Acute pain management is a challenging area encountered by inpatient clinicians every day. While patient care is increasingly complex and costly in this realm, the availability of applicable specialists is waning. This narrative review seeks to support diverse hospital-based healthcare providers in refining and updating their acute pain management knowledge base through clinical pearls and point-of-care resources. Practical guidance is provided for the design and adjustment of inpatient multimodal analgesic regimens, including conventional and burgeoning non-opioid and opioid therapies. The importance of customized care plans for patients with preexisting opioid tolerance, chronic pain, or opioid use disorder is emphasized, and current recommendations for inpatient management of associated chronic therapies are discussed. References to best available guidelines and literature are offered for further exploration. Improved clinician attention and more developed skill sets related to acute pain management could significantly benefit hospitalized patient outcomes and healthcare resource utilization.
the experience, quantitative evaluation and qualitative feedback were obtained from learners to assess the impact of the curriculum on palliative care knowledge and readiness for interprofessional practice. The clinical setting was an outpatient palliative care clinic a half-day per week, where the team developed interprofessional care plans, shared documentation, and resolved common palliative care patient issues. Results. From July 2017 to June 2019, six female learners completed the 12-month interprofessional learning experience. Physician learners on average had higher exposure to interprofessional learning in comparison to pharmacists at baseline. Pharmacists' and physicians' scores for the end-of-life caregiver survey improved from 1.86 to 3.45 and from 2.84 to 3.80, respectively. Survey responses for the SEIEL and interprofessional socialization and valuing scale improved from baseline for pharmacists and physician fellows. Conclusions and Implications. The combination of PGY2 PMPC resident pharmacists and physician fellows demonstrated an objective increase in palliative care interprofessional learning after a longitudinal year-long palliative care curriculum.
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