Standard of practice in pain management for pharmacy services

Pharmacist ambulatory pain services for a chronic non‐cancer pain clinic: a descriptive study

“…The new pharmacy service and procedures, including the integration of the pharmacist in the patient selection and triage processes, were devised in consultation with the APMS management and clinicians. The clinical aspects of the service were developed in line with SHPA's pain management standard of practice 17 . The clinical activities of the pharmacist included (a) completion of medication histories and subsequent reconciliation against physician records, (b) identification of medication‐related problems (MRPs) such as drug interactions or medication errors, (c) drug interventions to improve the quality use of medicines (such as optimising drug dosing or formulations), and (d) patient and staff education, including provision of tailored medication adherence aids.…”

“…The Society of Hospital Pharmacists of Australia (SHPA) Standard of practice in pain management for pharmacy services 17 recommends that pharmacists in outpatient pain clinics focus resources on identifying patients who are “at risk of medication misadventure, those who have been recently discharged and those who present with persistent pain” 17 . (p274) In this setting, SHPA provides examples of emerging services which include the triage of high‐risk patients for review, increased monitoring and follow‐up, and the facilitation of early post‐discharge medication review 17 . Other pharmacist activities in this setting may include pharmaceutical consultation, completion of medication histories, medicine selection and dosing, drug interaction checks, monitoring for adverse drug effects, patient education and empowering self‐management, interprofessional and/or multidisciplinary patient care, and advocacy to reduce stigma 18 …”

Standard of practice in surgery and perioperative medicine for pharmacy services

“…Useful guidelines and standards for surgery and perioperative medicine pharmacists include: Standard of practice in infectious disease for pharmacy services 43 Standard of practice in pain management for pharmacy services 44 The Australia and New Zealand College of Anaesthetists who endorse multiple guidelines applicable to perioperative patients: ANZCA Endorsed Guidelines Royal Australia and New Zealand College of Radiologists who have guidelines for the use of iodinated contrast, including the medication management of patients with an iodinated contrast allergy. …”

Opioids caught in the crosshairs: Towards smarter and safer use of opioids in daily clinical practice

“…2,3 The realisation some years ago that prescription opioids were major contributors to these harms raised alarms across many community sectors from governments to regulators, healthcare service providers to patients, their families and carers, and society at large. 2,4 –7…”

“…2,3 The realisation some years ago that prescription opioids were major contributors to these harms raised alarms across many community sectors from governments to regulators, healthcare service providers to patients, their families and carers, and society at large. 2,[4][5][6][7] In response, opioid regulatory changes, 7,8 revised recommendations from medical colleges [9][10][11][12] and wide media coverage have raised awareness of the risk of harm, including dependence and substance use disorders. 13,14 Medical practitioners have been placed squarely in the centre of the conversation both as prescribers of opioids and the health professionals most expected to help manage all types of pain.…”