Final answer:
In nursing home facilities, pharmacists may therapeutically substitute medicinal drugs in accordance with an institutional formulary established for the residents. This ensures that residents receive appropriate treatment even if the originally prescribed medication is not accessible.
Step-by-step explanation:
In nursing home facilities, the pharmacist may therapeutically substitute medicinal drugs in accordance with an institutional formulary established for the residents. An institutional formulary is a list of medications approved by the institution. The pharmacist can substitute a medication with a therapeutically equivalent alternative if it is listed on the formulary.
For example, if a resident's prescribed medication is not available or if there is a cost-saving opportunity, the pharmacist may replace it with a different medication that has similar therapeutic effects. This ensures that the residents receive appropriate treatment even if the originally prescribed medication is not accessible.
However, it is important to note that therapeutic substitution is done within the guidelines of the formulary and under the oversight of healthcare professionals to ensure patient safety and efficacy of treatment.