Ethical issues with prescribing medications. As such, it is important for .
Ethical issues with prescribing medications ” This concept implies a fiduciary duty from the physician to the patient, wherein the fiduciary places Mar 7, 2024 · Scaglione: The Efficacy and Ethical Issues of ADHD Medication in Young Child Published by DigitalCommons@SHU, 2021. Ethical issues in perinatal mental health. Scaglione 7 to children with attention disorders: immediate-release medications or extended release medications. Feb 12, 2020 · Several individual cases indicated issues with unsafe practice; poor recording of medicines received or dispensed, including controlled drugs; The reality was that she had attended 2 study days about prescribing medications and had no formal prescribing qualification at all. Ethical and public policy issues Open consent vs informed consent The use of such medication for the treatment and management of sex offenders is rarely in isolation and often part of a complex care plan that includes psychotherapeutic and psychological but also social interventions. Author Jan Jackson 1 explains why she believes that encouraging patients to buy over-the-counter medication is morally acceptable and based on the principles of beneficence and non-malevolence. 89 Online pharmacies provide patients with an appealing alternative to the local pharmacy and are attracting a growing number of patients to their sites (). npp. Their personal attitudes and clinical experiences towards diagnosing and prescribing medications to children with ADHD influenced their decisions. patients only present in crisis) contributed to further antidepressant prescribing growth over time (Fig. Jan 7, 2025 · Ethical issues of pharmacotherapy concern aspects of research, safety, indicated use, enhancement, information and evidence-based practice. ) By offering both therapy and medications, a prescribing Aug 29, 2017 · with Prescribing Professionals Mindy K. MD and DO clinicians can prescribe medications, including controlled substances. Primary Health Care . He is on the Board of the Emory Center for Ethics, and has published and lectured widely in the area of healthcare ethics. 1 Dermatologists, who often manage chronic diseases, may face the dilemma of recommending treatments that their patients likely cannot afford or withholding information about such Nov 1, 2009 · While attention to ethical issues and the opioid epidemic has focused on ethical and clinical guidelines for physicians on prescribing opioids to patients, 10, 11 there has been a general silence Non-prescribing psychotherapists may inform clients about treatment options, including medications, and consult with the medicating physician as clinically necessary. , & Ebert, B. In response to the crisis, clinicians, policy makers and people who use drugs have been seeking ways to prevent May 7, 2011 · Miller LJ. Among older people, there are distinct ethical issues including those related to competency, resource allocation, therapeutic futility, and end-of-life concerns [27, 29–31]. c7756. Responsibility starts with us being well-informed and Ethics does not, therefore, provide a simple system which will provide the ‘right’ answer when faced with any dilemma in prescribing practice. They offer some benefits to consumers but have triggered reexamination of the ethical, legal, and safety issues involved in prescribing and dispensing medications. e. Changing the health care system will help nurses to promote patient welfare, lessen the chance of harm Jan 12, 2025 · Barriers to green inhaler prescribing: ethical issues in environmentally sustainable clinical practice Joshua Parker Feature article To cite: Parker J. Responsible prescribing involves the judicious evaluation of patients' medical conditions, pain management needs, and the consideration of nonopioid alternatives before prescribing opioids. Some Ethical and Effective Responses to Administrative or Legal Action Nov 5, 2010 · Recently, Crews and Hill (2005; Hill & Crews, 2005) wrote about the ethical issues surrounding the diagnosis of mental disorders in couple and family counseling. 10. 35). 2022. Views are her own. The role of professional regulators is highlighted and the notion that patients/clients are no longer subservient to benign medical paternalism but rather Ethical approval is easier to obtain if the study offers children a direct benefit . 51–83 Medical cannabis is widely available in the USA and legalisation is likely to expand. Prescribers should inform patients and document consent when prescribing off-label, including an open discussion about known and unknown benefits and risks. An important related issue is the ethical context of the use of psychotropic medications by clients in couple and family counseling. Mechanistic studies are highly informative, but do not necessarily offer the individual patient any direct benefit . The Feb 29, 2012 · Spetie L, Arnold LE. Leslie LK, Raghavan R, Zhang J, Aarons GA. Professional Dec 23, 2021 · This chapter provides an account of the ethical issues in independent and supplementary prescribing with an overview of ethical frameworks, medical and non-medical We discuss physicians' ethical obligations when faced with a newly approved drug, including seeking out independent sources of learning, reporting adverse effects, and notifying patients Feb 7, 2020 · This chapter addresses the professional, legal and ethical issues associated with medicine management and the role of the nurse. In this blog post, we'll explore the ethics of prescribing medication in UK medicine, including common ethical considerations that doctors and healthcare professionals must keep 5 days ago · Physicians’ traditional role as stewards of limited health care resources is being reinterpreted in terms of their relationships with key players in the health care sector. 1038/sj. 020. Clinicians need to give as much clinical and ethical May 30, 2023 · Safety, efficacy & ethical issues regarding weight-loss medications Editorial References 1 Korner J, Leibel RL. Therefore, optimising drug prescribing for older people is very important. This article is part one of two exploring the core professional, legal and ethical dimensions of prescribing. Although federal agencies such as the Agency for Healthcare Research and Quality have identified medication safety as a priority research area and children/adolescents as a priority research population, specific guidance for conducting Jun 17, 2010 · Finally, when our psychotherapy patients are being treated with medication it is important that we address confidentiality and consultation issues with regard to coordinating treatment with their prescribing physician (or other Mar 14, 2019 · The SOP for FNPs could include providing mental health care services, and FNPs in primary care settings often are the first to see patients with common mental illnesses, such as depression and anxiety. ), Pharmacotherapy for psychologists: Prescribing and collaborative roles (pp. Many ethical codes have been 2 Non-medical prescribing in a multidisciplinary team context; 3 Consultation skills and decision making; 4 Legal aspects of independent and supplementary prescribing; 5 Ethical issues in independent and supplementary prescribing; 6 Jun 22, 2022 · This first article identifies the main professional dimensions of prescribing practice, while the second article focuses on the legal and ethical aspects. A large number of elderly people are on several medications for the treatment of various chronic conditions that develop with age. The guiding principles of medicines optimisation, which involve understanding the patient experience, the evidenced-based choice of medicines, and making medicines use as safe as possible, are key to achieving the aims. According to the National Institute of Mental Health, nearly 1 in 5 Ethical Issues: Competence and Beyond . prescribing medications, seeking consultations? Research or educational considerations that affect clinical decisions, physician orders? Conflicts of interests Her case points to the need to increase education about practical and ethical issues related to opioid use, particularly in life-limiting illness, both within the healing professions and among the broader public. In A. 2021 May;50(5):329-331. 2017 Apr 5 potential ethical issues that can arise, and a case study from the authors' experience. 7748/en2010. 1 However, the current prescription opioid misuse and abuse epidemic creates a moral imperative for dentists to reevaluate pain-management strategies. 7748/phc. Much of medicine is based on the principle of “primum non nocere”, which may be translated: “as a first priority, do no harm. It is crucial that nurses take Jan 1, 2014 · Insomnia is the most commonly encountered sleep condition in a primary care setting, so it is little surprise that sedative and hypnotic medications would be widely prescribed to address this ailment (). 1 Most patients and many physicians are unaware that these ingre - dients might be in their medicine and pre - scribers need to understand the issues and be sensitive to patients’ views before prescribing medication or treat-ment. [Google Scholar] Articles from Schizophrenia Bulletin Apr 1, 2013 · • Assess the ethical issues in choosing ADHD medications for clinical treatment of youth Target Audience This CME activity is intended for child and adult psychiatrists, pediatricians and other To help family physicians achieve an ethical balance in their opioid prescribing practices. Affiliation 1 Harvard Medical School, Boston, MA, USA. Prescribing based on a proposal or recommendation by a colleague; Recommending and proposing medicines, treatments or devices for a colleague to prescribe; Shared care prescribing Off-label prescribing occurs in different situations that raise different ethical issues. Shannin to prescribe olanzapine off-label for her. Despite the increased accessibility and use of medical cannabis, physicians have significant knowledge gaps regarding evidence of clinical benefits and potential harms. The influence of chronic exposure to antipsychotic medications on brain size before and after tissue fixation: a comparison of haloperidol and olanzapine in macaque monkeys. While physicians still assess risks and benefits when prescribing medications for patients, rising drug prices, 1 formulary restrictions, and quantity limitations 2 introduce new complications to Astbury and Gallagher conclude that the key to addressing the issue of moral distress would require strategies The professional associations of medicine and pharmacy in the USA have issued a joint statement calling for the prescribing of a medication to be for “legitimate medical reasons” that is based on “evidence‐based 3 days ago · Ethics. Reference is made to a contemporary prescribing model, RAPID -CASE, devised by the Aug 6, 2010 · Professionalism in the context of advanced nursing practice is a complex topic, and must include a consideration of both individual and collective nurses', societal and patient rights and obligations. issues and ethical 3 days ago · Elaha Hamidy ‘23 is a neuroscience major with a minor in public health at Santa Clara University and a 2021-22 health care ethics intern at the Markkula Center for Applied Ethics. ), Ethical issues in clinical forensic psychiatry (pp. Prescribing Ozempic for weight loss purposes rather than for type II diabetes), but priorities of physicians and medical providers should be re-adjusted to minimize “irresponsibly prescribing” the medication to patients who do not have type II diabetes or obesity because it Research in subject populations with active and ongoing drug addictions bring unique ethical considerations and challenges. As dentists shift away from a reliance on opioids for the management of pain, they are challenged by the dilemmas of Ethical issues in opioid prescribing for chronic pain. Many ethical issues arise within the broader realm of psychopharmacology, including the fair allocation of resources or the weighing of risks versus benefits in the prescribing of medications. It is the starting point for the debate rather than its neat and tidy conclusion. In Mar 2, 2024 · Advances in Neurodevelopmental Disorders (2024) 8:198–207 199 1 3 and abuse (Article 16), aecting the integrity of the per-son (Article 17). , nonpharmacologic management has failed or her symptoms have become significantly distressing or dangerous), it is reasonable from clinical and ethical standpoints for Dr. 6 days ago · This issue of the AMA Journal of Ethics explores the topic of prescription medications from many angles. Jan 15, 2015 · The compassionate use of drugs in palliative care for symptom control and ethical justifications for its use: A scoping review, Ethics, Medicine and Public Health, 31, (100950), (2023). While advancements have improved access, numerous challenges remain that must be navigated to ensure equity and legality in healthcare. Neuropsychopharmacology. 1016/j. In either situation, children Covert prescribing, defined as the administration of medications without the patient’s knowledge, has long been a subject of ethical debate, particularly in populations with cognitive impairments such as dementia . e1773 Ethical issues of pharmacotherapy concern aspects of research, safety, indicated use, enhancement, information and evidence-based practice. 1007/s11673 Mar 22, 2020 · Alongside the fundamental principles of autonomy, informed consent and free will, important ethical considerations when prescribing medication to sex offenders are also the offenders’ right to treatment, the clinicians’ duty to treat (once a problem is diagnosed and where treatment is available), the coercion of inmates (as coercion in Aug 25, 2020 · Astbury and Gallagher conclude that the key to addressing the issue of moral distress would require strategies The professional associations of medicine and pharmacy in the USA have issued a joint statement calling for the prescribing of a medication to be for “legitimate medical reasons” that is based on “evidence-based These ethical concerns, as well as the societal value of individual choice, are responsible for the lower than expected use of long-acting antipsychotic medications in the US. Psychologists' prescribing is Jun 17, 2024 · Ethical and Legal Issues in Access to Medications. The ethical psychiatric practitioner has the responsibility to know and continue to learn the latest empirical Ethical issues in new drug prescribing J Bioeth Inq. Sexson is a neonatologist and Associate Dean for Clinical Affairs at Emory University in Atlanta, GA. These statistics seem to be separate issues, but since diabetes drugs went viral for their weight loss capabilities in recent months, Oct 4, 2021 · Patients have felt the effects of these changes in many ways, including increased costs. Nov 19, 2024 · Drug pricing and accessibility pose significant ethical dilemmas in the pharmaceutical industry. Newhouse-Oisten1 & Kimberly M. Ethical issues in child psychopharmacology research and practice: emphasis on preschoolers. Right to Try Laws and Experimental Drugs Nov 1, 2016 · Prescription drug monitoring programs are statewide databases available to clinicians to track prescriptions of controlled medications. Dr. 10. It has developed over the years since the Cumberledge report in 1986 recommended non-medical prescribing from a limited list for community-based nurses (Department of Health and Social Security, 1986; Cope et al, 2016). https 6 days ago · It is therefore important to consider both effectiveness and side effects as factors when prescribing medication [4] . Epub 2009 Nov 10. I prescribed a medication for her neuropathic pain and depression, in this case May 11, 2022 · Prescribing by nurses and midwives continues to expand and has consistently been evaluated as safe and effective. 1 This is particularly true for patients requiring complex medical regimens. In this article, we explore the ethical May 24, 2022 · Clinical, Duty of care, Ethical issues, Ethical practice, Legal issues, Medicines, Mental capacity act, Nurse prescribing,Prescribing, Prescription medicines, Professional The prescribing practice of a range of healthcare practitioners has developed over the years through a series of amendments to medicines law. Most of these treatments involve symptom management and prevention of s Jan 12, 2010 · Since the inception of the modern era of psychopharmacology, psychotropics have been the mainstay of the care of psychiatric patients all over the world, irrespective of their cultural and ethnic backgrounds. This practice may lead to human rights violations. 15,16,17 However, the ethics of this crisis Dec 9, 2017 · The key aims of non-medical prescribing include improving patient care and increasing patient choice in accessing medicines. Aug 1, 2019 · Physicians have traditionally been gatekeepers to prescription medications. Another is that children should not participate in studies that are designed or conducted in ways that predictably undermine their potential to yield such advances. In an era where the prescription of stimulant medications for Attention Deficit Hyperactivity Disorder (ADHD) is commonplace, a rising ethical debate has emerged regarding 2 days ago · Ballantyne JC, Fleisher LA. 94 Similarly, the introduction of surgically implantable medication delivery systems can provide psychiatric patients with uninterrupted access to medication for up to 14 Aug 10, 2018 · Experts have explored ethical issues in opioid prescribing and pain management in the AMA Journal of Ethics® (@JournalofEthics) and have examined numerous perspectives on related issues, such as providing care where the health and justice systems intersect, racial bias in treating pain, and the use of screening tools and surveillance. , to minimize adverse side effects and adverse interactions with other medications or conditions). 1300710. Apr 4, 2024 · image by BPS Graphics. The ethical psychiatric practitioner has the responsibility to know and continue to learn the latest empirical findings on psychopharmacologic and Oct 12, 2023 · To address many ethical issues mentioned in this paper regarding the overmedication of people with disabilities, the National Institute for Health and Care Excellence (NICE, 2015) in the UK and the World Psychiatric Association developed international guidelines for rational prescribing of psychotropic medications for challenging behaviours in Prescribing medication is a vital aspect of healthcare, and it's crucial for healthcare professionals to uphold ethical standards when prescribing medication in the UK. Curr Treat Options Psychiatry 2017; 4:319–332 [Google Scholar] 19. Until recently, however, variations in treatment response across populations, including effectiveness, dosing strategies, and adverse-effect profiles, have Dec 15, 2011 · We use the format of a hypothetical case study to review issues related to pharmaceutical product approval and physician prescribing practices. Jun 9, 2017 · medications contain at least one active or inactive ingredient derived from prohib - ited sources. Efforts have been made to increase attention to the ethics of the opioid crisis, particularly in the areas of prescription practices, naloxone availability, and clinician regulations. doi: 10. The physicians may violate the basic ethical responsibility of integrity in research and peer review, making them guilty of academic misconduct. Evidence-based medicine This article reports on a few ethical considerations associated with prescribing for the elderly. 3 Considering legal and ethical issues in delivering services to these children can assist DOI: 10. J Child Adolesc Psychopharmacol. PMID: 23180203 DOI: 10. 2010 Mar;148(3):365-367. Ethical and legal issues in access to medications are pivotal in the ongoing debate around prescription drug policies. Jul 21, 2022 · Dear Dr Financially Conscientious: Nearly a quarter of Americans find it difficult to afford medications. Rates of psychotropic medication use over time among youth in child welfare/child protective services. 349, 926–928 (2003). 9. 2009. M Danta 1, 2, * and N Ghinea 3 For instance, the law in the European Union appears to disavow economic-driven prescribing for any reason, which is the primary driver for importing generic medicines . 1 Little is known about the clinical efficacy or patient acceptability of formulations in use at that time, but it is thought that prescriptions were recorded on clay tablets, and included details of the condition, Attention deficit–hyperactivity disorder (ADHD) is the commonest neuropsychiatric disorder of childhood, its most severe form, hyperkinesis, affecting 1% of UK children. Oct 1, 1995 · An expanded knowledge base in child and adolescent psychopharmacology has imposed a consideration of ethical issues including prescribing in the face of the lack of a large scientific data base, critical developmental neuropharmacologic issues of children, informed consent issues, and special issues with research. MEDLINE was searched for English-language articles published between 1985 and 2011. The development of this role served to benefit the patients by improving access to medication, empowering them to have a degree of choice in their health care and the staff in extending Mar 14, 2013 · The American Academy of Neurology is warning doctors around the country to stop prescribing ADHD medications to healthy children to give them a boost in their schoolwork. You’ll find complex issues surrounding the balance between profit, research costs, and ensuring patients can access life-saving Feb 29, 2012 · One broad principle for the conduct of pediatric drug studies is that children should not be subjected to research that is not necessary to advance knowledge relevant to child health. pain. Arch Gen Psychiatry. The widespread availability of the Nov 18, 2021 · First, awareness of how many patients struggle with cost and may even forgo medication will hopefully encourage clinicians to consider cost and discuss with patients when prescribing; but also, perhaps more importantly, Aug 29, 2017 · Medical Ethics Medical ethics encompass the science and philosophy used to identify, analyze, and attempt to resolve moral dilemmas that occur in clinical practice [27, 28]. Therefore, in order to thrive, directions and methods for engaging in ethical, legal, and effective interprofessional collaboration must be established at the outset. Oct 2, 2021 · medications and the validity of psychiatric diagnoses in youth, the more complex social and ethical concerns surrounding the treatment of children with mental health disorders remain beyond the scope of most clinical research. The ongoing pressures to maintain prescribing (e. 2005;30:1649–61. Nurse prescribing is now an integral part of advanced level practice. 1007/s41252-023-00365-y Corpus ID: 264069616; Ethical Prescribing of Psychotropic Medications for People with Neurodevelopmental Disorders @article{Deb2023EthicalPO, title={Ethical Prescribing of Psychotropic Medications for People with Neurodevelopmental Disorders}, author={Shoumitro (Shoumi) Deb and Bharati Limbu and Annamaria Bianco and Every profession is faced with a unique set of professional, legal, ethical, and collaborative challenges and guidelines. While scrolling through any social media platform, it is not uncommon to be bombarded with a wide variety of videos and images advertising quick and easy ways to Mar 22, 2020 · This chapter covers ethical issues requiring consideration when prescribing antipsychotic medications, with particular focus on prescribing that involves high-dose antipsychotics or polypharmacy. When prescribing medications that have known risks at Nov 13, 2023 · Prescriptive authority is the ability of healthcare providers to prescribe specific medications, including controlled substances. To ensure safe practice, it is imperative that Jan 1, 2010 · Medical ethics encompass the science and philosophy used to identify, analyze, and attempt to resolve moral dilemmas that occur in clinical practice [27, 28]. He argues that many more children are being prescribed medications because: 1. 28. patient wishes, fear of depression recurrence), few perceived continuation problems (e. Ethical issues in opioid prescribing for chronic pain Pain. g. This review from an American 5 days ago · Once bipolar disorder is ruled out, there are guides to help a clinician select appropriate medication, depending on a patient’s level of depression [43]. Feb 16, 1997 · Avoid prescribing medications in isolation from other therapies. Viral hepatitis: a case study. In today's world, distinguishing between virtual and physical reality continues to be increasingly difficult. 1136/ medethics-2022-108388 Faculty of Health and Medicine, Lancaster Medical School, Lancaster University, Lancaster, UK Nov 13, 2023 · The BMJ’s new “practical prescribing” series aims to improve decision making Written prescriptions for medicinal products can be traced back over 4000 years. In the area of prescribing medications, this means choosing a medication tailored to the clinical needs of each patient (e. Aug 1, 2005 · A patient's discovery of the fact that medication is being given surreptitiously could have devastating effects on the treatment relationship and the patient's ability to trust the psychiatrist and the treatment team, an issue raised by Ahern and Van Tosh in their Taking Issue commentary in the April issue . 40 The legal concept of “informed consent” was first applied in a 1914 New York the International Ethical Guidelines for Research Involving Human Subjects established specific requirements to obtain Prescribing Antipsychotic Medications to Individuals with Developmental and Problems associated with the use of antipsychotics in people with dementia. Authors Lindsay W Cole 1 , Jennifer C Kesselheim, Aaron S Kesselheim. The literature on pharmacological interventions suggests changes in prescribing patterns for some substance classes owing to regulatory authorities' warnings. 2 Pharmacogenomics Jan 25, 2021 · medications on the mind and behavior. Underlying this access issue are two challenges: (1) the lack of trial data from these populations, and (2) insufficient infrastructure for the delivery of care using these drugs. 1 However, case definitions vary, 2 and while effective treatments exist, their use is repeatedly questioned. While attempting to propose a definition to capture the many aspects of this issue, this article also examines conflict of interest between prescribers and the Several ethical issues may arise as a result of medication errors: harm to patients, whether to disclose the error, erosion of trust, and impact on quality care. 2007;191:15-26. 3 In fact, FNPs are increasingly providing mental health care as demand from patients has increased. doi:10. J. Older adults, particularly women (who make up the majority of this age group), are at the greatest risk for drug-related harm. Covert medication may seem like a minor matter, but it touches on legal and ethical issues of a patient’s competence, autonomy, and insight. We are writing both to respond to Ballantyne and Fleisher’s 2010 article on the ethics of opioid prescribing [1] and to join the authors in calling for continued progress in rational, ethical, and practical decision making surrounding the use of opioids in the treatment These questions become more important as the number of patients who receive medication and psychologists’ involvement in pharmacotherapy increase. 2009;32:259-270. (1999). Riley JB, Basilius PA Apr 1, 2017 · The complex legal and ethical issues related to generic medications. The list of medications is a comprehensive combination of FDA-approved drugs that have undergone rigorous testing and continued research to ensure overall effectiveness and the safety of the patient. FDA Talk Paper: FDA issues public health advisory for antipsychotic drugs used for treatment of behavioral disorders Oct 1, 2021 · Ethical issues, such as (1) the lack of a sound database on long-term efficacy and safety due to a limited number of clinical trials in this population, (2) the lack of knowledge about adverse events related to the off-label use of Feb 8, 2023 · 11. Jan 25, 2021 · risks versus bene fi ts in the prescribing of medications. The rationale and ethics of medication-free research in schizophrenia. She also reflects on her Sep 1, 2012 · In prescribing medication the sovereign principle is the welfare of the patient, which must remain foremost. Common errors in opioid prescribing. 1 The development of online pharmacies has prompted regulatory Apr 5, 2017 · Behavior analysts often work as part of an interdisciplinary team, and different team members may prescribe different interventions for a single client. 2010;20 Sep 23, 2021 · Nurse prescribing has become well established in the UK. 3% of Americans are living with diabetes. 2010;148(3):365-367. Treatment decisions. Medicating patients without their knowledge is not justifiable solely as a shortcut for institutions or families wishing to calm a troublesome patient and thus alleviate some of the burdens of care giving. Aug 7, 2010 · The nurse independent prescriber (NIP) role has slowly evolved over 6 years, since its introduction in 2000 in line with the Government plans to modernize the NHS. The appropriate approach to off-label prescribing can depend on whether the use is new or old. The ethics of clinical innovation in psychopharmacology: challenging traditional bioethics. More recently, escalating prices, formulary restrictions, and other clinician-prescribers have reshaped The following ethical discussion focuses on provider-patient interactions at the most interactive end of the telemedicine spectrum: real-time, synchronous, clinical video telehealth (CVT). Ethical issues related to medical errors can be categorized around four ethical principles: autonomy and right to self-determination; beneficence and nonmaleficence; disclosure and right to knowledge; and veracity (Bonney, 2014). The physician may be found grappling with the decision of whether to continue to treat a patient who may be obtaining psychotropic Jun 1, 2012 · (The American Psychiatric Association's communications office declined to comment about issues related to inappropriate prescribing or potential ethical problems for psychiatrists who are paid by pharmaceutical companies to promote certain drugs through speaking or consulting fees. 31128/AJGP-08-20-5591. 18. Off-label medicine use: Ethics, practice and future directions Aust J Gen Pract. Third, and related, is that children may be assigned to a dummy treatment group where no real medication is provided. Miller FG, Pearson SD. Mar 7, 2017 · Ethical Considerations. Psychiatric medications work for These efforts should lead to more knowledgeable prescribing of medication in children. Affiliation 1 Penn Pain Medicine In the previous editorial, 1 it was briefly noted that the ethical issue could be addressed and clinically relevant information would be obtained with a head-to Kane JM. Finally, we discuss some ethical issues specific to the psychologist involved in pharmacotherapy. lack of safety concerns) and the lack of proactive medication reviews (e. 2. A recent study found that from 2004 to 2016, the mean out-of-pocket costs for commonly prescribed medications for multiple sclerosis Apr 1, 2021 · Slight variations in one's genes may generate proteins with functional differences. Nurses' appropriate ethical responses to medication errors need to be supported. Going off-label without venturing off-course: evidence and ethical off-label prescribing. Investigation, diagnosis and treatment are carried out independently and include documentation and prescription of specif Apr 1, 2014 · Ethical issues in psychopharmacology extend well beyond prescribing practice, There is often too little evidence for symptom-based prescribing, i. Epub 2011 Dec 15. Authors J Simon Bell 1 , Georgia C Richards 2 Dec 1, 2008 · This mixed-method study examines (1) the extent to which fifty adolescents receiving wraparound treatment and prescribed psychotropic medication for various psychiatric disorders report that they Apr 11, 2024 · Off-label prescriptions are common in the United States (i. Dec 23, 2022 · The current approval by the Regional Ethical Review Board in Lund, Sweden (Ethical Review Board no. 2010 May;18(2):24-6. I would also be concerned that a Apr 5, 2017 · Request PDF | Ethical Considerations for Interdisciplinary Collaboration with Prescribing Professionals | Behavior analysts often work as part of an interdisciplinary team, and different team Dec 23, 2021 · It considers important legal cases that illustrate the key issues of autonomy, negligence and consent and illustrates how these scenarios can impact on prescribing practice on a daily basis. The ethical psychiatric So where does the responsibility for ethical prescribing lie? As health care professionals, prescribing and dispensing pharmaceuticals are generous percentages of each day. Indeed, these proteins may influence one's response to any medicines taken, resulting in individuals differing in their response to the same medicine. Ghaemi SN, Goodwin FK. The Institute of Medicine report, “To Err Is Human: Building a Safer Health System,” exposed the serious nature of this category of medical errors [1]. A patient care model that integrates ethics, professionalism, and cognitive and technical expertise is shown. Medical practitioners are revisiting many of the ethics and the legal implications surrounding the clinical frameworks within which we operate. Psychopharmacology has revolutionized psychiatric practice but raises a number of ethical issues. In a recent report of the use of prescription sleep aids by the Centers for Disease Control and Prevention, it was estimated that between 2005 and 2010 about 4% of Jan 1, 2021 · Opioid Prescribing and the Ethical Duty to Do No Harm - Volume 46 Issue 2-3 Effect of Opioid vs Nonopioid Medications on Pain-Related Function in Patients With Chronic Back Pain or Hip or Knee Osteoarthritis Pain: The SPACE Randomized and the ethical problems of designing long, placebo-controlled trials with suffering people. This chapter covers ethical issues requiring consideration when prescribing antipsychotic medications, with particular focus on prescribing that involves high-dose May 10, 2020 · rights issue with a rich history of legislation. Novel—and very costly—medications designed to cure and not simply treat medical conditions have arrived. Mar 1, 2018 · Using medications to treat conditions for other than which they are approved can raise concerns over ineffective treatment, adverse reactions and possible litigation. 2007;2:26. 1 Genomic technology promises a move away from a traditional ‘one size fits all’ approach to treatment. , using medications to target various symptoms without consideration of the underlying disorder––an approach that may lead to poor outcomes and is not in keeping with appropriate standards Cases that highlight ethical issues and their resolution are presented. Regarding the financial issues the “exasperated” Dr O advances for prescribing loperamide, one might challenge these as potentially immaterial justifications and caution Dr O and Ms D not to chase them too far down the rabbit hole. (Eds. Many ethical issues arise within the broader realm of psychopharmacology, in-cluding the fair allocation of resources or the weighing of risks versus benefits in the prescribing of medications. In these cases, covert prescribing is often justified by the principle of beneficence, which prioritizes the patient’s best Feb 6, 2020 · Legal and Ethical Issues Associated 1 with Medication Sherri Ogston-Tuck Learning Outcomes At the end of this chapter, (1989) 1 MED LR 36, where both the prescribing doctor and the pharmacist were held to account for causing harm to the patient who was given the wrong drug as a result of poor handwriting. Additional Resources. Psychologists’ role in the discussion of psychotropic medication with clients: Legal and ethical considerations. There is evidence that these medicines may improve psychosis and aggressive behaviour, with a number needed to treat (NNT) of between 5 and 11, Reference Banerjee 6 but in recent years evidence regarding efficacy has been overshadowed by concerns about harm; making their use highly controversial. 23 23 See Feb 7, 2020 · This chapter addresses the professional, legal and ethical issues associated with medicine management and the role of the nurse. When treating patients with acute or chronic pain, obstetrician–gynecologists have an ethical responsibility to follow current best prescribing practices for controlled medications in order to avoid inadequate or inappropriate treatment of pain and patient misuse or diversion (ie, redistribution) of prescription medications such as opioids. Apr 5, 2021 · Proposing or prescribing remotely for patients in a care/nursing home or hospice; Proposing or prescribing remotely for patients based overseas; Shared care 73-81. Authors Jane C Ballantyne 1 , Lee A Fleisher. Each of these principles will be discussed below. 1% of Americans want to lose weight. 1 Medical Council of New Zealand, They include doctors self-prescribing or prescribing psychotropic medication or medication with a risk of addiction or misuse for those close to the doctor, issuing repeat Dec 29, 2024 · Both the federal government and private sector experts have recommended the use of electronic prescribing, or e-prescribing, as a response to the problem of adverse drug events. Among older people, there are distinct ethical issues including those related to competency, resource allocation, therapeutic futility, and end-of-life concerns [27, 29–31]. Engl. Autonomy and Right to Self Determination May 18, 2010 · Exploring the ethics of prescribing medicines Emerg Nurse. Igoumenou (Ed. “Giving in” and prescribing any medication that is against sound medical judgment is a disservice to patients and likely ethically indefensible, as it contradicts Apr 5, 2017 · Changes in medication regimens have the potential to alter behavior i Ethical Considerations for Interdisciplinary Collaboration with Prescribing Professionals Behav Anal Pract. . This case raises a number of ethical and Apr 13, 2016 · The clinical care of depression combines an urgency of crisis with the deeply experienced and pervasive feelings of hopelessness and sadness among patients, raising many ethical issues related to the need for patient safety, the appropriate treatment of disease, and the restoration of individual self-agency. 2012 Mar;9(1):77-83. Rational and Nov 7, 2019 · When academic physicians put their names on ghostwritten articles, it raises ethical issues and undermines the basis of scientific reliability. Sep 1, 2008 · Sleepiness contributes to motor vehicle and industrial accidents, is a symptom of serious medical disorders, reduces productivity, and affects quality of life. This month's Mar 26, 2009 · Walkup states that the accurate depiction of trends in prescribing practices for children fails to “put the increased use in perspective ” (p. Immediate-release medications are taken only when the child needs them, which . Ethical issues in opioid prescribing for chronic pain. [Google Scholar] Articles Objectives People with neurodevelopmental disorders (NDDs) such as intellectual and developmental disabilities (IDD) and autism are subjected to restrictive practices like physical restraint and the overuse of psychotropic medications for challenging behaviour in the absence of a psychiatric disorder. We argue that primary care providers have an ethical obligation to develop competency to provide cannabis to appropriate patients . N. the problems that arise in relation to prescribing by telephone will be extended to the more general areas of evaluation and treatment via telemedicine. In this case, a new FDA-approved drug is recommended for a patient who subsequently experiences an adverse event that may or may not be related to the prescription. One such intervention that is commonly encountered is a change in medication. Philos Ethics Humanit Med. The Jun 1, 2010 · Prescribing in frail older people may be improved by application of the four tenets of medical ethics – beneficence, non-maleficence, autonomy, justice – rather than solely those of evidence-based medicine. Psychopharmacology (Berl). Yet few physicians ask their patients about or know how to treat sleep disorders. Before proposing, prescribing or providing medications, treatment or devices, you must consider whether the information you have is sufficient and reliable enough to enable Rosenblat JD, McIntyre RS: Pharmacological approaches to minimizing cardiometabolic side effects of mood stabilizing medications. 1). Their assessment of patients’ risk-benefit profile, for example, dictates their access to these medications—sometimes controversially, as in the current opioid epidemic. 49. Belitz J, Bailey RA. 5 days ago · While physicians still assess risks and benefits when prescribing medications for patients, rising drug prices, 1 formulary restrictions, and quantity limitations 2 introduce new complications to stewardship decisions. As such, it is important for potential ethical issues that can arise, and a case study A: For many decades, opioid medications have been the mainstay of treatment for acute dental pain. For most of the commonly used medications May 18, 2019 · Request PDF | Legal, Ethical, and Professional Issues Related to Use of Psychotropic Medications in School-Aged Populations | Given the important involvement of psychologists and school The ethical and public policy challenges these findings may present for research and public health progress through pharmacogenomics are worth discussing dispassionately now, when no practical application yet exists. J Med Ethics Epub ahead of print: [please include Day Month Year]. 2 Christensen R, Kristensen PK, Bartels EM, Bliddal H, Astrup A. Dec 6, 1998 · Hugh McDonald is an emergency nurse practitioner with the authority to manage a defined group of patients who present to A&E with a specific range of complaints and injuries. Changes in medication regimens have the potential to alter behavior in a number of ways. Appropriate off-label prescribing can also depend on the urgency of the patient’s situation and the availability of alternative treatment approaches. To eat or not to eat – how the gut talks to the brain. Four widely accepted principles of medical ethics should be respected in developing and sustaining any sleep CVT program: 11. 25. Dec 28, 2024 · Responsible controlled substance and opioid prescribing is critical to ensure the safe and ethical use of these medications. This paper seeks to 1) highlight some of the ethical challenges of dispensing hydroxychloroquine by pharmacists during the COVID‐19 pandemic, 2) identify some of the responses to these Jan 28, 2021 · Many ethical issues arise within the broader realm of psychopharmacology, including the fair allocation of resources or the weighing of risks versus benefits in the prescribing of medications. 2021-01563) does not include data sharing. Ghaemi SN, Goodwin FK: The ethics of clinical innovation in psychopharmacology: challenging traditional bioethics. If absent, the profession lacking in structure would cease to exist. 24. Article 5 gives people the right to equality 3 days ago · In Maxine’s case, if medications are deemed necessary for behavioral symptom management (i. Conway1 & tion that is commonly encountered is a change in medication. Philos Ethics Humanit Med 2007 Jul 7, 2024 · The COVID-19 pandemic has exacerbated the drug poisoning epidemic in a number of ways: individuals use alone more often, there is decreased access to harm reduction services and there has been an increase in the toxicity of the unregulated drug supply. 2009;169:1745–1747. Efficacy and safety of the weight-loss drug rimonabant: a meta- Global access to these medications represents an additional ethical dilemma, added Ilina Singh, professor of neuroscience in society at the University of Oxford. 1007/s11673-011-9342-y. These programs may provide valuable information to assess the history and use of controlled substances and contribute to clinical decisionmaking in the emergency department (ED). This chapter covers ethical issues requiring consideration when prescribing antipsychotic medications, with particular focus on prescribing that involves high-dose antipsychotics or polypharmacy. For most of the commonly used medications 5 days ago · When brought to Dr O’s attention, this issue can be the means to move care forward for the patient’s benefit. 05. She was dismissed by her employers and reported to the NMC. Pain. Ethical issues and controversies. Sixty-five percent of respondents to a 2008 survey reported disturbed sleep on “at least a few night” in the prior month. the family, as well as from society at large. The. Kanny Ooi. In Our ethical hub has resources on applying our guidance in practice to help you decide if face-to-face or remote consultations are appropriate in other situations. Preston, J. 1997;54(5):401–407. Psychiatr Clin North Am. Arch Intern Med. Med. Finally, the authors propose a decision-making tree that can A Doctor in the House: Ethical and Practical Issues when Doctors Treat Themselves and Those they are Close to. Physicians of either Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) designations have the highest degree of prescriptive authority. 1. Peck1 & Alissa A. Identifying potentially inappropriate medications and The safe and effective use of medications in pediatric populations is an important and underdeveloped area of health services research. As such, it is important for all team members to This is a guide for psychologists involved in prescribing psychiatric medications concerning what they must consider including their own competence and attitudes; their patients' age, gender, health and ethnicity; possible side effects; and evaluation and review of proposed and existing practice guidelines. To ensure safe practice, it is imperative that safeguards are Oct 12, 2023 · Ethical Prescribing of Psy chotropic Medications for People with Neurodevelopmental Disorders Shoumitro Deb 1 · Bharati Limbu 1 · Annamaria Bianco 2 · Marco Bertelli 2 Sep 25, 2017 · As a bioethicist working on the ethical and policy issues regarding prescription opioids, I am grateful to the National Academy of Medicine for inviting me to serve on this publication’s Polypharmacy is very common in older adults and increases the risk of inappropriate and unsafe prescribing for older adults. Sponsors, researchers, and institutional review board (IRB) members should be familiar with these unique ethical and medical issues as they design, review, and conduct research planned for this population. tsiyy bmaavzq pjxbb jfmn oka bomuxv gtcpq sqo vgv uqbji