Tools for Community-Based Pharmacist Patient Care Services to Support Optimal Opioid Use

T. Gregorian, Nancy Alvarez, Krystal Han, Marl Ayson, M. Durham
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Abstract

Current opioid use challenges and the subsequent Centers for Disease Control and Prevention (CDC) “Guidelines for Prescribing Opioids for Chronic Pain” have tremendously influenced the trajectory of pain management. While focused on primary care providers, the guidelines specifically acknowledge the need for interprofessional, integrative care involving collaboration amongst pain management clinicians, behavioral health specialists, and pharmacists to optimize opioid use.(1) However, aside from looking for “red flags” in filling prescriptions, specific guidance to direct widespread pharmacist involvement is lacking. There is also currently limited data and information on how pharmacists can best aid in this public health issue. In this commentary, we describe tools and practices used in pain management and provide suggestions for incorporation into community pharmacy practice to enable pharmacists to contribute to optimal opioid use.
社区药剂师患者护理服务工具,支持阿片类药物的最佳使用
目前的阿片类药物使用挑战和随后的疾病控制和预防中心(CDC)“处方阿片类药物治疗慢性疼痛指南”极大地影响了疼痛管理的轨迹。虽然主要关注初级保健提供者,但该指南特别承认需要跨专业的综合护理,包括疼痛管理临床医生、行为健康专家和药剂师之间的合作,以优化阿片类药物的使用。(1)然而,除了寻找处方中的“危险信号”外,还缺乏指导药剂师广泛参与的具体指导。目前关于药剂师如何在这一公共卫生问题上提供最佳援助的数据和信息也有限。在本评论中,我们描述了疼痛管理中使用的工具和实践,并提供了将其纳入社区药房实践的建议,使药剂师能够为最佳阿片类药物使用做出贡献。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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