compliance rate. DISADVANTAGE / OFFICE BASED DISPENSING •Despite all these great benefits, there are still some ethical concerns around office-based dispensing by practitioners. Therefore, homeopaths/Naturopaths need to adopt a right and ethically appropriate method of dispensing to develop a trustful relationship with their patients. COMPOUNDING/STANDARDS BY C O L L EG E O F HO MEO PATHS O F O NTAR I O The Registrant ensures every person who compounds substances into medicines follows the College’s Standard on Infection Control which includes Cleaning procedures for the area, tools and receptacles where substances are compounded into medicines Proper sanitary handling of materials Minimum requirements of health and hygienic behavior; and Utilizing readily disinfected, non-porous containers for storage. COMPOUNDING, CONT. All substances are stored in a controlled-access area and in such a way as to avoid contamination. No contaminated, disintegrated or decomposed substances may be used. The Registrant shall be able to distinguish materials that require specialized handling and storage and demonstrate safe handling techniques. The Registrant shall ensure the quality of the ingredients by using products with a standard designation or equivalent pharmacopoeia standard IMPORTANCE OF LABELLING •Apart from dispensing method, the type of container and labeling that practitioners use have an important impact on patient's image of homeopathy as well as their faith in homeopathic medicine. •Containers without any label may give the indication of an unreliable system or ineffective medicine. Besides, patient's compliance with treatment may be affected by inappropriate methods of dispensing. IM PORTANCE OF LABELING, CONT. In the past, some of Canadian homeopaths or naturopaths who dispense medicines at their offices, avoided writing prescription or sufficiently informative labeling. Sometimes the perceived benefit of not informing patients with the name of medicines seems to lead practioners to avoid labeling medicines. Here are some of the perceived negative effects: •Patients may dislike the substance •Self-prescription by patients and possibility of overdosing. •Patient might not agree with the homeopath’s opinion or selection of the medicine, especially if they have some knowledge of homeopathy. •Patient’s bias with the homeopathic remedy Some Positive effect of transparent communication with patients: Building up a trustful relationship Giving more confidence to patients and empower them to have an active role in their treatment Educating patients about the treatment process and medicines would result in better treatment outcomes LABELING REQUIREMENT(BY CHO) Information on the container must include: • The Registrant’s name and telephone number • • Patient’s name Name of the medicine • Date the medicine was compounded • • Potency Directions for the proper use of the substance; and Any cautionary information about the substance. • This information may be included in a label affixed to the product, or where space is limited, information may be provided on an accompanying sheet. STANDARDS FOR DISPENSING BASED ON COLLEGE OF NATUROPATHS OF ONTARIO WHAT IS ON A PRESCRIPTION? Part II (Controlled Acts) of the General Regulation requires that a prescription contains the following: the name and address of the patient for whom the drug is prescribed; the name, strength (where applicable) and quantity of the prescribed drug; directions for use of the drug, including dose, frequency, route of administration and any special instructions; the name, signature, address, telephone number and College registration number of the Registrant issuing the instruction. AN Y OT H E R IN F O R M AT IO N R EQ U IR E D BY L AW. the date the prescription was issued the number of refills that the Registrant has authorized RECORD KEEPING Registrants must maintain a patient record for individuals prescribed a drug that includes: details of the reason for prescribing the drug; a copy of the prescription given to the patient; a record of the results of any laboratory or other tests that the Registrant considered in deciding to prescribe the drug; and the names and addresses of the patient’s other health care providers who were notified, and how the notification was given. SOM E HOM EOPATHIC M ANUFACTURERS Boiron Reckeweg Helios (UK) for rare remedies Unda (Seroyal) HANDLING PRECAUTION • Keep all homeopathic remedies out of direct sun-light and do not store them beside substances or medicines with strong odors, such as essential • oils or perfumes. Also, do not store them near electromagnetic devices such as cell-phones, computers, TV, etc. HANDLING PRECAUTION Do not take any other homeopathic medicine or any other herbal/ natural supplement without consulting with your homeopath during the treatment period. (this does not include your prescription medicine by your primary physician) Avoid touching the pellets or tablets with your hands. Put the desired number of tablets/pellets into the lid of the vial and place pellets directly under your tongue. HANDLING PRECAUTION Do not brush your teeth, eat (including chewing gum), or drink anything for at least 10 minutes before and after taking the remedy. Your mouth should be clean without any taste. THANK YOU!