Journal of the American Pharmacists Association : JAPhA
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J Am Pharm Assoc (2003) · May 2014
Pharmacists' training, perceived roles, and actions associated with dispensing controlled substance prescriptions.
To examine situations that prompt pharmacists to access a prescription drug monitoring program (PDMP) database and management of opioid abuse/addiction; assess pharmacists' actions when abuse is suspected; describe pharmacists' tasks when dispensing controlled substance prescriptions (CSPs); and their continuing pharmacy education (CPE). DESIGN Cross-sectional mail survey of 1,000 randomly selected pharmacists. ⋯ Older pharmacists with a BSPharm degree may be more willing to provide counseling to patients with opioid addiction based on their work experience and additional CPE related to controlled substances. As PDMP use becomes more prevalent, pharmacists should be prepared to interact and counsel patients identified with aberrant controlled prescription drug use and properly deliver pain management care. Additionally, schools of pharmacy curricula must prepare new pharmacists to prevent abuse and diversion, as well as intervene when aberrant use is identified.
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J Am Pharm Assoc (2003) · Mar 2014
Spanish-speaking patients' satisfaction with clinical pharmacists' communication skills and demonstration of cultural sensitivity.
OBJECTIVE To assess Spanish-speaking patients' satisfaction with their clinical pharmacists' communication skills and demonstration of cultural sensitivity, while controlling for patients' sociodemographic, clinical, and communication factors, as well as pharmacist factors, and to identify clinical pharmacists' cultural factors that are important to Spanish-speaking patients. DESIGN Cross-sectional study. SETTING Central Texas during August 2011 to May 2012. ⋯ Multiple linear regression analyses showed that cultural rapport was significantly related to satisfaction with pharmacists' communication skills and demonstration of cultural sensitivity. CONCLUSION Overall, patients were satisfied with pharmacists' communication skills and cultural sensitivity. Patient satisfaction initiatives that include cultural rapport should be developed for pharmacists who provide care to Spanish-speaking patients with limited English proficiency.
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J Am Pharm Assoc (2003) · Jan 2014
ReviewPharmacists' role in addressing opioid abuse, addiction, and diversion.
OBJECTIVE To review the scope of the problem of opioid misuse; explore pharmacists' roles and responsibilities regarding opioid use; discuss existing laws, guidelines, and regulations governing opioid management; identify potential patient and practice management strategies to address opioid abuse; and disseminate leader insights on these issues. DATA SOURCES Information presented at a conference convened by the American Pharmacists Association (Pharmacists' Role in Addressing Opioid Abuse, Addiction, and Diversion; held November 15, 2012) and discussed in conference workgroups, as well as related information from the literature. SUMMARY Opioid misuse, abuse, and diversion has grown dramatically since the early 1990s and affects public health considerably. ⋯ Strategies are available that pharmacists can use to reduce the likelihood of opioid misuse, abuse, and diversion while minimizing the impact on legitimate pain management efforts. These strategies and tools can be used to support (1) the assessment of prescriptions that are presented for opioid medications, (2) the management of patients receiving opioids, and (3) follow-up options when misuse, abuse, or diversion has been identified. CONCLUSION Implementation of systems and processes that support pharmacist management of opioid-related issues under financially viable business models would create a number of opportunities to improve patient care.
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J Am Pharm Assoc (2003) · Jan 2014
Review Practice GuidelineReprint: 2013 AHA/ACC Guideline on Lifestyle Management to Reduce Cardiovascular Risk.