Evaluation of Pharmaceutical Care in Two Government Hospitals in the Central Region

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The study investigated the existence of pharmaceutical care issues among In-Patients in the Cape Coast District Hospital and the Central Regional Hospital all in the Central Region of Ghana. It also identified the pharmaceutical care plans and actions, and determined the feasibility of implementing them to resolve such issues. A total of eighty-seven patients were involved in the study. Patient records and interview were used to collect data for the study. The results indicated that a total of 673 pharmaceutical care issues (PCIs) were identified among the 87 in- patients in the two hospitals, and that the majority of the PCIs were identified from the prescription, and the rest from medical records and patient interview. Pharmaceutical Care Issues ( PCIs) identified include; Potential/Suspected adverse drug reaction , Education and Counseling required, Cost issues , Monitoring Issue Inappropriate dosage regimen, Inappropriate duration of therapy etc. 1485 separate actions were recommended and implemented by the pharmacists to resolve the 673 PCIs identified in the two hospitals. Whereas some PCIs required action which involved only patients, such as the provision of advice, others required communication with a health care professional and even sometimes communication with both. In conclusion, pharmaceutical care issues really exist among in-Patients and that it is feasible to formulate and implement care plans (as well as providing pharmaceutical care) in general practice settings such as the Cape Coast District Hospital and the Central Regional Hospital in line with recommended guidelines to resolve such issues.
A Thesis submitted to the Department of Clinical and Social Pharmacy, Kwame Nkrumah University of Science and Technology in partial fulfilment of the requirement for the degree of Master of Science.