Home' Australian Pharmacist : Australian Pharmacist March 2014 Contents Australian Pharmacist March 2014 I ©Pharmaceutical Society of Australia Ltd.
Dorothy wins award
Dorothy Lucardie, PSA's
Manager, has been
recognised for her work
by being inducted into
the International Adult
and Continuing Education Hall of Fame.
Dorothy will receive the award at a
ceremony during the International
Conference on Adult Education in Iasi,
Romania, in April.
The conference is a forum for exchanging
information in the scientific, practical and
legislative area, presenting the results of the
research in the field of continuing and adult
education. The Hall of Fame is an exclusive
grouping of the world's leading adult
educators and only a handful of Australians
have been honoured in this way.
Always act professionally
Pharmacists who have a conscientious
objection to providing oral contraceptives
on moral or religious grounds should
nevertheless always act professionally
and ensure that consumers are informed
as to where they can access these items,
the Pharmaceutical Society of Australia has
PSA National President Grant Kardachi was
commenting on reports that a Victorian
pharmacist has been asking his customers
to shop elsewhere for birth control pills.
The pharmacist reportedly includes a note in
packets of oral contraceptive pills indicating
he is opposed to the use of artificial
contraception on religious grounds.
Mr Kardachi said that under the PSA Code
of Ethics for Pharmacists, a pharmacist has
the right to decline provision of care based
on a conscientious objection.
'However, the Code of Ethics stipulates that
this right should not prevent the consumer
from accessing healthcare that they are
entitled to. Therefore in these circumstances
the pharmacist should inform the consumer
of the objection and appropriately facilitate
continuity of care.'
PSA's Code of Ethics is online at:
There is a gap between the perceptions
of healthcare professionals and carers
about end-of-life care for people
with dementia, Ita Buttrose, National
President of Alzheimer's Australia,
Releasing the report,
End-of-Life Care for
People with Dementia,
Ms Buttrose said
she was surprised
by the outcomes of
the report, which
explored the experiences of consumers
and health workers and identified a
number of barriers to quality end-of-life
care for people with dementia.
These included lack of advance care
plans, poor understanding of legal
options, inadequate pain management,
and lack of access to hospices,
palliative care specialists or community
'The survey results provide a clear
indication of why the end-of-life wishes
of many people with dementia are not
carried through,' Ms Buttrose said.
'Carers often tell us of the difficulties
they have in getting access to palliative
care services and hospices but this
survey also has told us that many health
professionals are not aware of the
difficulties consumers face.
'In contrast to the views of family carers,
three quarters of the care professionals
surveyed believed people with
dementia do have access to palliative
'It also concerns me that in many cases
care professionals are unsure of what
the legal options are for people with
dementia at end of life. Nearly a third are
not aware that people have a legal right
to refuse food and artificial hydration.'
Professor Patsy Yates, President of
Palliative Care Australia said: 'People
with dementia deserve quality
palliative care that respects their wishes
Advance care planning is a useful tool
to help people document their end of
'However, the current confusion around
advance care planning practices
cannot continue. We need to ensure
all health professionals and consumers
are provided with education around
palliative care and advance care
planning, and consistent advance care
planning legislation and terminology
would go a long way to reducing this
uncertainty,' Professor Yates said.
In an attempt to address some of these
issues, Ms Buttrose also launched
Start2Talk, a consumer-focused website
created by Alzheimer's Australia
in partnership with Palliative Care
Australia, the Consumers Health Forum,
Carers Australia, COTA and other health
and aged care organisations, to help
people plan for their own or a loved
one's future financial, lifestyle and health
The website (www.start2talk.org.au)
includes information and links to local
resources related to planning ahead in
all States and Territories.
'It is worrying that most people with
dementia have not documented their
wishes for end-of-life care. This leaves
both families and health professionals
unsure of what care should be provided,'
Ms Buttrose said.
'People also find it difficult to know
how to start the conversation about
end-of-life care or where to begin
'Start2Talk which has been developed
through the National Quality Dementia
Care Initiative with funding from Bupa
Care Services and the JO and JR Wicking
Trust will be a valuable support'.
"...CARE PROFESSIONALS ARE
UNSURE OF WHAT THE LEGAL
OPTIONS ARE FOR PEOPLE WITH
DEMENTIA AT END OF LIFE."
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