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

Min Jung Geum, Ji Hyune Ahn, Jae Song Kim, Soo Hyun Kim, Eun Sun Son, Youn Jung Hu, Hye Jin Choi, Sandy Jeong Rhie

Research output: Contribution to journalArticlepeer-review

13 Scopus citations

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.

Original languageEnglish
Pages (from-to)616-622
Number of pages7
JournalAmerican Journal of Hospice and Palliative Medicine
Volume36
Issue number7
DOIs
StatePublished - 1 Jul 2019

Keywords

  • analgesics
  • appropriateness
  • multidisciplinary
  • pain management
  • palliative care
  • pharmacist

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