Subcutaneous Patient-Controlled Analgesia in Palliative Care
J Pain Palliat Care Pharmacother. 2021 Jun 9:1-5. doi: 10.1080/15360288.2021.1920546. Online ahead of print.ABSTRACTSubcutaneous patient-controlled analgesia (SCPCA) is an underutilized method of pain management in palliative care patients. In a select group of patients, including patients in whom enteral analgesia is ineffective or undeliverable, and in patients with limited access to healthcare due to geographical or other logistic issues, SCPCA can provide an effective and safe alternative.PMID:34107232 | DOI:10.1080/15360288.2021.1920546 (Source: Journal of Pain and Palliative Care Pharmacotherapy)
Source: Journal of Pain and Palliative Care Pharmacotherapy - June 9, 2021 Category: Palliative Care Authors: Jayamangala Sampath Kondasinghe Penelope Helen Rose Tuffin Fiona Joy Findlay Source Type: research

Dexmedetomidine as an Analgesic Agent with Neuroprotective Properties: Experimental and Clinical Aspects
J Pain Palliat Care Pharmacother. 2021 Jun 8:1-16. doi: 10.1080/15360288.2021.1914280. Online ahead of print.ABSTRACTDexmedetomidine (Dexdor or Precedex®) is considered as a sedative agent which is widely used as an adjuvant in general anesthesia and critical care practice. There is extensive evidence indicating its neuroprotective properties especially in various ischemic and hemorrhagic brain injury models of animals. Clinical trials have shown that dexmedetomidine (DEX) can improve the outcome of intensive care unit (ICU) patients. Also, DEX is appropriate as a non-opioid analgesic therapy whenever minimizing opioid...
Source: Journal of Pain and Palliative Care Pharmacotherapy - June 8, 2021 Category: Palliative Care Authors: Hooman Bozorgi Melika Zamani Ehsan Motaghi Majid Eslami Source Type: research

Substance Abuse Risk and Medication Monitoring in Patients with Advanced Lung Cancer Receiving Palliative Care
This study explored relationships among risk screening and aberrant medication related behaviors in patients with advanced lung cancer receiving embedded palliative care. This was a single center, prospective study and data was collected from December 2018 to March 2020. At the initial palliative visit, patients provided a baseline urine drug screen (UDS) test and completed the Screener and Opioid Assessment for Patients with Pain - Revised (SOAPP-R) self-assessment. Clinical pharmacists provided comprehensive review and interpretation of UDS results. Among 39 patients, 12 (30.8%) scored positive for risk of aberrant medic...
Source: Journal of Pain and Palliative Care Pharmacotherapy - May 19, 2021 Category: Palliative Care Authors: Pooja S Kumar Maureen L Saphire Madison Grogan Jason Benedict Sarah Janse Julia L Agne Erin M Bertino Carolyn J Presley Source Type: research

The Risk of QTc Prolongation with Antiemetics in the Palliative Care Setting: A Narrative Review
This article reviews pharmacotherapy agents including anticholinergics, antihistamines, antidopaminergics, 5-HT3 receptor antagonists, dronabinol, and medical marijuana and their associated risk of QTc prolongation. A clinical treatment pathway is provided to help guide clinicians in choosing the most appropriate antiemetic based upon patient specific factors for QTc prolongation.PMID:33974499 | DOI:10.1080/15360288.2021.1900491 (Source: Journal of Pain and Palliative Care Pharmacotherapy)
Source: Journal of Pain and Palliative Care Pharmacotherapy - May 11, 2021 Category: Palliative Care Authors: Elizabeth M Gavioli Nerli Guardado Farah Haniff Nouran Deiab Etty Vider Source Type: research

Survey of Opioid Stewardship Practices in American Society of Health-System Pharmacists (ASHP) Post-Graduate Year 2 (PGY2) Pain Management and Palliative Care (PMPC) Pharmacy Residency Programs
J Pain Palliat Care Pharmacother. 2021 May 6:1-7. doi: 10.1080/15360288.2021.1914282. Online ahead of print.NO ABSTRACTPMID:33955805 | DOI:10.1080/15360288.2021.1914282 (Source: Journal of Pain and Palliative Care Pharmacotherapy)
Source: Journal of Pain and Palliative Care Pharmacotherapy - May 6, 2021 Category: Palliative Care Authors: Annabelle Hood Brett Hemmann Sulgi Chae Source Type: research

Spiritual Healing in a Hospice Veteran Led to a Successful Opioid Taper: A Case Report
J Pain Palliat Care Pharmacother. 2021 May 6:1-7. doi: 10.1080/15360288.2021.1914281. Online ahead of print.ABSTRACTAddressing "total pain" is a concept commonly practiced in palliative care. Spiritual healing in a Navy Veteran led to a significant improvement in pain allowing a voluntary taper of opioid medication. The Veteran was able to reconcile his faith in God and participated in several spiritual practices daily. The palliative care pharmacist assisted the team in developing an opioid taper process per Veteran's request as he had a strong conviction that he was spiritually healed. A reduction in opioid mor...
Source: Journal of Pain and Palliative Care Pharmacotherapy - May 6, 2021 Category: Palliative Care Authors: Sandra L DiScala Brittany Faley Vanessa Lewis Christine M Vartan Michael Silverman Source Type: research

Characterizing Patients after Opioid Taper in a VA Medical Center
J Pain Palliat Care Pharmacother. 2021 May 6:1-17. doi: 10.1080/15360288.2021.1900492. Online ahead of print.ABSTRACTTo identify potential areas for intervention and gain insight on current practice in patients who are tapered to zero morphine equivalent daily doses (MEDD) through the Pharmacy Pain E-Consult at a Veterans Healthcare System. This was done by describing the types of follow-up care and resources utilized by patients. This project is a retrospective chart review of Veterans with non-cancer pain on chronic-opioid therapy consulted to the pharmacy e-consult service and tapered to 0 MEDD. Descriptive statistics a...
Source: Journal of Pain and Palliative Care Pharmacotherapy - May 6, 2021 Category: Palliative Care Authors: Kathryn Muzzio Michael Chandler Jacob T Painter Lisa Dragic Source Type: research

Survey of Opioid Stewardship Practices in American Society of Health-System Pharmacists (ASHP) Post-Graduate Year 2 (PGY2) Pain Management and Palliative Care (PMPC) Pharmacy Residency Programs
J Pain Palliat Care Pharmacother. 2021 May 6:1-7. doi: 10.1080/15360288.2021.1914282. Online ahead of print.NO ABSTRACTPMID:33955805 | DOI:10.1080/15360288.2021.1914282 (Source: Journal of Pain and Palliative Care Pharmacotherapy)
Source: Journal of Pain and Palliative Care Pharmacotherapy - May 6, 2021 Category: Palliative Care Authors: Annabelle Hood Brett Hemmann Sulgi Chae Source Type: research

Spiritual Healing in a Hospice Veteran Led to a Successful Opioid Taper: A Case Report
J Pain Palliat Care Pharmacother. 2021 May 6:1-7. doi: 10.1080/15360288.2021.1914281. Online ahead of print.ABSTRACTAddressing "total pain" is a concept commonly practiced in palliative care. Spiritual healing in a Navy Veteran led to a significant improvement in pain allowing a voluntary taper of opioid medication. The Veteran was able to reconcile his faith in God and participated in several spiritual practices daily. The palliative care pharmacist assisted the team in developing an opioid taper process per Veteran's request as he had a strong conviction that he was spiritually healed. A reduction in opioid mor...
Source: Journal of Pain and Palliative Care Pharmacotherapy - May 6, 2021 Category: Palliative Care Authors: Sandra L DiScala Brittany Faley Vanessa Lewis Christine M Vartan Michael Silverman Source Type: research

Characterizing Patients after Opioid Taper in a VA Medical Center
J Pain Palliat Care Pharmacother. 2021 May 6:1-17. doi: 10.1080/15360288.2021.1900492. Online ahead of print.ABSTRACTTo identify potential areas for intervention and gain insight on current practice in patients who are tapered to zero morphine equivalent daily doses (MEDD) through the Pharmacy Pain E-Consult at a Veterans Healthcare System. This was done by describing the types of follow-up care and resources utilized by patients. This project is a retrospective chart review of Veterans with non-cancer pain on chronic-opioid therapy consulted to the pharmacy e-consult service and tapered to 0 MEDD. Descriptive statistics a...
Source: Journal of Pain and Palliative Care Pharmacotherapy - May 6, 2021 Category: Palliative Care Authors: Kathryn Muzzio Michael Chandler Jacob T Painter Lisa Dragic Source Type: research

Survey of Opioid Stewardship Practices in American Society of Health-System Pharmacists (ASHP) Post-Graduate Year 2 (PGY2) Pain Management and Palliative Care (PMPC) Pharmacy Residency Programs
J Pain Palliat Care Pharmacother. 2021 May 6:1-7. doi: 10.1080/15360288.2021.1914282. Online ahead of print.NO ABSTRACTPMID:33955805 | DOI:10.1080/15360288.2021.1914282 (Source: Journal of Pain and Palliative Care Pharmacotherapy)
Source: Journal of Pain and Palliative Care Pharmacotherapy - May 6, 2021 Category: Palliative Care Authors: Annabelle Hood Brett Hemmann Sulgi Chae Source Type: research

Spiritual Healing in a Hospice Veteran Led to a Successful Opioid Taper: A Case Report
J Pain Palliat Care Pharmacother. 2021 May 6:1-7. doi: 10.1080/15360288.2021.1914281. Online ahead of print.ABSTRACTAddressing "total pain" is a concept commonly practiced in palliative care. Spiritual healing in a Navy Veteran led to a significant improvement in pain allowing a voluntary taper of opioid medication. The Veteran was able to reconcile his faith in God and participated in several spiritual practices daily. The palliative care pharmacist assisted the team in developing an opioid taper process per Veteran's request as he had a strong conviction that he was spiritually healed. A reduction in opioid mor...
Source: Journal of Pain and Palliative Care Pharmacotherapy - May 6, 2021 Category: Palliative Care Authors: Sandra L DiScala Brittany Faley Vanessa Lewis Christine M Vartan Michael Silverman Source Type: research

Characterizing Patients after Opioid Taper in a VA Medical Center
J Pain Palliat Care Pharmacother. 2021 May 6:1-17. doi: 10.1080/15360288.2021.1900492. Online ahead of print.ABSTRACTTo identify potential areas for intervention and gain insight on current practice in patients who are tapered to zero morphine equivalent daily doses (MEDD) through the Pharmacy Pain E-Consult at a Veterans Healthcare System. This was done by describing the types of follow-up care and resources utilized by patients. This project is a retrospective chart review of Veterans with non-cancer pain on chronic-opioid therapy consulted to the pharmacy e-consult service and tapered to 0 MEDD. Descriptive statistics a...
Source: Journal of Pain and Palliative Care Pharmacotherapy - May 6, 2021 Category: Palliative Care Authors: Kathryn Muzzio Michael Chandler Jacob T Painter Lisa Dragic Source Type: research

Survey of Opioid Stewardship Practices in American Society of Health-System Pharmacists (ASHP) Post-Graduate Year 2 (PGY2) Pain Management and Palliative Care (PMPC) Pharmacy Residency Programs
J Pain Palliat Care Pharmacother. 2021 May 6:1-7. doi: 10.1080/15360288.2021.1914282. Online ahead of print.NO ABSTRACTPMID:33955805 | DOI:10.1080/15360288.2021.1914282 (Source: Journal of Pain and Palliative Care Pharmacotherapy)
Source: Journal of Pain and Palliative Care Pharmacotherapy - May 6, 2021 Category: Palliative Care Authors: Annabelle Hood Brett Hemmann Sulgi Chae Source Type: research

Spiritual Healing in a Hospice Veteran Led to a Successful Opioid Taper: A Case Report
J Pain Palliat Care Pharmacother. 2021 May 6:1-7. doi: 10.1080/15360288.2021.1914281. Online ahead of print.ABSTRACTAddressing "total pain" is a concept commonly practiced in palliative care. Spiritual healing in a Navy Veteran led to a significant improvement in pain allowing a voluntary taper of opioid medication. The Veteran was able to reconcile his faith in God and participated in several spiritual practices daily. The palliative care pharmacist assisted the team in developing an opioid taper process per Veteran's request as he had a strong conviction that he was spiritually healed. A reduction in opioid mor...
Source: Journal of Pain and Palliative Care Pharmacotherapy - May 6, 2021 Category: Palliative Care Authors: Sandra L DiScala Brittany Faley Vanessa Lewis Christine M Vartan Michael Silverman Source Type: research

Characterizing Patients after Opioid Taper in a VA Medical Center
J Pain Palliat Care Pharmacother. 2021 May 6:1-17. doi: 10.1080/15360288.2021.1900492. Online ahead of print.ABSTRACTTo identify potential areas for intervention and gain insight on current practice in patients who are tapered to zero morphine equivalent daily doses (MEDD) through the Pharmacy Pain E-Consult at a Veterans Healthcare System. This was done by describing the types of follow-up care and resources utilized by patients. This project is a retrospective chart review of Veterans with non-cancer pain on chronic-opioid therapy consulted to the pharmacy e-consult service and tapered to 0 MEDD. Descriptive statistics a...
Source: Journal of Pain and Palliative Care Pharmacotherapy - May 6, 2021 Category: Palliative Care Authors: Kathryn Muzzio Michael Chandler Jacob T Painter Lisa Dragic Source Type: research

Survey of Opioid Stewardship Practices in American Society of Health-System Pharmacists (ASHP) Post-Graduate Year 2 (PGY2) Pain Management and Palliative Care (PMPC) Pharmacy Residency Programs
J Pain Palliat Care Pharmacother. 2021 May 6:1-7. doi: 10.1080/15360288.2021.1914282. Online ahead of print.NO ABSTRACTPMID:33955805 | DOI:10.1080/15360288.2021.1914282 (Source: Journal of Pain and Palliative Care Pharmacotherapy)
Source: Journal of Pain and Palliative Care Pharmacotherapy - May 6, 2021 Category: Palliative Care Authors: Annabelle Hood Brett Hemmann Sulgi Chae Source Type: research

Spiritual Healing in a Hospice Veteran Led to a Successful Opioid Taper: A Case Report
J Pain Palliat Care Pharmacother. 2021 May 6:1-7. doi: 10.1080/15360288.2021.1914281. Online ahead of print.ABSTRACTAddressing "total pain" is a concept commonly practiced in palliative care. Spiritual healing in a Navy Veteran led to a significant improvement in pain allowing a voluntary taper of opioid medication. The Veteran was able to reconcile his faith in God and participated in several spiritual practices daily. The palliative care pharmacist assisted the team in developing an opioid taper process per Veteran's request as he had a strong conviction that he was spiritually healed. A reduction in opioid mor...
Source: Journal of Pain and Palliative Care Pharmacotherapy - May 6, 2021 Category: Palliative Care Authors: Sandra L DiScala Brittany Faley Vanessa Lewis Christine M Vartan Michael Silverman Source Type: research

Characterizing Patients after Opioid Taper in a VA Medical Center
J Pain Palliat Care Pharmacother. 2021 May 6:1-17. doi: 10.1080/15360288.2021.1900492. Online ahead of print.ABSTRACTTo identify potential areas for intervention and gain insight on current practice in patients who are tapered to zero morphine equivalent daily doses (MEDD) through the Pharmacy Pain E-Consult at a Veterans Healthcare System. This was done by describing the types of follow-up care and resources utilized by patients. This project is a retrospective chart review of Veterans with non-cancer pain on chronic-opioid therapy consulted to the pharmacy e-consult service and tapered to 0 MEDD. Descriptive statistics a...
Source: Journal of Pain and Palliative Care Pharmacotherapy - May 6, 2021 Category: Palliative Care Authors: Kathryn Muzzio Michael Chandler Jacob T Painter Lisa Dragic Source Type: research

A Quality Improvement Pilot of Pharmacist-Led Identification of an Inpatient Population for Opioid Stewardship and Pain Management
J Pain Palliat Care Pharmacother. 2021 Apr 28:1-7. doi: 10.1080/15360288.2021.1883181. Online ahead of print.ABSTRACTThe Joint Commission standards now include identification and monitoring patients at high-risk for adverse outcomes of opioid use. Our institution does not have a method to identify at-risk patients. This pilot aimed to assess feasibility of pharmacist-led identification of a population for pain management and opioid stewardship. All patients admitted to the hospital were screened; electronic health record reports identified all opioid, antidepressant, and benzodiazepine administrations within the previous 2...
Source: Journal of Pain and Palliative Care Pharmacotherapy - April 28, 2021 Category: Palliative Care Authors: Brett M Hemmann Pamela S Moore Paula A Politis Dean M Frate Source Type: research