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The Role of the Community Pharmacists in the Management of Acute Pain in Adults : = A Scoping Review.

Record Type:	Electronic resources : Monograph/item
Title/Author:	The Role of the Community Pharmacists in the Management of Acute Pain in Adults :/
Reminder of title:	A Scoping Review.
Author:	Arumugam, Khiran.
Description:	1 online resource (209 pages)
Notes:	Source: Masters Abstracts International, Volume: 85-05.
Contained By:	Masters Abstracts International85-05.
Subject:	Physiology. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=30718327click for full text (PQDT)
ISBN:	9798380709286

The Role of the Community Pharmacists in the Management of Acute Pain in Adults : = A Scoping Review.
Arumugam, Khiran.

The Role of the Community Pharmacists in the Management of Acute Pain in Adults :A Scoping Review. - 1 online resource (209 pages)

Source: Masters Abstracts International, Volume: 85-05.

Thesis (M.Sc.)--McGill University (Canada), 2023.

Includes bibliographical references

Acute pain is under-treated and results in negative health outcomes in older adults. A link to community experts, such as community pharmacists (CP), could support the self-management of acute pain in adults following hospital discharge and result in improved outcomes. Knowledge of CP's current practices in the management of acute pain in adults and barriers to the delivery of such care is lacking. We conducted a scoping review to describe CPs' practices or interventions in acute pain management in adults, and to identify current barriers and facilitators/solutions to CPs' engagement in the management of acute pain in this population.We searched the literature in 5 bibliographic databases for eligible studies published after 1990 including scoping and systematic reviews, experimental, observational, and qualitative studies. Search terms included acute pain, postoperative pain, low back pain, opioid, pharmaceutical services, community pharmacy, patient education, etc. Search results were independently screened for inclusion criteria by 2 reviewers. Study design, participants, CP intervention and engagement characteristics were extracted. The results were synthesized and presented using numerical frequency analysis. We subsequently proceeded with a thematic framework analysis to thematically organize the acute pain management interventions, barriers, and facilitators/solutions for pharmacists and patients.We identified 2424 studies and retained 34 studies for extraction; most were published between 2010 and 2021 (76%). Identified studies were predominantly observational crosssectional studies (n = 21 [65%]), and the remainder were experimental and non-experimental studies (n = 9 [27%]), and knowledge synthesis studies (n = 2 [6%]). CPs intervene mostly in the domains of acute non-specific low back pain (n = 17), dental pain (n = 6), and musculoskeletal injuries (n = 6). Interventions designed to manage these acute pain conditions were categorized into interventions targeting CPs and interventions targeting patients. The CP-targeted interventions included the implementation of professional associations' clinical practice guidelines or processes of care to assess and expand their role in acute pain care. The patient-targeted interventions included tools and educational interventions to properly manage their acute pain condition (s). Patient- and CP- targeted patient counselling (n = 19), professional educational programs (n = 7), pamphlets (n = 4), simulated-patient scenarios (n = 5) covering disease management services, opioid stewardship, non-pharmacological therapies, self-care advice, and referrals to specialists were identified as interventions.Barriers identified by CPs included lack of knowledge and training in acute pain care, lack of patient knowledge on acute pain, and time constraints. Patients' tendencies to self-medicate, their lack of awareness of the role of CPs in acute pain care, and patient-specific time constraints were cited as barriers limiting patients' ability to manage their acute pain in the community setting. Proposed solutions comprised expanding CPs' knowledge and education on acute pain, implementing patient-oriented programs and point-of-care tools, improving CPs' collaboration with healthcare professionals (HCPs), and providing financial and institutional support. Solutions to mitigate patient-specific barriers also included increased educational practices through the use of digital tools for self-management of acute pain, education on appropriate acute pain management practices, and health promotion tools highlighting CPs' contribution to acute pain care.

Electronic reproduction.
Ann Arbor, Mich. :
ProQuest,
2023

Mode of access: World Wide Web

ISBN: 9798380709286Subjects--Topical Terms:

518431
Physiology.
Index Terms--Genre/Form:

542853
Electronic books.

The Role of the Community Pharmacists in the Management of Acute Pain in Adults : = A Scoping Review.
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500 $a Source: Masters Abstracts International, Volume: 85-05.
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502 $a Thesis (M.Sc.)--McGill University (Canada), 2023.
504 $a Includes bibliographical references
520 $a Acute pain is under-treated and results in negative health outcomes in older adults. A link to community experts, such as community pharmacists (CP), could support the self-management of acute pain in adults following hospital discharge and result in improved outcomes. Knowledge of CP's current practices in the management of acute pain in adults and barriers to the delivery of such care is lacking. We conducted a scoping review to describe CPs' practices or interventions in acute pain management in adults, and to identify current barriers and facilitators/solutions to CPs' engagement in the management of acute pain in this population.We searched the literature in 5 bibliographic databases for eligible studies published after 1990 including scoping and systematic reviews, experimental, observational, and qualitative studies. Search terms included acute pain, postoperative pain, low back pain, opioid, pharmaceutical services, community pharmacy, patient education, etc. Search results were independently screened for inclusion criteria by 2 reviewers. Study design, participants, CP intervention and engagement characteristics were extracted. The results were synthesized and presented using numerical frequency analysis. We subsequently proceeded with a thematic framework analysis to thematically organize the acute pain management interventions, barriers, and facilitators/solutions for pharmacists and patients.We identified 2424 studies and retained 34 studies for extraction; most were published between 2010 and 2021 (76%). Identified studies were predominantly observational crosssectional studies (n = 21 [65%]), and the remainder were experimental and non-experimental studies (n = 9 [27%]), and knowledge synthesis studies (n = 2 [6%]). CPs intervene mostly in the domains of acute non-specific low back pain (n = 17), dental pain (n = 6), and musculoskeletal injuries (n = 6). Interventions designed to manage these acute pain conditions were categorized into interventions targeting CPs and interventions targeting patients. The CP-targeted interventions included the implementation of professional associations' clinical practice guidelines or processes of care to assess and expand their role in acute pain care. The patient-targeted interventions included tools and educational interventions to properly manage their acute pain condition (s). Patient- and CP- targeted patient counselling (n = 19), professional educational programs (n = 7), pamphlets (n = 4), simulated-patient scenarios (n = 5) covering disease management services, opioid stewardship, non-pharmacological therapies, self-care advice, and referrals to specialists were identified as interventions.Barriers identified by CPs included lack of knowledge and training in acute pain care, lack of patient knowledge on acute pain, and time constraints. Patients' tendencies to self-medicate, their lack of awareness of the role of CPs in acute pain care, and patient-specific time constraints were cited as barriers limiting patients' ability to manage their acute pain in the community setting. Proposed solutions comprised expanding CPs' knowledge and education on acute pain, implementing patient-oriented programs and point-of-care tools, improving CPs' collaboration with healthcare professionals (HCPs), and providing financial and institutional support. Solutions to mitigate patient-specific barriers also included increased educational practices through the use of digital tools for self-management of acute pain, education on appropriate acute pain management practices, and health promotion tools highlighting CPs' contribution to acute pain care.
520 $a La douleur aigue est sous-traitee et entraine des consequences nefastes sur la sante des personnes agees. Un suivi avec des experts communautaires, tels les pharmaciens communautaires (PC), pourrait optimiser l'autogestion de la douleur aigue chez les adultes apres leur conge de l'hopital et entrainer de meilleurs resultats. Les connaissances sur les pratiques courantes des PC dans la gestion de la douleur aigue chez les adultes ainsi que sur les obstacles a la prestation de tels soins sont insuffisantes. Nous avons effectue une etude de la portee pour decrire les pratiques et les interventions des PC dans la gestion de la douleur aigue chez les adultes, et pour identifier les obstacles et les facilitateurs-solutions actuels en ce qui concerne l'engagement des PC dans la gestion de la douleur aigue dans cette population.Nous avons etudie la litterature provenant de 5 bases de donnees bibliographiques pour identifier des etudes eligibles publiees apres 1990, y compris des etudes de la portee, des revues systematiques ainsi que des etudes experimentales, observationnelles et qualitatives. Les termes incluent « acute pain », « postoperative pain », « low back pain », « opioid », « pharmaceutical services », « community pharmacy », « patient education », etc. Les resultats de la recherche ont ete independamment examines pour les criteres d'inclusion par 2 examinateurs. Les caracteristiques du protocole de l'etude, des participants, de l'intervention des PC et de leur engagement ont ete extraites. Les resultats ont ete synthetises et presentes a l'aide d'une analyse de frequence numerale. Nous avons ensuite procede a une analyse du cadre thematique pour organiser thematiquement les interventions de gestion de la douleur aigue ainsi que les barrieres et les facilitateurs-solutions pour les pharmaciens et les patients.Nous avons identifie 2424 etudes et avons retenu 34 etudes pour l'extraction; la plupart ont ete publiees entre 2010 et 2021 (76%). Les etudes identifiees etaient principalement des etudes transversales (n = 21 [65%]), et le reste etait des etudes experimentales et non-experimentales (n = 9 [27%]) et des etudes de synthese de connaissances (n = 2 [6%]). Les PC interviennent surtout dans les domaines des lombalgies aigues non-specifiques (n = 17), des douleurs dentaires (n = 6), et des lesions musculosquelettiques (n = 6). Les interventions concues pour gerer ces conditions de douleur aigues etaient classees en interventions ciblant les PC et en interventions ciblant les patients. Les interventions ciblant les CP incluaient la mise en oeuvre des lignes directrices de pratique clinique ou des processus de soins des associations professionnelles dans le but d'evaluer et d'elargir leur role dans les soins de la douleur aigue. Les interventions ciblant les patients incluaient les outils et les interventions educationnelles afin de gerer adequatement leurs conditions de douleur aigue. Les conseils aux patients cibles sur les patients et les PC (n = 19), les programmes educatifs professionnels (n = 7) et les brochures (n = 4), les scenarios de patients simules (n = 5) couvrant les services de gestion des maladies, la gestion des opioides, les therapies non pharmacologiques, les conseils d'auto-prise en charge et les references a des specialistes ont ete identifies comme des interventions.
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