Journal of Pharmaceutical Care in Pain & Symptom Control最新文献_第3页

Meeting the JCAHO Challenge for Improving Pain Management: The Cedars-Sinai Approach 迎接JCAHO改善疼痛管理的挑战:雪松-西奈方法

Journal of Pharmaceutical Care in Pain & Symptom Control Pub Date : 2001-01-01 DOI: 10.1300/J088V09N03_03

Diana Jou, R. Shane

{"title":"Meeting the JCAHO Challenge for Improving Pain Management: The Cedars-Sinai Approach","authors":"Diana Jou, R. Shane","doi":"10.1300/J088V09N03_03","DOIUrl":"https://doi.org/10.1300/J088V09N03_03","url":null,"abstract":"The federal Agency for Healthcare Policy and Research (AHCPR) published clinical practice guidelines on acute pain management in 1992 and cancer pain management in 1994. In 1998, the American Geriatrics Society published guidelines on the management of chronic pain in the growing elderly population. The fact that the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) has since developed and implemented standards for pain management further underscores and institutionalizes the importance of appropriate pain management in healthcare. At Cedars-Sinai Medical Center in Los Angeles, California, a Pain Management Steering Committee was convened in 1998 to meet the challenge of improving pain management within the health system. New policies and procedures were developed and implemented which support the appropriate care of patients with pain. A vigorous clinician education campaign was implemented to decrease common misconceptions about opioid use and to promote around-the-clock pain assessment and new pain medication use guidelines discouraging the routine use of meperidine and the intramuscular route of opioid administration. A clinician education toolbox consisting of pocket pain reference guides, self-assessment surveys, “dear doctor” letters. Ongoing data collection on performance improvement in pain management reflected notable changes in physician prescribing habits and awareness of pain management as a “fifth vital sign.” Success in improving pain management practices at our institution is attributable to multiple factors, including the participation of a physician champion, a pain management specialist, a multidisciplinary task force, clinical leadership, and a step-wise approach to implementation of policy changes. Ongoing efforts to meet the JCAHO standards on pain management in the continuum of care are currently in progress.","PeriodicalId":268184,"journal":{"name":"Journal of Pharmaceutical Care in Pain & Symptom Control","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2001-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117133992","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 5

Medicare's Hospice Benefit: Use and Expenditures 医疗保险临终关怀福利:使用和支出

Journal of Pharmaceutical Care in Pain & Symptom Control Pub Date : 2001-01-01 DOI: 10.1300/J088V09N01_06

B. Gage, Thy Dao

{"title":"Medicare's Hospice Benefit: Use and Expenditures","authors":"B. Gage, Thy Dao","doi":"10.1300/J088V09N01_06","DOIUrl":"https://doi.org/10.1300/J088V09N01_06","url":null,"abstract":"The Office of the Assistant Secretary for Planning and Evaluation (ASPE) of the U.S. Department of Health and Human Services (DHHS) commissioned this Medicare Hospice Benefit study to provide information on the role of the Medicare hospice benefit and more specific information about how end of life care is provided to institutionalized beneficiaries. This report presents information on Medicare's hospice benefit, who is using it, how it is being used, what costs are associated with its use, what costs precede hospice enrollment and how these vary by type of enrollee. This information will be important for understanding the role of Medicare's hospice benefit in the context of the other benefits Medicare provides to one of the program's most expensive populations, the terminally ill, and understanding whether the current policies meet the needs of the population enrolling in hospice. Also included are snapshot contrasts of two groups of enrollees, those who were enrolled in HMOs or on Medicaid at least once during the 12 months between July 1995 and July 1996. This report is intended to provide background information on the overall Medicare hospice population. The office of the Department of Health and Human Services (DHHS) Office of the Assistant Secretary for Planning and Evaluation (ASPE) initiated this study to better understand the use of hospice by dually-covered hospice enrollees in nursing facilities and this report provides the contrast for the nursing facility-based enrollee discussed in the two next reports in this study. Questions have been raised about whether hospice patients who live in nursing facilities are on the benefit for a longer time, receive different services, or otherwise use it differently than those residing in the community. This report describes the benefit's use by all enrollees in 1996.","PeriodicalId":268184,"journal":{"name":"Journal of Pharmaceutical Care in Pain & Symptom Control","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2001-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122209543","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 15

Developing and Implementing Pediatric Analgesia and Sedation Guidelines at San Francisco General Hospital 旧金山总医院儿科镇痛和镇静指南的制定和实施

Journal of Pharmaceutical Care in Pain & Symptom Control Pub Date : 2001-01-01 DOI: 10.1300/J088V09N01_03

R. H. Levin, R. Dieckmann, J. Fazio, R. Nichols

{"title":"Developing and Implementing Pediatric Analgesia and Sedation Guidelines at San Francisco General Hospital","authors":"R. H. Levin, R. Dieckmann, J. Fazio, R. Nichols","doi":"10.1300/J088V09N01_03","DOIUrl":"https://doi.org/10.1300/J088V09N01_03","url":null,"abstract":"A Pediatric Analgesia and Sedation Subcommittee, under the auspices of the San Francisco General Hospital Department of Pediatrics, Quality Assurance Committee, was created and charged with the development of pediatric guidelines. Membership included all health care providers who treated children in all care areas of the hospital: pediatricians, emergency physicians, family practitioners, neurologists, surgeons, intensivists, anesthesiologists, registered nurses, and pharmacists. Guiding principles were that the pediatric pain and sedation guidelines would be effective, easy to employ, based on well-accepted medications, and be child friendly. The focus was to develop analgesia and sedation guidelines for patients undergoing a wide range of medical and surgical procedures. The subcommittee then constructed a series of tables with the appropriate management strategies (including specific medications, doses and delivery routes) for pediatric orthopedic, surgical, and diagnostic procedures, and for sickle cell pain crisis. A detailed account of the implementation of these guidelines is also presented.","PeriodicalId":268184,"journal":{"name":"Journal of Pharmaceutical Care in Pain & Symptom Control","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2001-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114820079","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Patient Preferences in End-of-Life Care 临终关怀中的患者偏好

Journal of Pharmaceutical Care in Pain & Symptom Control Pub Date : 2001-01-01 DOI: 10.1300/J088V09N03_07

P. Fine

引用次数: 0

Defining Hospice and Palliative Care 界定安宁疗护与缓和疗护

Journal of Pharmaceutical Care in Pain & Symptom Control Pub Date : 2001-01-01 DOI: 10.1300/J088V09N01_01

A. Lipman

引用次数: 1

Clinically Important Meperidine Toxicities 临床重要的哌替啶毒性

Journal of Pharmaceutical Care in Pain & Symptom Control Pub Date : 2001-01-01 DOI: 10.1300/J088v09n03_04

Caroline A. Chalverus

引用次数: 7

Assessing Undertreatment of Pain: The Patients' Perspectives 评估治疗不足的疼痛:患者的观点

Journal of Pharmaceutical Care in Pain & Symptom Control Pub Date : 2001-01-01 DOI: 10.1300/J088V09N04_02

H. Lazarus, Christopher Neumann

引用次数: 18

NEWS AND INNOVATIONS 新闻与创新

Journal of Pharmaceutical Care in Pain & Symptom Control Pub Date : 2001-01-01 DOI: 10.1300/J088v09n04_10

引用次数: 0

North Carolina Licensing Boards Joint Statement on Pain Management in End-of-Life Care 北卡罗来纳州执照委员会关于临终关怀疼痛管理的联合声明

Journal of Pharmaceutical Care in Pain & Symptom Control Pub Date : 2001-01-01 DOI: 10.1300/J088v09n02_04

North Carolina Boards of Medicine, Nursing, and Ph

引用次数: 0

Report from the 19th Annual Scientific Meeting of the American Pain Society 美国疼痛学会第19届年度科学会议的报告

Journal of Pharmaceutical Care in Pain & Symptom Control Pub Date : 2001-01-01 DOI: 10.1300/J088v09n02_05

C. Chapman

{"title":"Report from the 19th Annual Scientific Meeting of the American Pain Society","authors":"C. Chapman","doi":"10.1300/J088v09n02_05","DOIUrl":"https://doi.org/10.1300/J088v09n02_05","url":null,"abstract":"The American Pain Society (APS) held its 19th Annual Scientific meeting in Atlanta, Georgia last November 2 through 5. Over 1,500 clinical and basic scientists, clinicians and others interested in the science and practice of pain management attended the meeting. The APS held a series of eight half-day professional development courses on the day before the meeting. The topics of these courses were chronic visceral pain, management of life threatening illnesses, motivating patients in pain rehabilitation, opioids in persistent noncancer pain, myofascial pain syndrome, the JCAHO pain standards, psychological aspects of pain care and complementary and alternative medicine in pain management. Antonio Damasio, MD, PhD, presented the keynote address, “Emotion, Consciousness and the Body in Pain,” Plenary presentations included Hypnosis and Pain, Advances and Future Directions in Local Anesthesia, Activity-Dependant Plasticity in Brain Stem Pain Modulatory Circuitry After Inflammation, Catastrophizing and Pain, Forebrain Mechanisms of Chronic Pain States and Neural Mechanism of Pain Modulation. The program also included twenty-seven full symposia, eight breakfast symposia, and six industry-supported educational events. A total of 858 poster presentations also took place at the meeting.","PeriodicalId":268184,"journal":{"name":"Journal of Pharmaceutical Care in Pain & Symptom Control","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2001-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121645559","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0