Rational Use of Medicines (RUM) – PST04101 Dispensing

NTA Level 4 • Semester 1 • PST04101

Rational Use of Medicines (RUM)

Dispensing • Source Session/Topic 15
Full source-text version: all educational wording from the extracted learning source is retained; only presenter/tutor metadata and web-layout noise are removed, while formatting is improved for readability.

Session 15: Rational Use of Medicines (RUM)

Total Session Time: 120 minutes

Prerequisites

• None

Learning Tasks

By the end of this session students are expected to be able to:

• Define Rational Use of Medicine
• List Components of Rational Use of Medicine
• List the Consequences of Irrational Use of Medicines
• Outline importance of Rational Use of Medicine

Resources Needed:

• Flip charts, marker pens, and masking tape
• Black/white board, chalk and whiteboard markers
• Worksheet 1.1 Sample Prescription

SESSION OVERVIEW

|Step |Time |Activity/ |Content |

| | |Method | |

|1 |05 minutes|Presentation |Introduction, Learning Tasks |

|2 |05 minutes|Presentation |Definition of Rational Use of |

| | | |Medicine |

|3 |20 minutes|Presentation |Components of Rational Use of |

| | |Brainstorming |Medicines |

|4 |40 minutes|Presentation |Consequences of Irrational Use |

| | |Small Group |of medicines |

| | |Discussion | |

|5 |40 minutes|Presentation |Importance of Rational Use of |

| | |Small Group |Medicines |

| | |Discussion | |

|7 |05 minutes|Presentation |Key Points |

|8 |05 minutes|Presentation |Evaluation |

SESSION CONTENTS

STEP 1: Presentation of Session Title and Learning Tasks (5 minutes)

READ or ASK students to read the learning tasks and clarify

ASK students if they have any questions before continuing.

STEP 2: Definition of Rational Use of Medicine (5 minutes)

• Rational Use of Medicine: Refers to patients receiving medications

appropriate to their clinical needs, in doses that meet their own

individual requirements, for an adequate period of time and at the

lowest cost to them and the community

STEP 3: Components of Rational Use of Medicines (20 minutes)

|Activity: Brainstorming (5 minutes) |

| |

|Ask students to brainstorm on the following question: |

| |

|What are the components of Rational Use of Medicines? |

| |

|ALLOW few students to respond |

| |

|WRITE their responses on the flip chart/ board |

| |

|CLARIFY and SUMMARISE by using the content below |

• The following are the components of Rational Use of Medicines

o Appropriate indication: The decision to prescribe drug(s) is entirely

based on medical rationale and the drug therapy is an effective and

safe treatment

o Appropriate drug: The selection of drugs is based on efficacy,

safety, suitability, and cost considerations

o Appropriate patient: No contraindications exist, the likelihood of

adverse reactions is minimal, and the drug is acceptable to the

patient

o Appropriate patient information: Patients are provided with relevant,

accurate, important and clear information regarding their conditions

and the medication(s) that are prescribed

o Appropriate evaluation: The anticipated and unexpected effects of

medications are appropriately monitored and interpreted

STEP 4: Causes and Consequences of Irrational Use of Medicines (40 minutes)

|Activity: Small Group Discussion ( 20 minutes) |

| |

|DIVIDE students into small manageable groups |

| |

|ASK students to discuss on the following question |

| |

|What are the causes and consequences of irrational use of medicine? |

| |

|ALLOW students to discuss for 15 minutes |

| |

|ALLOW few groups to present and the rest to add points not mentioned |

| |

|CLARIFY and SUMMARIZE by using the contents below |

The following are the causes of Irrational Medicine Use

o Diagnosis

▪ Inadequate examination of patient
▪ Incomplete communication between patient and doctor doctor
▪ Lack of documented medical history
▪ Inadequate laboratory Resources

o Prescribing

▪ Extravagant prescribing
▪ Over-prescribing
▪ Incorrect prescribing
▪ Under-prescribing
▪ Multiple prescribing/ers

o Dispensing:

▪ Incorrect interpretation of the prescription
▪ Retrieval of wrong ingredients
▪ Inaccurate counting, compounding, or pouring pouring
▪ Inadequate labeling
▪ Unsanitary procedures
▪ Packaging:
– Poor quality packaging materials
– Odd package size, which may require repackaging repackaging
– Unappealing package

o Patient adherence:

▪ Poor labeling
▪ Inadequate verbal instructions
▪ Inadequate counseling to encourage adherence adherence
▪ Inadequate follow-up/support of patients
• The following are consequences of irrational use of medicines:

o Ineffective and unsafe treatment

o Prolongation of illness

o Distress and harm to patient

o Increase the cost of treatment

o Lead to antimicrobial resistance

STEP 5: Importance of Rational Use of Medicines (40 minutes)

|Activity: Small Group Discussion ( 20 minutes) |

| |

|DIVIDE students into small manageable groups |

| |

|ASK students to discuss on the following question |

| |

|What is the importance of Rational Use of Medicine? |

| |

|ALLOW students to discuss for 15 minutes |

| |

|ALLOW few groups to present and the rest to add points not mentioned |

| |

|CLARIFY and SUMMARIZE by using the contents below |

Importance of Rational Use of Medicines:

• Reducing the incidences of drug resistance
• Improving patience adherence to medicines
• Reducing unnecessary cost of drug acquisition
• Reducing incidences of treatment failure
• Reducing the incidences of drug adverse reaction

STEP 6: Key Points (5 minutes)

• Improving the use of medicines by health workers and the general public

is crucial both in reducing morbidity and mortality from communicable

and non-communicable diseases, and to containing drug expenditure

curtail

• Therapeutically sound and cost-effective use of medicines by health

professionals and consumers should be at all levels of the health system,

in the public and the private sectors

STEP 7: Evaluation (5 minutes)

• What is Rational Use of Medicines?
• What are the Components of Rational use of Medicines?
• What are the Concequences of Irrational Use of Medicine?
• What is the importance of Rational Use of Medicines?

References

Bentley, A. O., & Rawlins, E. A. (1977). Bentley's textbook of

pharmaceutics (8th ed.). London, United Kingdom: Bailliere Tindall.

Cooper, J. W., Gunn, C., & Carter, S. J. (2008). Cooper and Gunn's

dispensing for pharmaceutical students (12th ed.). New Delhi, India:

CBS

FMHACA of Ethiopia (2012). Manual for Medicine Good Dispensing practices.

(2nd ed.). Ethiopia

Rees, J. A., Smith, I., & Watson, J. Pharmaceutical practice (5th ed.).

London, United Kingdom: Churchill Livingstone

Senya ,S. S., Mwasha, C.Y., Muyinga, A. M., Amiri,R. I., Mauga,

E.S.K.(2011). Tanzania Pharmaceutical Handbook ( 2nd ed.). Dar eS

Salaam, Tanzania: School of Pharmaceutical Sciences

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