Well.....I think it would depend upon the pt, the illness & the stage of the illness...
Ex....a malignant brain tumor which is affecting the endocrine system....I'd think a good neurosurgeon, oncologist, endocrinologist.....
A broken hip secondary to age, osteoporosis.....a good orthorpedic surgeon, physical therapist, occupational therapist...
I could go on and on.....I think you're getting to where the pharmacist fits it.....am I right?
Well...in all places, but not always at all times. For that brain tumor pt - the physicians have so much more knowledge of the disease & prognosis than we ever will....but, I dispense, educate about the medications, support & provide tremendous support when/if the pt becomes hospice....
For the broken hip pt (my mom...), her nurses provided superb pain control so she could do PT/OT...when she got home - I provided the education for pain control so she could continue therapy optimally.
We are an integral part - but....I'm not willing to say that all models which don't involve pharmacists immediately & actively are wrong - they are just different - that just my opinion. I think the beauty of how we function is our flexibility.
