Interprofessional Collaboration Between a Multidisciplinary Palliative Care Team and the Team Pharmacist on Pain Management
- 주제(키워드) pain management , multidisciplinary , palliative care , analgesics , pharmacist , appropriateness
- 주제(기타) Health Care Sciences & Services
- 설명문(일반) [Geum, Min Jung; Ahn, Ji Hyune; Kim, Jae Song; Kim, Soo Hyun; Son, Eun Sun] Yonsei Univ Hlth Syst, Severance Hosp, Dept Pharm, Seoul, South Korea; [Geum, Min Jung; Rhie, Sandy Jeong] Ewha Womans Univ, Div Life & Pharmaceut Sci, 52 Ewhayeodae Gil, Seoul 03760, South Korea; [Hu, Youn Jung] Yonsei Canc Ctr, Palliat Care Ctr, Seoul, South Korea; [Choi, Hye Jin] Yonsei Univ, Coll Med, Dept Internal Med, Div Oncol, Seoul, South Korea; [Rhie, Sandy Jeong] Ewha Womans Univ, Coll Pharm, 52 Ewhayeodae Gil, Seoul 03760, South Korea
- 등재 SCIE, SCOPUS
- 발행기관 SAGE PUBLICATIONS INC
- 발행년도 2019
- URI http://www.dcollection.net/handler/ewha/000000160272
- 본문언어 영어
- Published As http://dx.doi.org/10.1177/1049909119829047
- PubMed https://pubmed.ncbi.nlm.nih.gov/30754999
초록/요약
Purpose: The purpose of the study was to evaluate the impact on pain management by multidisciplinary palliative care team (mPCT) and the team pharmacist. Methods: Patients who were admitted to palliative care unit (PCU) for at least 7 days between April 2014 and December 2015 were included. The mPCT consisted of a physician, a pharmacist, nurses, and non-clinical support staff. The team was on charge of pain management of patients who were admitted to PCU. Pain intensity was assessed at 3 time points in each patient; 1 week before PCU admission (day -7), on the day of admission (day 0), and 1 week after admission (day 7) using 0 to 10 numerical rating scale (NRS). Analgesic use was evaluated with 6 categories based on National Comprehensive Cancer Network and Korean pain management guidelines. Pain intensity and analgesic use appropriateness were compared at day -7, day 0, and day 7 for the patients who were admitted to the PCU. Results: Pain intensity decreased significantly on day 7 of PCU admission compared to it on day 0 (NRS: 4.05 vs 2.66, P < .001). A significant negative correlation was found between pain intensity and the proper use of analgesics (r = -0.407; P < .001, r = -0.309; P = .001, r = -0.241; P = .009, on day -7, day 0, day 7, respectively). Conclusion: The mPCT contributed to the reduction of inappropriate use of analgesics and improved pain control. Pharmacist intervention appeared to have improved pain control in patients under palliative care. Each team member's role should be individualized and developed further.
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