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    A community pharmacist medicines optimisation service for patients with advanced cancer pain: a proof of concept study

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    Edwards_et_al_IJCP_Final.pdf (748.9Kb)
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    Publication date
    2019-06
    Author
    Edwards, Zoe
    Bennett, M.I.
    Blenkinsopp, Alison
    Keyword
    Cancer
    Community pharmacy
    Medicines optimisation
    Pain
    Palliative care
    Remote consultation
    United Kingdom
    Rights
    © The Author(s) 2019. Open Access: This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
    Peer-Reviewed
    Yes
    
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    Abstract
    Background Patients with advanced cancer commonly experience pain and it is least controlled in community settings. Community pharmacists in the UK already offer medicines optimisation consultations although not for this patient group. Objective To determine whether medicines consultations for patients with advanced cancer pain are feasible and acceptable. Setting Community-dwelling patients with advanced cancer pain were recruited from primary, secondary and tertiary care using purposive sampling in one UK city. Methods One face-to-face or two telephone delivered medicines optimisation consultations by pharmacists were tested. These were based on services currently delivered in UK community pharmacies. Feedback was obtained from patients and healthcare professionals involved to assess feasibility and acceptability. Main outcome measure Recruitment, acceptability and drug related problems. Results Twenty-three patients, (range 33–88 years) were recruited, 19 completed consultation(s) of whom 17 were receiving palliative care services. Five received face-to-face consultations and 14 by telephone during which 47 drug related problems were identified from 33 consultations (mean 2.5). Advice was provided for 34 drug related problems in 17 patients and referral to other healthcare professionals for 13 in 8 patients, 2 patients had none. Eleven patients returned questionnaires of which 8 (73%) would recommend the consultations to others. Conclusion The consultations were feasible as patients were recruited, retained, consultations delivered, and data collected. Patients found the 20–30 min intervention acceptable, found a self-perceived increase in medicines knowledge and most would recommend it to others. Community pharmacists were willing to carry out these services however they had confidence issues in accessing working knowledge. Most drug related problems were resolved by the pharmacists and even among patients receiving palliative care services there were still issues concerning analgesic management. Pharmacist-conducted medicines consultations demonstrate potential which now needs to be evaluated within a larger study in the future.
    URI
    http://hdl.handle.net/10454/17029
    Version
    Published version
    Citation
    Edwards Z, Bennett MI and Blenkinsopp A (2019) A community pharmacist medicines optimisation service for patients with advanced cancer pain: a proof of concept study. International Journal of Clinical Pharmacy. 41(3): 700-710.
    Link to publisher’s version
    https://doi.org/10.1007/s11096-019-00820-8
    Type
    Article
    Collections
    Life Sciences Publications

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