effect of an interprofessional pain service on nonmalignant pain control.
chronic pain; chronic pain; DISCHARGE planning; HEALTH literacy; HEALTH occupations students; INTERDISCIPLINARY education; LENGTH of stay in hospitals; MEDICAL appointments & schedules; MEDICAL care; MEDICAL personnel & patient; MEDICAL protocols; MEDICAL records; MEDICAL referrals; MEDICALLY underserved persons; medication therapy management; MORPHINE; opioid; pain management; pain management; PAIN measurement; PATIENT education; PATIENT satisfaction; pharmacist; pharmacists; RETROSPECTIVE studies; SUBSTANCE abuse; SURVEYS; TELEPHONES; THERAPEUTIC use of narcotics
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. [ABSTRACT FROM AUTHOR]
Coffey Cory P; Ulbrich Timothy R; Baughman Kristin R; Awad Magdi H
American Journal of Health-System Pharmacy
2019
2019-06
<a href="http://doi.org/10.1093/ajhp/zxy084" target="_blank" rel="noreferrer noopener">10.1093/ajhp/zxy084</a>
I Hurt Everywhere
Chronic pain; Medicine; Social Work; Health literacy; Medicine & Public Health; Health Psychology; Medical Sociology; Premedical Education; Patient communication
Dr. S: Diffuse pain, possible drug-seeking behavior. Ms. K: Doc, I hurt everywhere. I’ve had all kinds of tests and no one can figure out what’s wrong with me. I went to the ER again last week because my chest was hurting and I was afraid it was my heart. They said it wasn’t my heart and I need to see a PCP.
David Sperling
Health Disparities : Weaving A New Understanding Through Case Narratives
2019
1905-7
Journal Article
<a href="http://doi.org/10.1007/978-3-030-12771-8_13" target="_blank" rel="noreferrer noopener">10.1007/978-3-030-12771-8_13</a>
New in Town
Social support; Mental health; Compliance; Grief; HIV; Medicine; Depression; Poverty; Social Work; Health literacy; Adherence; Medicine & Public Health; Health Psychology; Medical Sociology; Premedical Education
This is a story of three patients seen by a newly licensed physician shortly after completing residency training. The physician was born, raised, and educated in the northeastern United States before moving to Texas where he was unprepared to handle the cultural differences and challenges he faced. In this report, the author describes encounters with three patients who have a different approach to their own health. The first patient was an HIV-positive mother who preferred to rely on God for her healing. The second patient was also an HIV-positive individual who had a different interpretation of how to take his medications. Finally, the third patient was a woman with obsessive compulsive disorder who could not afford the bus fare to see a psychiatrist. In all the three cases, the author was touched by the plight and response of each patient.
John Boltri
Health Disparities : Weaving A New Understanding Through Case Narratives
2019
1905-07
Journal Article
<a href="http://doi.org/10.1007/978-3-030-12771-8_16" target="_blank" rel="noreferrer noopener">10.1007/978-3-030-12771-8_16</a>