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Healthcare ethics/Medical ethics can be known as the application of core principles of
bioethics to the decisions made in ...
Healthcare ethics/Medical ethics can be known as the application of core principles of
bioethics to the decisions made in a medical or a healthcare setting . The ethics help in
providing service through multidisciplinary lens, to the public and to understand their
complex issues so that the recommendations can be made for complex issues (1) . These
ethical codes and issues are applied on all the Healthcare providers (HCPs). Pharmacists are
also the healthcare providers that help in prov iding the people with appropriate medication so
that the patients can be provided with appropriate treatment (2) . The branch of pharmacy is
also works under the ethical code of conduct.
The paper describes the scenario of a pharmacist who has been reporte d for knowingly
providing employees with ‘Absence from work certificates’ for gaining additional pay for
them and will apply code of ethics and the breach of legislation regarding the case scenario.
In addition, the paper will also assess the ethical probl ems that occurred during the practice.
And will apply the consequences that can be faced by the healthcare professionals when
breach of legislation is reported. The paper will provide Gibbs’s reflection on the scenario.
Ethical codes, legislation and stan dards
Code of ethics can be considered as the codes that helps in supporting the pharmacists and
forms a base that helps the pharmacists to apply the practice with responsibilities. These
codes or principles are based on the moral obligations and the virtu es which are established
for the pharmacists as a guide to the relationship between the pharmacists and the patients
(6). The pharmacy board of Australia has developed various codes and guidelines according
to which a pharmacist should work. Along with this , the Australian health Practitioner
regulation agency has launched the guidelines and notifications for the registered healthcare
professionals along with the help of the National Registration and Accreditation agency (4).
The pharmaceuti cal society of Australia released the code of ethics for pharmacists which
helps in the articulation of the values of the profession of pharmacy and the expected
standards of the ethical behavior of the healthcare professionals or pharmacists towards the
individuals, public and community (5). The three codes of ethics released by PSA are
The code of ‘Care ’ explains that a pharmacist makes the health and the well being of a
particular individual of a patient, his first priorit y and practices and promotes patient centered
care. Along with this, a pharmacist also exercises professional judgement in the interest of the
wider community and the patients (6) . The code of ‘Competency’ explains that a pharmacist
demonstrates commitment for the self -development and the development of the pharmacy
practice. A pharmacist also works in collaboration with the others so that they can deliver a
person -centered care and can increase positive treatment outcome (3). The code of ‘Integrity’
explai ns that a pharmacist acts with integrity and remains honest with the patients so that they
can maintain trust and confidence with the patients. Along with this, the pharmacists only
work in those situations which upholds the professional judgement (6) .
Alo ng with this, the law of Health Practitioner regulation national law (ACT) was also
launched by the government of Australia for the effective working of the healthcare
professionals in a healthcare setting. the objectives and guiding principles of the law is to
regulate the health practitioners and the registration of the students who are undertaking the
practice of healthcare practitioner along with the clinical training (7) . The objectives of the
To provide the public with the protection and with trained and qualified practice.
To facilitate the workforce mobility of the public across the country so that the b
burden can be removed from the healthcare practitioners (7) .
To facilitate the high -quality practice to the public with the help of educa tion and
training regarding the healthcare professionals
To facilitate the responsive assessment of the trained HCPs (7).
The standards were also released by the government which relates with the common aspect to
all the allied healthcare professionals. Th ere are five standards which provide guidelines to
the healthcare professionals who work in ACT health regarding the professional practice (8) .
Along with this, these standards help in informing the community about the required
professional practice for th e HCPs who work in ACT health (8) . Also, there were guidelines
that were released for the pharmacists under the fair work act 2009, relating to the issuing of
the absence from work certificates that explains the responsibilities of the pharmacists to
issue the certificate (8) .
The ethical probl ems relating to the case scenario
The case scenario is based on the breach of the ethical conduct and the legislation of ACT in
which a pharmacist was reported for knowingly providing the people with ‘Absence from
work certificates’ for gaining additional payments (9) . Unprofessional and irresponsible
behavior of the pharmacist was seen as he was providing the people with fake absence from
home certificates which became the reason of the reporting. The practice can be considered
as unprofessional as the pro vision of the certificate was fake and was just for gaining extra
money from the public (9)(YOU have repeated the same information in different words, try
to be more specific , b rief and add more different information) . The practice breached
standards, ethical codes and guidelines were released by the Australian health practitioner
regulation agency, pharmaceutical society of Aust ralia, National Registration and
Accreditation agency, etc. The provision of the certificate comes under the pharmacists who
have limitations in providing the certificate and it is mandatory that they provide real and
authentic certificates so that there a re no future complications that can be seen due to the
incompetency (6)(This part is not well written, what do you mean by limitations? Do you
mean OBLIGATIONS) .
The practice breached many rules, regulations, laws, standards, etc. Under the law of First
work act, 2009, it has been established that a pharmacist is allowed to provide the people with
medical and absence from work certificates but they should be authentic and verified. This
law was not maintained by the pharmacist as he provided a person with unauthentic and fake
certificate (10) . Along with this, the pharmacist is obliged to make a person satisfied by the
treatment that he provides as a pharmacist provide people with personal care and assistance
(10). The re are many limitations of the pharmacists which make them obliged to work in
accordance with the laws. These limitations are th at the pharmacist should supply, compound
and dispense the medicines and provide the professional pharmacy services which includes
advice relating to the minor conditions and the safe and effective use of medicines (10) . It is
important for the pharmacists to work in accordance with the guidelines and laws so that they
can assess the severity of an issue and can provide eligible people with certifications. These
above -mentioned limitations were not followed by the pharmacist as he stood unaware of
patient’s situations and never made an effort to assess the condition of the patients which
resulted in malpractice for personal gains (THIS PART LOOKS VERY SIMILAR TO THE
PREVIOUS PARAGRAPH YOUR REPEATING TOO MUCH WO RDS WITHOUT ANY
NEW IDEAS TRY TO COMBINE BOTH PARAGRAPHS AND SHORTEN THE
LEN GTH OF THE PARAGRAPH AND ADD NEW STANDARDS WHICH ARE
BREACHED ACCORDING TO ‘AHPRA ’ AND ‘PSA ’).
A pharmacist can be trusted only when he completely and critically assesses the situation of a
patient as it is the limitations of the pharmacists to provide the people with authentic and true
information ( do patient go to pharmacy questioning the credibility of the pharmacist ?, patient
normally assume that the pharmacist i s re liable since they are certifi ed by Australian
pharmac y Board) . Working under these rules also helps the pharmacist to provide the patients
with authentic and valuable certification and helps the people to understand that the issued
certifica te is current. The certificates can only be valued and trusted when the pharmacist
himself/herself believes that a person is unable to attend work (Do me a favor stop repeating
useless words and sentences , you are us ing my word limits by paraphrasing same
information, please add new idea or information) (10) . Other responsibilities of the
pharmacists include that the people who ask for the certificates should b e provided with a
confidential and decisive environment so that they can openly express their problems and/or
medical conditions. (6) . The pharmacist should ask appropriate questions that can help in the
assessment of the condition of the patient. There re sponsibilities were also not taken into
account as the pharmacist was in a hurry to issue maximum number of certificates for gaining
maximum money and resulted in malpractice (Do me a favor stop repeating useless words
and sentences ,it is not relevant in t his case ) (10) .
The pharmacist also neglected the code of ethics relating to the provision of the services to
the patient as he did not take the patient’s health and well -being on his first priority which led
the patient to face problem in the workplace (6) . Moreover, the pharmacist did not provide
the patient with the person -centered care as i s mentioned in the code of ethics. He also did not
provide the patient with the continual development of his practice as continual development
of the practice as it aids in providing the patients with effective and quality healthcare
supplies and improve t he health outcomes of severely affected patients. The pharmacist did
not maintain the trust and honesty and neglected collaboration with other healthcare
professionals which would have helped him in gaining more experience and maintaining
competence with t he healthcare professionals (10) (THE PHA RMACIST has one intention
which is to earn more money, he didn ’t act in this way due to the lack of experience ).
The standards established by The ACT healt h were also breached during the malpractice of
the pharmacist . The responsibilities of the pharmacists according to the ACT health relates to
the provision of the interaction with the patient and establishes the rights of the patients and
in the case, it was seen that t he patient was not provided with his right to have true and
trusted medical certificate. Another obligation of ACT health was breached as the pharmacist
did not prov ide the pat ient with the responsibilities and as a result the patient suffered in his
workplace (7) . The signage and the identification part of the ACT health responsibilities was
also not followed by the pharmacist as his signature were not registered and his practice did
not have an authentic certification . Along with this, t he pharmacist did nit look upon
providing the people and the children with the protective measures which he was obliged to
do (You have repeat same information you had mentioned in the previous paragraphs and You
did not come close to any sta ndards of practitioners and code of ethics according to AHPRA
that where breached ) .
Potential consequences for the patient
The provision of fake ‘absence from work’ or medical certificate can impact the patient
adversely and can result in the termination of the employee who provide d fake certificate.
Along with this, the provision of fake medical and absence from work certification can be
tak en as a criminal offence ( 11) . In addition to this, wrong assessment of the patient leads to
collection of wrong information which results in the making of unauthentic certificate
including irrelevant injuries and issues. As a result, the certificate contains false information
which makes the employee a criminal as he has run against the policies of the company
(12(this reference is not applicable, why you using Indonesian law in Australian case, why
didn’t use Australian law) ). This can also make the patient to suffer from problems relating
to the management of the company (TOO much repeating as you can sh orten this information
in maximum two sentence no need none sense wordy) .
Consequences faced by HPC and the steps that can be done to avoid the practice in
Being a pharmacist, there are certain duties which should be fulfilled . I can say that
pharmacists who provide the patients with fake medical certificates can be taken into custody
for not abiding by the laws, legislation and the standards that are made for the professional
practice and can face legal actions and prosecution. I have studied and I believe that
pharmacists license can be cancelled because of not providing the patients with app ropriate
and responsible service s (there are specific step s in Australia for this action as there are
committee to address the issue then it will deicide according to evid ence , PLEASE TRY TO
LOOK IN MORE DETAILS AND TOPIC TO PROVIDE MORE ACCURATE
INFORMATION RELATED TO AUTRALIAN PHARMACY NOT ANY OTHER
COUNTRY) (13 (I cannot access this reference change your reference )). Along with this,
the pharmacist can face issues relating to the provision of the fake certificate as it degrades
the respect and the autonomy of the patient in him workplace setting as mentioned in the
Australian Cap ital territory Law (14) . The potential consequences can include the
determination of the negligence and the imposition of medical malpractice lawsuit along with
other actions like cancellation of pharmacist license (7). The pharmacist can also be accused
of not assessing the patient properly and not providing him with person -centered care which
can result in accusing him of neglecting the injured situation of the patient, which could have
been resulted in degrading the patient’s condition (16 .(You must use Australian Law
specifically Australian capital Territory(ACT)) ). I think that can be accused of not providing
his practice according to the standards made which tells to be truthful and honest with the
patients. Along with this, the practitioner of HCP can be accused of not providing the patient
with evidence -based pra ctice which could have resulted in further consequences in the
patient’s life (15 )(Please tell me what the different between these sentence and the previous
one YOU are repeating and paraphrasing same words) .
According to me, HCP can avoid these consequences and irresponsible practices in the future
by working in accordance with the standards, laws , legislation, guidelines and t he principles
that are provided by the government of the country. Moreover, the pharmacists can work with
discipline and values that can help in eliminating the ethical misconduct (17 (I cannot access
this reference change your reference )). Pharmacists can also avoid these problems by not
being money oriented so that they can provide their services to the public without keeping in
mind, any personal benefit (18 You must use Australian Law specifically Australian capital
Territory(ACT ) YOU are repeating and paraphrasing same words) .
Gibbs’s reflection ( You worked well on it but need different logical ideas and relevant
to the case and try to reorganize this part)
Description : After looking upon the case, I can say that a pharmacist was reported for his
unethical conduct and for providing the people with ‘absence from work’ certificates for
gaining money. I consider this as a negligent situation as it can ruin life of many peopl e (how
is this going to ruin the life of many peopl e). I assessed that the pharmacist was not fully
aware of his obligations and as a result, he was reported by the peop le for his malpractice.
Feelings: I can say that the case discussed , support s unethical values and neglect shown
regarding the health and feelings of the public. I can say that it is an unfortunate situation for
both the practitioner and the patient and cause d them to suffer severe consequences.
According to me, the practice of the pharmacist was very selfish and destructive , as he was a
social service provider and was providing his service to gain money.
Evaluation: The cas e can be considered as full of neglect and selfishness . The situation is
destructive as it can result in potential life long issues . The HCP in the case was very self -
oriented and showed negligence towards the patient. He expressed unprofessional and
unethical behavior which can become a cause of both the patient and himself. He also faced a
problem of being reported as a fraud. As a colleague pharmacist, I think that he should have
discussed and collaborated with me and as a result, I would have provided him with
important rules and nor ms of pharmacy.
Analysis: The situation was unethical and degrading for both the patient and the pharmacist.
As a colleague, I can say that the situation could have been prevented if my colleague would
have considered discussing his malpractice (NEED more depth in analysis for the situation
and more sentence with deeper ideas ).
Conclusi on: As a colleague pharmacist, I would never give a fake certificate to the patient as
it can degrade a person’s life and would have led me to severe consequences. Situations can
go out of control and can lead consequences like the cancelation of pharmacist’s license
which can ruin a HCP’s whole professional life. I would completely assess the patient and
would provide him with an authentic certificate with complete explanation of the patient’s
situatio n in my future practice.
Action plan : As a colleague, I learned from the assignment that I would never keep a patient’s
life at risk and would never breach the laws made by the government regarding the practice
of a pharmacist. I will always work in accor dance with the standards and guidelines made for
the pharmacy practice (need more ideas and different action plane relevant to the case) .
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