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Title: During patients' treatment at a chronic pain clinic, what influence does the educational role of a specialist pharmacist have on their analgesia and perceptions about their pain medicines?
Author: Farley, Peter John
ISNI:       0000 0004 9358 7073
Awarding Body: University of Birmingham
Current Institution: University of Birmingham
Date of Award: 2019
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Aims: This research aimed to determine whether education and advice from a specialist pharmacist in a chronic pain team (CPT) improved patient’s analgesia. Methods: 55 patients referred to a chronic pain service in Staffordshire, UK were reviewed, educated and advised by a specialist pharmacist, four months apart. Medication and pain scores were recorded using validated tools (BPI and S-LANSS). Data were compared and analysed for significant changes. Ethical approval was obtained. Results: Significant changes between visits were identified in some areas of medicine taking behaviour (BPI). Patients’ mean ‘worst pain’ score improved (8.4 to 7.9, p=0.023), perceived percentage of ‘relief from treatment’ increased (41% to 51%, p<0.001), fewer patients reported analgesia as ‘ineffective’ (43% to 13%, p=0.003), perceived duration of effective analgesia increased (p=0.004) finally more patients reported their mild/moderate opioids ‘effective’(p=0.006). Between visits, patient attitudes to medication taking changed. Overall fewer patients required: stronger analgesia (57% to 37%, P=0.002); more analgesia than prescribed (33% to 21%, p=0.004) more analgesic information (76% to 45%, p=0.004). Fewer considered they were taking ‘too much’ analgesia (46% to 31%, p=0.004) Conclusion: Results suggest that education about analgesia by a specialist pharmacist working in a CPT can positively impact on patient’s pain scores.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (D.Pharm.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available
Keywords: RM Therapeutics. Pharmacology ; RS Pharmacy and materia medica