Browsing by Subject "pain management"
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Item Assessment of Community Pharmacists Willingness and Barriers of Medication Therapy Management (MTM) focused on Pain Management and Mental Health(University of Minnesota, College of Pharmacy, 2014) Keller, Megan E.; Bright, David R.; Sullivan, Donald L.; Cornelius, Doug C.Objectives: To determine the willingness and barriers of community pharmacists to provide pain management and depression MTM services. Methods: An anonymous, self-administered survey was distributed electronically to 350 licensed pharmacists in a supermarket pharmacy chain. The survey consisted of a 40 question, Likert-type scale, where strongly disagree was assigned a value of one and strongly agree a value of seven. Constructs measured included: MTM interest, comfort with MTM, confidence with appropriate medication use and adjustment, educational needs, training required, time constraints, and work-related factors. Demographic data was also collected. Results: A total of 186 (53%) community pharmacists completed the survey. These pharmacists worked in an environment where MTM was currently being provided. Ninety percent of respondents averaged 0-5 MTM sessions per 4 week period. Pharmacists agreed that patients would benefit from MTM focused on pain (median 6 IR[5-7]) and/or depression (median 6 IR[5-7]) and agreed pharmacists can have positive interventions in these situations (pain: median 6 IR[5-7]; depression: median 6 IR[5-7]). Pharmacists surveyed were interested in continuing education and live presentation as preferred methods to improve knowledge of pain management and depression. Conclusion: Pharmacists are interested in and believe patients would benefit from MTM specifically for pain management and depression. Barriers to MTM focused on pain and depression were pharmacist training and workflow issues with the MTM process.Item Chronic Pain(2010-07-21) Aaron, Ashley EChronic, non-cancer pain is defined as pain of at least 3 months. Chronic pain is a common health issue that effects anywhere from 20-60% of Americans and accounts for $61 billion in lost productivity time in this country alone. It is often undertreated due to the complexity and controversy surrounding management with chronic opioid analgesics. Chronic pain is often accompanied by psychosocial co-morbidities, most notably depression, that further complicates its treatment. Chronic pain is often best addressed by a multi-disciplinary team that closely monitors each patient individually. While the use of opioid analgesics poses some risks, when managed properly, the extreme improvement in patient quality of life that can be obtained often far outweigh the risk.