0 201

Cited 2 times in

Interprofessional Collaboration Between a Multidisciplinary Palliative Care Team and the Team Pharmacist on Pain Management

Authors
 Min Jung Geum  ;  Ji Hyune Ahn  ;  Jae Song Kim  ;  Soo Hyun Kim  ;  Eun Sun Son  ;  Youn Jung Hu  ;  Hye Jin Choi  ;  Sandy Jeong Rhie 
Citation
 AMERICAN JOURNAL OF HOSPICE & PALLIATIVE MEDICINE, Vol.36(7) : 616-622, 2019 
Journal Title
 AMERICAN JOURNAL OF HOSPICE & PALLIATIVE MEDICINE 
ISSN
 1049-9091 
Issue Date
2019
Keywords
analgesics ; appropriateness ;  multidisciplinary ;  pain management ;  palliative care ;  pharmacist
Abstract
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.
Full Text
https://journals.sagepub.com/doi/10.1177/1049909119829047
DOI
10.1177/1049909119829047
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Soo Hyun(김수현)
Kim, Jae Song(김재송)
Choi, Hye Jin(최혜진) ORCID logo https://orcid.org/0000-0001-5917-1400
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/170405
사서에게 알리기
  feedback

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse

Links