The Palliative Care Interdisciplinary Team: Where Is the Community Pharmacist?

O’Connor, Moira; Pugh, Judith Dianne; Jiwa, Moyez; Hughes, Jeff; Fisher, Colleen

doi:10.1089/jpm.2010.0369

Cited by 37 publications

(44 citation statements)

References 34 publications

(35 reference statements)

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“…Similarly, in Australia, the pharmacist is also not recognised as a member of the therapeutic team 17. On the other hand, other authors claim that in Australian hospice and palliative care units at hospitals clinical pharmacists are part of the interdisciplinary team and work that is in a contradiction to community pharmacy services, where a pharmacist does not have a close contact with healthcare proffessionals 18. in Japan, 70% of pharmacists collaborated with a palliative care team, with only 16% reporting that they did not contribute due to insufficient time (90%) and/or staff (68%) 12.…”

Section: Discussionmentioning

confidence: 99%

The role of a pharmacist in a hospice: a nationwide survey among hospice directors, pharmacists and physicians

Pawłowska

Pawłowski

Lichodziejewska‐Niemierko

2015

Eur J Hosp Pharm

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BackgroundPalliative care requires the collaborative efforts of an interdisciplinary team, and as such a range of health professionals should be involved in supporting patients with life-threatening diseases. As a part of this therapeutic network, pharmacists at residential hospices should be thoroughly involved in care, cooperate with other medical staff and perform pharmaceutical services in order to deliver safe and efficient pharmacotherapy.AimTo provide an overview of the current state of pharmacy practice at Polish residential hospices.MethodsA cross-sectional study was applied and three types of anonymous questionnaires were developed to collect data. Hospice directors, pharmacists and physicians from all residential hospices in Poland were invited to participate.Results19 (61%) hospices collaborate with at least one pharmacist, who performs pharmaceutical services on the premises. 12 (75%) pharmacists provide advice concerning medicines and 11 (69%) are involved in various roles related to procurement, dispensing and storage of drugs, as well as creating procedures for these activities. Despite pharmacists’ great level of involvement in drug policy, most of them are not members of the therapeutic team and they do not participate in ward rounds. Furthermore, the provision of clinical pharmaceutical services forms a minority of Polish hospital pharmacy practice.ConclusionsAlthough the role of a hospice-based pharmacist is focused on the provision of drugs, it should become more clinical, that is, more patient oriented. The data obtained should be used as a source of information for implementing potential changes to palliative care pharmacy.

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Section: Discussionmentioning

confidence: 99%

The role of a pharmacist in a hospice: a nationwide survey among hospice directors, pharmacists and physicians

Pawłowska

Pawłowski

Lichodziejewska‐Niemierko

2015

Eur J Hosp Pharm

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“…6,7 Due to these societal views and ease of access, pharmacists have the opportunity to be key educators for improving the inhaler use of asthma patients. Identifying factors associated with inhaler misuse can reduce costs and improve the quality of life for patients with asthma.…”

Section: Patients May Find It Challenging To Take Their Asthma Inhalermentioning

confidence: 99%

Assessment of Asthma Inhaler Technique in Two Community Pharmacies

Farabaugh¹,

McMillan²,

Garofoli³

2014

Innov Pharm

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“…For example, studies conducted in rural Australia found that a minority of doctors interviewed believed that their preliminary training provided adequate knowledge and skills to perform services related to palliative care and they required more training. (36,37) On the other hand, a survey of medical oncologists showed that they perceived poor assessment, reluctance to prescribe opioids, and excessive regulation as important barriers.…”

Section: Patient and Family-related Issuesmentioning

confidence: 99%

Barriers to accessing palliative care: A review of the literature

Love

Liversage

2013

Progress in Palliative Care

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The aim was to review factors affecting patients' access to palliative care. First, the benefits of palliative care for comprehensive care of patients and their families are identified. Despite these benefits, universal standards for access are lacking and referral typically occurs later than is recommended, limiting access to best practice care. Factors relating to access are reviewed in detail. They are grouped conceptually, combining those related to organisational factors, patient and family-related issues, which include characteristics of patients, preferences for curative care, and willingness to discuss and participate in palliative care, and factors attributed to physicians and health professionals, such as communication styles, sense of efficacy, perceptions of patient readiness, and knowledge of palliative care. Despite the accumulated evidence, the existing studies share methodological weaknesses, which are (1) Yet referrals to PC can still be untimely, poorly managed, or delayed. An earlier review of the literature has identified the problems and issues associated with accessing PC.(2) The aim of this paper is to review the literature published in the decade since, addressing factors associated with access to PC services and to suggest aspects of access to PC requiring further investigation. Referral to palliative careMany studies have demonstrated that earlier access to palliative care may have positive benefits, addressing issues such as anticipatory grief and loss throughout the trajectory, facilitating improved symptom management, improved mood, and overall quality of life. (3,4) Despite the demonstrated benefits, PC use is often less than optimal and opportunities are frequently missed. Table 1.Insert Table 1 about here Factors affecting access to palliative care servicesIn order to conceptualise the many interrelated factors that have been identified as affecting access to PC services, a theoretical model was devised (Figure 1). Patients are considered as part of a family system, including carers and other family members. Health care teams are spearheaded by treating physicians and are part of health organisations.Communication factors between patients and families and health care teams create the foundation on which relationships are formed. There is a broader context: the wider health care system and social and cultural factors are important influences on access to PC services.

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The Palliative Care Interdisciplinary Team: Where Is the Community Pharmacist?

Cited by 37 publications

References 34 publications

The role of a pharmacist in a hospice: a nationwide survey among hospice directors, pharmacists and physicians

The role of a pharmacist in a hospice: a nationwide survey among hospice directors, pharmacists and physicians

Assessment of Asthma Inhaler Technique in Two Community Pharmacies

Barriers to accessing palliative care: A review of the literature

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