دانلود کتاب داروخانه جامعه – علائم، تشخیص و درمان، چاپ ششم

Demand on healthcare professionals to deliver high-quality patient care has never been greater. A multitude of factors impinge on healthcare delivery today, including an aging population, more sophisticated medicines, high patient expectation, health service infrastructure and adequate and appropriate staffing levels. In primary care, the medical practitioner role is still central in providing this care, but shifting workload from secondary to primary care is placing greater demands on their time, resulting in new models of service delivery that increasingly involve other allied health professionals. This is leading to a breaking down of the traditional boundaries of care between doctors, nurses and pharmacists. In particular, certain activities once seen as the responsibility of medical practitioners are now being performed by nurses and pharmacists as their scope of practice expands. The traditional role of supplying medicines safely and efficiently through community pharmacy still exists, but greater patient-facing cognitive roles are now firmly established, for example, in smoking cessation, weight management and vaccination programmes. These are increasingly being included in contractual agreements between government agencies and pharmacy contractors. The year 2019 saw the launch of the community pharmacist consultation service, which was designed to relieve pressure on general practitioner appointments through NHS 111 referrals to pharmacists to manage minor illness. This service was extended in 2020 to include referrals from general practice. National minor ailment schemes are also now in place in Wales, Scotland and England allowing pharmacists to provide prescription-only medicines to patients through patient group directions to further relieve pressure on general practice. Last, the announcement that all newly qualified pharmacists must register as independent prescribers from 2026 means that the scope of practice of community pharmacists is likely to expand. It will therefore be imperative that pharmacists possess the prerequisite skills to make sound decisions and arrive at diagnoses using clinical reasoning an evidence-based approach to management. The book is intended for all nonmedically qualified healthcare staff but especially for pharmacists and nurses working in primary care, from undergraduate students to experienced practitioners. It is hoped that the information contained within the book is both informative and useful.