The effect of an interprofessional pain service on nonmalignant pain control
| العنوان: | The effect of an interprofessional pain service on nonmalignant pain control |
|---|---|
| المؤلفون: | Timothy R. Ulbrich, Cory P Coffey, Kristin R. Baughman, Magdi H. Awad |
| المصدر: | American Journal of Health-System Pharmacy. 76:S49-S54 |
| بيانات النشر: | Oxford University Press (OUP), 2019. |
| سنة النشر: | 2019 |
| مصطلحات موضوعية: | Male, medicine.medical_specialty, Medication Therapy Management, Pharmacist, Psychological intervention, Pharmacists, Vulnerable Populations, 030226 pharmacology & pharmacy, 03 medical and health sciences, Underserved Population, Professional Role, 0302 clinical medicine, Patient satisfaction, Patient Education as Topic, Surveys and Questionnaires, Medication therapy management, medicine, Humans, Pain Management, 030212 general & internal medicine, Patient Medication Knowledge, Referral and Consultation, Ohio, Pain Measurement, Retrospective Studies, Pharmacology, business.industry, Health Policy, Chronic pain, Community Health Centers, Middle Aged, Opioid-Related Disorders, medicine.disease, Telephone, Analgesics, Opioid, Opioid, Patient Satisfaction, Morphine, Physical therapy, Pain Clinics, Female, Chronic Pain, business, Program Evaluation, medicine.drug |
| الوصف: | Purpose The primary objective of this project was to evaluate an existing interprofessional, nonmalignant pain service by measuring the difference in patient pain scores (numeric rating scale-11) before and after a pharmacist-led pain education class and medication therapy management (MTM) visit. Secondary objectives included determining the percentage of pharmacist recommendations approved, patient satisfaction, and difference in immediate release (IR) and extended release (ER) opioid use before and after enrollment. Methods Baseline data were obtained from a retrospective chart review. Enrolled patients attended an educational pain class with the pharmacist. At the MTM visit with the pharmacist 3-14 days after the initial education class, the patient's pain score was assessed along with his/her medication use, and a care plan was developed and forwarded to the referring provider for implementation. Three months after the pain class and participation in the MTM visit, patients were contacted via telephone to complete a survey. The survey questions assessed patient satisfaction with the pain education program, their current pain score, and their knowledge of information covered during the pain class. Results Patients reported an average preenrollment pain score of 8.3/10 (n = 39) and a post-survey pain score of 5.6/10 (n = 39). The IR opioid use averaged 19.7 morphine equivalent daily dose (MEDD) at enrollment and decreased by 40% to 11.8 MEDD. The provider approval rate of the pharmacist-recommended interventions ranged from 80% to 92%, depending on the predesignated disease state category. Conclusion An interprofessional, nonmalignant-pain service including a pharmacist-led class resulted in a decrease in average pain scores and MEDD in an underserved population. |
| تدمد: | 1535-2900 1079-2082 |
| DOI: | 10.1093/ajhp/zxy084 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::d89cd1143d50f3de4e990e63b3510441 https://doi.org/10.1093/ajhp/zxy084 |
| Rights: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....d89cd1143d50f3de4e990e63b3510441 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15352900 10792082 |
|---|---|
| DOI: | 10.1093/ajhp/zxy084 |