GROUP 2

BS Pharmacy - 1
Erma Linda Abella
Trisha Agustin Lafasan Olasan
Maureen Velasco Rochelle Rumuar
Karyll Aila Garcia Crisanta Maneclang
Keziah Ventura
Hypothetical Case #2: Right to Die

Sir Junior, own and manages a small

but established drug store. One of his loyal
customers is Mr. Bin, who presented a
prescription to his employee Susie for 50
Kauntin 100 mg tablets. The instruction is
“Take as directed.”
The pharmacist approached Sir Junior, and

mentioned that Mr. Bin may try to take all the tablets

at once to end his life. Sir Junior took tike to talk to

the patient and found out that he has been

diagnosed 8 months ago that he has liver cancer. At

present, he is experiencing bouts of unbearable pain.

Finally, the conversation ends, Mr. Bin whispered to

Sir Junior, “I know I can count on you to help me.”

Kauntin tablets are given to patient
undergoing severe pain. In recent
accounts, these tablets had been
found to claim lives of patients after
episode of overdosing.
Questions:

1. Does the pharmacist have the right to

refuse to dispense the drug?
2. What duty does Susie have to Sir Junior?
3. What are the implications of such refusal
to dispense to the patient? Employer?
Co-workers? Profession? Society?
4. What can be done in order to minimize
negative repercussions in such case?
1.Does the pharmacist have the right to refuse to dispense the drug?

Absolutely yes, because the pharmacist is a

healthcare professional and such should care
for the patient’s life. Since they are aware of the
action of medicines, their therapeutic focus and
their adverse events, they are aware that
prescriptions must follow a guideline as well as
apsects of each country’s legislation.
So in this scenario, the pharmacist have
the right to refuse to dispense the drug on
ethical, legal or medical grounds because
Mr. Bin is impaired or thought to be abusing
the drug. So in this, the pharmacist have
the right to refuse to dispense the drug in
reason that may cause harm, to the patient.
2. What duty does Susie have to Sir Junior?

Susie works as a pharmacist in Sir Junior’s

pharmacy. Her job is to make sure that the
medications supplied to the patients are
appropriate. It is also her job to provide
patients advice on medications, such as how to
take them, what side effects to expect and
answering their questions.
3. What are the implications of such refusal to

dispense to the patient? Employer? Co-

workers? Profession? Society

The over-all implications of this to the patient,

employer, co-worker, profession and society is that we

get to understand that even if a person have all the

rights to decide and is entitled to end their life,

healthcare professionals have an obligation to assess

and intervene when a patient verbalizes suicide

idealization. In these situations, the ethical principles of

autonomy and beneficence cannot be chosen without

 The topic of aid in dying and physician-assisted
death (euthanasia) is important to discuss to
provide a legalize option for patients with
terminal-stage illness. However, euthanasia is
illegal in the Philippines. Arguments on euthanasia
are still on-going and the opinions of people are
diverse.
Above all, we must acknowledge the fact that

dedicated healthcare workers go beyond to

serve suffering individuals. Healthcare

professionals and patients must work together

to pursue a care that improves health.

4. What can be done in order to minimize negative repercussions
in such case?

"Take as directed" or "Use as directed" are two

situations that can be used similarly. Pharmacists have

also made mistakes as a result of the instructions.

Here are some options: Your doctor should provide you

clear instructions on how to take your medications,

both verbally and in writing.

Prescriptions for all drugs should include

specific instructions for use. Otherwise, ask

your pharmacist to call your doctor for

precise instructions if you receive a

prescription medicine from the pharmacy

with the instructions "Take as directed."

Even if you think you know how to take your

medications, go ahead and do it. All medicines

should come with detailed instructions for use.

Before you leave the drugstore, ask your pharmacist

to go over the directions with you to ensure you

understand how to take the medicine properly.

THANK YOU