Pharmacy Compounding Regulations The Genesis of the Drug...

Compounding is an important facet of pharmaceutics that allows the formulation of specific drugs for individual patients. The work done at compounding pharmacies permits the development of medicinal products for patients that cannot tolerate certain components from mass production pharmaceutical companies. These individuals may require uniquely compounded agents to be flavorless, preservative-free, dye-free, liquid, solid, or more. These specialty production facilities are necessary for therapy and an acceptable quality of life for individuals with specific needs. Recently, the patient-driven role of designer therapeutics that compounding pharmacies occupy was overshadowed when a manmade epidemic was produced a medical catastrophe when supposedly sterile materials were contaminated with infectious agents.1 In September 2012, a now defunct Massachusetts compounding pharmacy, the New England Compounding Center (NECC) synthesized over 17,000 contaminated steroid pain injections that were shipped to 23 states.2 Up to this point, the methylprednisolone acetate (MPA) injections compounded by the NECC have caused the death of 64 people and resulted in 751 cases of fungal meningitis in 11 states. With over 750 cases and still counting, the NECC outbreak is one the largest of healthcare-associated infections ever reported in the United States.3 In 2006, the NECC was under investigation by the Massachusetts pharmacy board and the FDA for numerous complaints. The

Hamlet and One Flew over the Cuckoo’s Nest - 766 Words

Many questions have been asked if Hamlet, McMurphy and Chief Bromden are crazy or sane. Hamlet is the main character from a play by William Shakespeare called Hamlet. McMurphy and Chief are characters from a novel by Ken Kesey called One Flew Over the Cuckoo’s Nest. There have been many scenes in the play where Hamlet might seams crazy but without a doubt he is sane. Even though McMurphy do some crazy things he is definitely not crazy because he is aware of his actions and he does all these insane things just to make the Nurse Ratched mad. Chief Bromden’s character can easily be identified as sane because he knows how to stay out of trouble and from getting electric shock treatments. Hamlet says to Horatio â€Å"How strange or odd soeer†¦show more content†¦Many times McMurphy seams crazy because of his inappropriate behavior but he can be concluded as sane. Chief silence and his actions at the beginning of the novel made readers think he is insane but when he speaks he sounds very sensible. These characters can be incredibly challenging to understand at some points but one can successfully negotiate that they are very muchShow MoreRelatedOne Who Flew Over the Cuckoos Nest Comparison to Hamlet583 Words   |  2 PagesMadness, Power, Rebellion, and Conformity are some of the many themes that prevail in Ken Keseys One Flew Over the Cuckoos Nest and Hamlet both express similar messages of sanity vs. insanity, control, and compliance through their characters. There is a thin line between normal and abnormal as depicted in Keseys and Shakespeares work. One must ponder the question; is McMurphy mentally ill or is he just a schemer rebelling? The doctor commented, ...Dont overlook the possibility that this manRead MoreMadness in One Flew Over the Cuckoos Nest and Hamlet Essay example2151 Words   |  9 PagesThe issue of madness has been touched by many writers. In this paper I will focus on two important writings which deal directly with the mental illnesses. The first one is One Flew Over the Cuckoos Nest by Ken Kesey first published in 1962. The second is Hamlet written by Shakespeare approximately in 1602. Ken Kesey worked nights in a mental institution in California and his novel has a lot of truth in it. He faced patients insanity every day and was confident that it was natural responseRead MoreA Comparison of Hamlet and Mcmurphy in One Flew over the Cuckoos Nes2438 Words   |  10 PagesA Comparison of Hamlet and McMurphy in O ne Flew Over the Cuckoos Nest It is suggested that in modern literature, the true element of tragedy is not captured because the protagonist is often of the same social status as the audience, and therefor, his downfall is not tragic. This opinion, I find, takes little consideration of the times in which we live. Indeed, most modern plays and literature are not about monarchs and the main character is often equal to the common person; this, howeverRead More A Tale of Four Novels1596 Words   |  7 Pagesseeks to exterminate the bourgeoisie in order to gain freedom and get revenge at the same time. The central theme of man’s search for power is present in A Tale of Two Cities and is recurring in many works of literature including Hamlet, One Flew Over the Cuckoo’s Nest and 1984. In A Tale of Two Cities the primary conflict is the revolution in which the proletariat aim to overthrow the bourgeoisie in an effort to gain freedom as they are oppressed and in a state of poverty. Dickens has previously

Ethical Perspectives Free Essays

In the workplace, people at all levels of the organization are likely to encounter ethical dilemmas. An ethical dilemma is a situation where decisions have to be made that may be in conflict with one’s deeply held beliefs. We will write a custom essay sample on Ethical Perspectives or any similar topic only for you Order Now Oftentimes acting in the best interest of the company requires considering the needs of others, not just one’s personal feelings. Understanding that personal beliefs cannot rule all workplace decision making, and in speaking of potential ethical issues, most people will state emphatically that they will assess each situation fully and only act when all the data has been gathered and a thorough investigation has been performed. However, the reality is that people make quick decisions that do not always take into account all affected parties, referred to as stakeholders. Tools have been developed to help people prepare for actual workplace dilemmas. One such tool is the virtual EthicsGame Dilemmas. The simulation consists of two problematic workplace situations. The Case of the Mysterious Roses revolved around a woman, Gayle Dornier, receiving anonymous roses at work and how it made her feel as though she was being stalked, which in turn made her feel unsafe in the office (University of Phoenix, 2013). The other scenario, the Case of the Cold Feet, involved a researcher, Dr. Waters, who wanted his superior to assist him in presenting the best data possible for a medical journal article (University of Phoenix, 2013). This would ordinarily seem to be a legitimate request; however, the supervisor was privy to information which indicated the results from the research were not as favorable as the article described. The purpose of the games are to help people determine who are the stakeholders and the possible outcomes using different perspectives, or lens, such as the rights/responsibilities lens, results lens, relationship lens, and reputation lens. The Process In both situations, the steps used involved being attentive, which is when the issue is defined. In the Mysterious Roses case, the issue was ensuring that Gayle would be able to discuss what happened with her manager, while the manager maintained his/her responsibility to treat all employees fairly during the investigation. In the Cold Feet case, the issue was determining how to find the balance between dealing with the false data and preserving the reputation of the organization. The second steps involves being intelligent, which is the point at which the stakeholders are identified. Making decisions without first understanding which parties will be affected by the outcome would be irresponsible. There are two sets of stakeholders, primary and secondary. The primary stakeholders are anybody directly involved in the situation and the secondary stakeholders are those who are likely not to be affected directly, but if they are, it will be a blip in their life, whereas the primary stakeholders may suffer a loss of reputation, employment, or investment. The third step involves applying reason and using one of the lens techniques to determine which type of action will yield the best result. In the Mysterious Roses, the lens that worked best was the Rights/Responsibilities Lens, which is to tell Gayle that her issue can be kept confidential, but that it may have to be reported if it is a work-related problem. She should also be encouraged to review the Company Handbook before meeting with her manager to discuss the issue. This is a good decision from a risk to the company perspective as it ranks zero on a scale of zero to five. With the Cold Feet case, the best lens was the Reputation Lens, which was for the supervisor to inform the researcher, Dr. Waters, of his/her concerns regarding the data without alerting him to the fact that the information regarding the data had come from the junior researcher. This will give Dr. Waters time to admit what he did and possibly explain why. If he does not come clean, the supervisor should then make the general counsel aware of Dr. Waters’ actions. This approach is somewhat risky as this could be elevated to a legal matter which would have to be shared with the public; therefore, it has a risk value of one on a scale of zero to five. These ethical perspectives were right in line with my views. As I was going through the simulation, there was an instance where my stance waivered, however, it was only when I was asked to make the decision that had the greatest good for  the greatest amount of people. When I went back to my true feelings on the matters, my decisions were always in line with what was considered the best option. Applying these Concepts to the Workplace Because my true feelings regarding these situations were in line with what the simulation offered as the best possible solutions, I feel strongly that I will be able to effectively apply these concepts in my workplace. Successfully dealing with ethical dilemmas involves keeping a level head, determining the true issue, and then applying reason to identify stakeholders and work through the investigation process. These are skills I possess already and which will only improve over time with each ethical dilemma encountered. How to cite Ethical Perspectives, Papers