Thursday, October 27, 2011

Genre Analysis

Over the last few years there has been a rise in accidental overdoses involving children, but it hasn’t become an up and coming news story until recent.  Since children haven’t matured physically and mentally they are affected by medications differently than adults are.  A lot of medications adults take are not intended for young adults let alone children, and with the advancements in medicine, there is a wider range of medications being prescribed to patients.  When it comes to understanding this issue, there is no one better than the doctors and pharmacists themselves.  Their professional perspectives on the issue can give insight to better understanding why this is becoming such an issue.  From the Journal of Pediatrics, G. Randell Bond documents in his article and case study, “The Growing Impact of Pediatric Pharmaceutical Poisoning,” the understandings of which medications, and under what circumstances, is responsible for the noticeable increase in pediatric medication poisonings.  On the other hand, the popular perspective gives more of the personal understanding and is expressed for average person to understand.  Tara Parker-Pope from the New York Times writes an article titled “More Accidental Drug Poisonings of Children,” which talks primarily about the overall topic itself and why professionals think there may be a problem.  Another major part of the article is the space for readers to provide comments on the topic.  This gives insight to what the general public thinks about this issue. 

                The professional genre of writing is intended toward other professionals.  In the article explained previously, there are a lot of names of medications and groups of types of medication that only other professionals of the same discipline as the author would understand.  The audience would include professionals from the medical field as well as other science and math based fields.  Included in the article are statistics of different medications that are most commonly overdosed as well as percentages of the severity of the dose.  It would be important to know which drugs are the most frequent ones that are overdosed on in order to find means of preventing future overdoses.  What the audience might not know is the break-down of the number of children it affects and the different ages from 0-5 that ingest the medications. The way that the journal is outlined is only for those who understand the structure of a formal report.   There are separate sections for methods, results, and a discussion of the results as well as figures and tables to support the results.  The purpose of the professional journal is to inform other professionals about the severity of the issue and also to provide support and information on the topic that is pediatric overdosing.

                The professional journal is extremely thorough when it comes to analyzing the topic.  Anytime there is a topic of concern pertaining to the medical field, soon after there are statistics and case studies done in order to better understand the issue.  With the issue of pediatric poisoning, the professional genre establishes its credibility by providing not only statistics, but where the statistics come from.  The journal isn’t someone’s opinion, or a certain view on the issue, it is the fact of the matter whether it be good or bad.  The credibility is based on the availability of the information, and this journal doesn’t exclude any important facts that could sway the readers’ opinion about the topic.  As far as emotion, since this is a scientific journal, it lacks the emotion that persuades the reader to think one way or another.  The overwhelming statistics to someone who isn’t accustomed to reading journals like that will feel overwhelmed with all the information, which is why it is directed toward professional audiences.  The evidence that is used to support this topic is statistics.  Since this is for a professional audience, statistics is the most sensible way to give supporting evidence.  The journal gives over the counter drugs and prescription drugs and which ones are most commonly overdosed on.  The information given is time consuming, in order to get a clear understanding of the topic.  There is a lot of information given and there are tables and graphs to help better explain them which are important in the professional genre. 

                On the complete other side of pediatric poisoning, there is the popular genre.  This type of genre is directed toward the average reader that wants to be up to date on the recent news headlines.  There are minimal statistics, and quotations from professionals in the article.  The audience of this article would be men and women, primarily parents of children that want to learn more about this, to most likely keep it from happening to their child.  With the information provided, the audience will either use it to lock up their prescription and over the counter medications.  What is most interesting about this article is that there is a place where people can comment on the subject and give personal anecdotes on the topic.  No one buys something online without reading the reviews to make sure the product is what they say it is, well the same goes with this article.  The personal stories and input can give a better understanding from the point of view from people who have experienced it or want to give their own input about the matter.  Depending on who is reading the article is going to depend how much time they spend on it.  This is an interesting topic that affects thousands of families, and parents of young children will be spending the most time reading and understanding why this issue keeps happening.  A really interested parent will lock up their medications after reading it to make sure something like that doesn’t happen to their child.  The main purpose of this information is to inform the public about this issue, and bring awareness to the fact that this could happen to anyone.  The message that the audience should get from this is that parents need to keep their medication out of the reach of children especially if they have a lot of prescriptions.

                The popular genre is informative to the average person to keep them updated on recent news.  The genre gains credibility by having a few statistics as well as dialog from a professional.  In order to make something credible, the information needs to come from a credible source.  The article can also invoke a feeling of fear; fear that the readers own child could be at risk for an accidental overdose of drugs.  What really give a strong message are the comments at the end.  People can post their thoughts about the topic and give personal anecdotes.  That is the most emotional part of the article.  The comments also give insight to other reasons why the poisonings occurred.   For example, not all the time is it the doctor or the pharmacists fault, but the parents, and they are failing to mention that to the hospital when their child ends up there after being given a different drug then they are supposed to be taking.  The evidence that supports this are links to other scientific journals discussing the issue and giving commentary from professionals in the article saying that this is something to be concerned about.  This article is an easy read and isn’t too long for the kind of information that is being presented.  It leaves the reader wanting to know more about the topic. 

                The two different genres are targeted for two very different audiences.  The professional genre is targeted for medical professionals that want to know the facts.  On the other side the popular genre is targeted to the everyday person wanting to read the headlines in news.  The popular audience can include families wanting to know why the rise in accidental overdosing is happening.  However there is a common thread between them.  In order to make the popular genre credible it needs a professional source.  The professional journal is the reference material used to write the popular article.  The professional journal does an excellent job giving supporting facts to the issue.  It displays them in tables and charts to give a more clear understanding of what information is being presented.  It gives a great framework to future articles on this topic.  However, what it lacks is interest.  Unless the reader is a medical professional this journal is not interesting to the average reader, it only appeals to professionals and not at all to the popular audience.  The popular genre is a light read and not too in depth, but also informative about the topic.  It is written with just enough information to give the reader what they want to know.  This article can be for any audience including professionals, but it doesn’t give the detail and facts that most professionals want to know.  Overall the effectiveness of both articles is where is should be for the audience it is intended for.  Both teaches the reader something that they might not have known before, and because of that they are both successful pieces.  


References

Bond, G. Randell. "The Growing Impact of Pediatric Pharmaceutical Poisoning." The Journal of Pediatrics. The Journal of Pediatrics, 16 Sept. 2011. Web. 21 Oct. 2011. <http://www.jpeds.com/article/S0022-3476(11)00771-2/fulltext#abstract>.

Parker-pope, Tara. "More Accidental Drug Poisonings of Children - NYTimes.com." Health and Wellness -Well Blog - NYTimes.com. New York Times, 16 Sept. 2011. Web. 20 Oct. 2011. <http://well.blogs.nytimes.com/2011/09/16/more-accidental-drug-poisonings-of-children/>.

Friday, October 21, 2011

Professional Perceptions

Pharmacists realize the large problem of accidental pediatric overdoses.  What they have to say is that a lot of the time the overdoses occur because of over the counter cold medicine.  They said that over 60% of problems were because of cold and flu medications, which isn’t a surprise since it is the most frequent occurring illness worldwide.  Because of the rise in overdoses a lot of different cold medicines have been taken off the market to help prevent accidental overdoses.  However it isn’t just the over the counter cold medicine that is the culprit; it’s also the prescription drugs.  The study that took place by the Cincinnati Children’s Hospital is the one that all the professionals are talking about.  It looks at poisonings from 2001-2008.  What they notice is that most of the emergency room visits are because of the child ingesting the medication themselves.  Pharmacists say that the prevention efforts have proved to be inadequate in the rising availability of prescription drugs and particularly more dangerous drugs.  Pharmacists think that the advancement in drugs also make it more likely that a child getting access to medications will be more fatal due to the potency of the new medications.  Pharmacists think in most ways the same as the non-professional community about this issue.  They both realize it’s a growing problem.  Pharmacists understand the drugs responsible and most of the effects and severity of the overdoses.  Pharmacists are beginning to go out of their way to help prevent and educate their patients on the importance of keeping medication out of the reach of children as well as dosing advice on the different over the counter and prescription medications.

References

Aguilera, Lydia. "USPharmacist.com Pediatric OTC Cough and Cold Product Safety."USPharmacist.com. Jobson Medical Information, 20 July 2009. Web. 21 Oct. 2011. <http://www.uspharmacist.com/content/d/feature/i/765/c/14137/>.

Bond, G. Randell. "The Growing Impact of Pediatric Pharmaceutical Poisoning." The Journal of Pediatrics. The Journal of Pediatrics, 16 Sept. 2011. Web. 21 Oct. 2011. <http://www.jpeds.com/article/S0022-3476(11)00771-2/fulltext#abstract>.

Wednesday, October 19, 2011

Popular Perceptions

The rise in accidental poisoning in children by prescription drugs are being talked about it multiple news stations and in medical journals.  Why they think this is happening is because of the rise in the use of prescription drugs among adults.  Despite childproof caps and the safety warnings, the number of poisonings have went up 22% from 2001 to 2008.  There is a rise in both adult and children prescription drug use, which leads to having more pill bottle in a household than normal.  They are saying that the majority of cases are from the parents’ failure to keep the medications out of reach of children and securely put away.  The Cincinnati Children’s Hospital and the University of Cincinnati analyzed national poison control data and found that 544,133 children ages 5 and younger had been to the emergency room between 2001 and 2008 after an accidental medication poisoning.  In 95% of the cases, it happened because of a child ingesting the drug, instead of a labeling or dosing error.  It is possible that now there are more medications that are more likely to be kept in a household, such as diabetic medication, since obesity is a major concern in our country which can lead to all sorts of medical issues.  Also changes in drug technology can also be contributing to the increase.  For example, heart patients that used to take diuretics for blood pressure are now being prescribed beta blockers which can lead to more toxic overdoses. 
The change in the way that the prescriptions are packaged can help in reducing the number to accidental overdosing.  For example, liquid medicine can be made to restrict flow to only one dosing, and pill bottles will only allow only one pill to be dispensed at a time.  Little changes like locking up prescription pills instead of just placing them in hard to reach places can also greatly reduce the number of accidental overdoses.

References 

Join Together Staff. "Growing Number of Children Accidentally Poisoned by Prescription Drugs | The Partnership at Drugfree.org." The Partnership at Drugfree.org | Support and Resources for Parents Dealing with Teen Drug and Alcohol Abuse. The Partnership, 16 Sept. 2011. Web. 20 Oct.2011. <http://www.drugfree.org/join-together/drugs/growing-number-of-children-accidentally-poisoned-by-prescription-drugs>.

Jones, Rebecca. "Accidental Poisoning in Children Is on the Rise." KwikMed. Wordpress, 16 Sept. 2011. Web. 20 Oct. 2011. <http://kwikblog.kwikmed.com/2011/09/16/accidental-poisoning-in-    children-is-on-the-rise/>.

Parker-pope, Tara. "More Accidental Drug Poisonings of Children - NYTimes.com." Health and Wellness -Well Blog - NYTimes.com. New York Times, 16 Sept. 2011. Web. 20 Oct. 2011. <http://well.blogs.nytimes.com/2011/09/16/more-accidental-drug-poisonings-of-children/>.

Sunday, October 16, 2011

Hot Topic Focus

The topic I will be focusing on is the rise in young kids getting accidentally poisoned by medication.  It was the most voted for hot topic and I think the most important.  Families trust their doctors in diagnosing their child's sickness and communicating the appropriate drug and patient information to the pharmacy.  Then it is the pharmacist’s job to get the dosage correct based upon their age and weight and double checking it before given to the patient.  Since children are still growing and developing well into their teens, it is especially important to get dosage amounts right, since it can interfere with their growth.  There are over 70,000 cases per year that deal with children being poisoned by prescription drugs.  The reason why this issue is gaining more awareness is because this number was never this high.  I think there are underlying issues besides just the pharmacists and doctors getting the dosage wrong.  As I research this topic I'm going to look at other issues and if any have connecting problems as to why this number is rising.  Also the medications that are being overdosed on, painkillers, sedatives, and cardiovascular drugs, are the most common that are overdosed on with adults.  There are so many different aspects to this hot topic that it will be interesting to research and learn more about it.

Wednesday, October 12, 2011

Hot Topics in Pharmacy

With pharmacy there are many new medicines being introduced daily.  Although that will always be a hot topic, I think more interesting ones are those that do not involve new drugs.

First, the Immunizing Pharmacist:

There is a rise in Pharmacies now being able to give vaccines for not only the flu, but other things as well.  All 50 states now allow for pharmacist immunizing.  However all pharmacist must undergo training in order to correctly vaccinate the patients.   The reason why this is becoming so popular is because pharmacists already have knowledge of medicines and how to properly store them as well as vaccines.  However different states do have different regulations to what pharmacists are allowed to do when it comes to the vaccinations.  This is a good match for pharmacists to be able to vaccinate because pharmacists are natural advocates for patients and can discuss the importance of vaccines and certain medications.

Second, there is a sharp rise in young kids being accidentally poisoned by medication. 

This is an issue because not knowing the correct dosage for a child can be too toxic for their body.  Since children are still developing and growing constantly it is very important to get dosage amounts correct.  70,000 cases occur yearly due to unintentional overdoses under the age of 18.  This is getting recognized now because that number wasn’t always as high.  The main medications that are overdosed on are opioids (painkillers), sedatives (sleeping pills), and cardiovascular drugs.   It is not just an issue in the pharmacy, but also home life as well. 

Third, Tracking illegal online pharmacies.

What a lot of people don’t know is that they can be getting their prescriptions from illegal sites if they aren’t using CVS, Kroger, or any other widely known drugstore.  What is happening now is that web searches for online pharmacies are being redirected to these illegal pharmacies and people order prescriptions from them.  The drugs that they are distributing are dangerous and unauthorized, and can be completely different from what you would get in a regular pharmacy.  Those sites are trying to be shut down completely, however it is difficult to point them all out.

Monday, October 10, 2011

Pharmacy Format

For my discipline, I will be using the format outlined by the American Pharmacists Association in order to correctly format my formal writing.

http://www.pharmacist.com/AM/Template.cfm?Section=Home2&TEMPLATE=/CM/ContentDisplay.cfm&CONTENTID=25063

Thursday, October 6, 2011

Pharmacy Manifesto

The job of being a Pharmacist is not at all easy.  It isn’t all about memorizing medications and their side effects; it’s about being able to communicate them to your patients.  Communication is not just important with the patients, but with doctors as well.  Doctors call in prescriptions all the time, and it’s the pharmacist who takes them and distributes them correctly.  There is no room for mistakes in the pharmacy.  A mistake could cost someone their life.  It is important that a Pharmacist is always attentive and has a control on what is going on with the prescriptions and the technicians filling them.

A pharmacist is not just accountable for him/herself, but also the technicians.  The pharmacist always double checks their filled prescriptions to make sure no mistake was made.  Customers want their filled prescriptions fast and not have to wait, but it is important that the pharmacy takes time in preparation to ensure that everything was done correctly.  The success of the pharmacy is not based on how fast they can fill a prescription, but that it is done correctly. 

A pharmacist must be able to answer any questions that the patient may have, whether it be about side effects or how it can affect other medications they are taking.  The most important part of being a pharmacist is communicating to the customer.  Being knowledgeable about medications will persuade the patient to keep coming back because they trust what you have to say.  That is how good relationships are built, which is what makes a good pharmacy. 

A pharmacist is constantly learning.  New drugs are introduced daily and it is their responsibility to be up to date with the lasted medical breakthroughs.  Some medications are prescribed more frequently than others, but that doesn’t mean they don’t have to know them.  A pharmacist needs to know just as much about the uncommon medication as they do about the most common. 

A pharmacist needs to be able to pay close attention to details.  One mistake in reading a prescription can cost someone their life.  Double checking their work must be a part of their routine of filling prescriptions. 

The Pharmacist is the center of the pharmacy.  If the pharmacist doesn’t know what is going on, then the rest will fall apart.  Building strong relations with patients and doctors is what makes a good pharmacist.  When mistakes happen, the cost could be someone’s life.  Mixing prescriptions can happen.  Pharmacists everywhere should take the guidelines set here to better their pharmacy and improve upon patient/doctor relationships.  With this happening a lot less mistakes happen and will promote the stability of the pharmacy.  I know that when I become a pharmacist, I will make sure that everything is done properly and that my patients trust me.