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11. Development of Entrustable Professional Activities for Specialist Hospice and Palliative Care Pharmacists

Author

Lockman, Kashelle, primary, Lowry, Maria F., additional, DiScala, Sandra, additional, Lovell, Amanda G., additional, Uritsky, Tanya J., additional, Kematick, Benjamin S., additional, Schmidt, Michelle, additional, Wetshtein, Andrea M., additional, Scullion, Bridget, additional, Herndon, Christopher M., additional, and Atayee, Rabia S., additional

Published
2022
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13. Society of Pain and Palliative Care Pharmacists White Paper on the Role of Opioid Stewardship Pharmacists.

Author

DiScala, Sandra, Uritsky, Tanya J., Brown, Michelle E., Abel, Stephanie M., Humbert, Nicole T., and Naidu, Dharma

Subjects
*OCCUPATIONAL roles, *CHRONIC pain, *PAIN, *OPIOID epidemic, *HUMAN services programs, *DRUG prescribing, *OPIOID analgesics, *PHYSICIAN practice patterns, *DRUG utilization, *PALLIATIVE treatment, *COVID-19 pandemic, *POSTOPERATIVE pain
Abstract

Opioid stewardship is one essential function of pain and palliative care pharmacists and a critical need in the United States. In recent years, this country has been plagued by two public health emergencies: an opioid crisis and the COVID-19 pandemic, which has exacerbated the opioid epidemic through its economic and psychosocial toll. To develop an opioid stewardship program, a systematic approach is needed. This will be detailed in part here by the Opioid Stewardship Taskforce of the Society of Pain and Palliative Care Pharmacists (SPPCP), focusing on the role of the pharmacist. Many pain and palliative care pharmacists have made significant contributions to the development and daily operation of such programs while also completing other competing clinical tasks, including direct patient care. To ensure dedicated time and attention to critical opioid stewardship efforts, SPPCP recommends and endorses opioid stewardship models employing a full time, opioid stewardship pharmacist in both the inpatient and outpatient setting. Early research suggests that opioid stewardship pharmacists are pivotal to improving opioid metrics and pain care outcomes. However, further research and development in this area of practice is needed and encouraged. [ABSTRACT FROM AUTHOR]

Published
2023
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14. Contributors

Author

Alcorn, Sara R., Barnes, Elizabeth A., Biewald, Mollie A., Bloom, Julie R., Bressler, Toby, Brown, Hannah Lee, Buckingham, Lindsey, Butala, Anish A., Butler, Whitney, Chen, Ronald C., Chow, Edward, Dennis, Kristopher, Donahue, Bernadine, Dow, Lindsay Alexandra, D’Rummo, Kevin A., Elledge, Christen R., Fontanilla, Hiral, Freedman, Gary M., Gardiner, Terry, Ghiassi-Nejad, Zahra, Grewal, Amardeep, Han, James, Heal, Cory, Hertan, Lauren, Hill-Kayser, Christine, Hotca-Cho, Alexandra, Husain, Zain, Jones, Christopher Allen, Kamel, Randa, Kim, Do Young, Koroulakis, Anthony, Lindenberger, Elizabeth, Liu, Spencer Chung-Tang, Marin, Deborah, Marshall, Deborah C., Martin, Emily Jean, Martin, Kate, McAvoy, Sarah, McGrath, Kathryn, Mills, Matthew N., Mohindra, Pranshu, Morrison, R. Sean, Mutsaers, Adam, Nguyen, Timothy K., O’Donovan, Anita, Oliver, Daniel E., Paydar, Ima, Plastaras, John, Popp, Beth, Rich, Shayna E., Rishi, Anupam, Robbins, Jared R., Rosenzweig, Kenneth E., Rozak, Michael, Sahgal, Arjun, Samstein, Robert M., Santos, Patricia Mae G., Schmitz, Stephanie, Sharma, Sonam, Shen, Xinglei, Simone, Charles B., II, Sindhu, Kunal K., Singh, Vinita, Spektor, Alexander, Taunk, Neil K., Terry, Karen, Tsao, May N., Tseng, Yolanda D., Uritsky, Tanya J., Vanston, Vincent, Venkatachalam, Veena, Vogel, Jennifer, Williams, Graeme, Wilson, Robert J., Wright, Christopher M., Yerramilli, Divya, Yi, Sun K., Michael Yu, Hsiang-Hsuan, Zarrabi, Ali John, and Reckson, Batya

Published
2024
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17. Contributors

Author

Abella, Benjamin S., primary, Aberra, Faten N., additional, Adeseun, Gbemisola A., additional, Ahmad, Nuzhat A., additional, Allen, Steven R., additional, Ali, Zarina S., additional, Atluri, Pavan, additional, Ball, Amanda M., additional, Balu, Ramani, additional, Banerjee, Audreesh, additional, Becker, Danielle A., additional, Bellamy, Cassandra J., additional, Berns, Jeffrey S., additional, Bird, Shawn J., additional, Blaya, Marcelo, additional, Bleicher, Melissa B., additional, Bowens, Nina M., additional, Brainard, Jason C., additional, Braslow, Benjamin, additional, Callans, David, additional, Carr-Lettieri, Megan E., additional, Cereda, Maurizio, additional, Chatterjee, Pia, additional, Chen, H. Isaac, additional, Cohen, Debbie L., additional, Cohen, Jeffrey E., additional, Criner, Gerald J., additional, Deitz, Joel, additional, DeLisser, Horace M., additional, Deutschman, Clifford S., additional, Diamond, Joshua, additional, Dibble, Christopher T., additional, Dolan, Jennifer M., additional, Dostal, Courtney L., additional, Ely, E. Wesley, additional, Faigel, Douglas O., additional, Ferrari, Victor A., additional, Fields, Barry, additional, Fishman, Neil, additional, Frank, Ian, additional, Frazer, Michael J., additional, Freese, Andrew, additional, Fried, David A., additional, Fuchs, Barry D., additional, Fuhrman, Steven A., additional, Gazourian, Lee, additional, Glickman, Joel D., additional, Gluckman, Stephen J., additional, Goldberg, Andrew N., additional, Goldberg, Lee R., additional, Goldfarb, Stanley, additional, Goodman, Diane, additional, Gottlieb, Jonathan E., additional, Gracias, Vicente H., additional, Grippi, Michael A., additional, Gurubhagavatula, Indira, additional, Haas, Andrew R., additional, Hamilton, Keith, additional, William Hansen, C., additional, Hermann, Robin, additional, Hess, John R., additional, Hoff, Kolin, additional, Hoke, Linda, additional, Holena, Daniel N., additional, Hudock, Kristin, additional, Isakow, Warren, additional, Janz, David R., additional, Jassar, Arminder, additional, Judy, Kevin D., additional, Kahn, Marc J., additional, Kadakia, Mitul B., additional, Kapa, Suraj, additional, Kasner, Scott E., additional, Kayser, Joshua B., additional, Keeney, Scott A., additional, Kim, Patrick K., additional, Kim, Stephen, additional, King, Rhonda S., additional, Kirkwood, Melissa L., additional, Kobrin, Sidney M., additional, Kohl, Benjamin A., additional, Kolansky, Daniel M., additional, Kotapka, Mark J., additional, Kovach, Stephen J., additional, Kreider, Maryl, additional, Krok, Karen L., additional, Kruse-Jarres, Rebecca, additional, Kucharczuk, John C., additional, Landsburg, Daniel J., additional, Lane-Fall, Meghan B., additional, Lanken, Paul N., additional, Leary, Marion, additional, Levine, David N., additional, Levine, Joshua M., additional, Levine, Lisa D., additional, Lichtenstein, Gary R., additional, Lilly, Craig M., additional, Lilly, Scott M., additional, Loren, Alison W., additional, Low, David W., additional, Maguire, Cheryl, additional, Maki, Junsuke, additional, Malloy, Kelly M., additional, Malone, Daniel, additional, Malosky, Stephen A., additional, Manaker, Scott, additional, Mannes, Andrew, additional, Marchlinski, Francis E., additional, Marcotte, Paul, additional, Masangkay, Neil M., additional, Mascitti, Kara B., additional, McCarthy, Fenton, additional, McGarvey, Michael L., additional, Mechem, C. Crawford, additional, Mehta, Samir, additional, Menard-Katcher, Paul, additional, Meyer, Nuala J., additional, Mikkelsen, Mark E., additional, Milas, Bonnie L., additional, Mirza, Natasha, additional, Moon, Edmund K., additional, Myers, Jennifer S., additional, Netzer, Giora, additional, Nold, Christopher, additional, O’Doherty, Una, additional, Oxman, David A., additional, Paget-Brown, Alix O., additional, Palevsky, Harold I., additional, Panettieri, Reynold A., additional, Parry, Samuel, additional, Pascual, Jose L., additional, Patel, Nirav P., additional, Pechet, Taine T.V., additional, Perrone, Jeanmarie, additional, Phillips, Matthew F., additional, Polk, Travis M., additional, Preston, Ave Maria, additional, Reed, Amy J., additional, Reilly, Eugene F., additional, Reilly, James B., additional, Reilly, John P., additional, Reilly, Patrick M., additional, Ries, Michael, additional, Rosen, Ilene M., additional, Rosenbach, Misha, additional, Rudnick, Michael R., additional, Samadani, Uzma, additional, Sarani, Babak, additional, Sareli, Aharon, additional, Satti, Aditi, additional, Schwab, Richard J., additional, Schweickert, William, additional, Scott, Benjamin K., additional, Segal, Miriam, additional, Shafi, Bilal, additional, Shah, Chirag V., additional, Shah, Siddharth P., additional, Shashaty, Michael G., additional, Shiroff, Adam M., additional, Siegel, Don L., additional, Silvestry, Frank E., additional, Simonian, Melissa A., additional, Sims, Carrie A., additional, Sims, Michael W., additional, Sinkin, Robert A., additional, Soisson, Michael J., additional, Souder, Jeremy, additional, Sunwoo, Bernie, additional, Supple, Gregory E., additional, Takach, Patricia, additional, Talati, Naasha, additional, Tariq, Nabil, additional, Thaler, Erica R., additional, Theodore, Arthur C., additional, Tobias, Mitchell D., additional, Townsend, Raymond R., additional, Turowski, Jason B., additional, Uritsky, Tanya J., additional, Vorovich, Esther, additional, Wade, Alisha N., additional, Washington, Alexander W., additional, Wasserstein, Alan G., additional, Weinhouse, Gerald L., additional, Wilck, Marissa B., additional, Williams, Noel N., additional, Wilson, F. Perry, additional, Wilson, Kevin C., additional, Wolfe, Laura, additional, Woo, Edward Y., additional, Zager, Eric L., additional, and Zhou, Ting, additional

Published
2014
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33. Methylnaltrexone: Peripherally Acting µ-Opioid Receptor Antagonist.

Author

Uritsky TJ

Abstract

Opioid-induced constipation (OIC) is a common adverse effect associated with opioid therapy, with many patients never developing tolerance to this effect. There are many traditional laxatives available to help patients combat this symptom, yet OIC may not reliably respond to conventional treatment. Peripherally acting µ-opioid receptor antagonists (PAMORAs) have a place in the treatment of refractory OIC, when traditional laxatives have not resulted in effective laxation. There are a number of PAMORAs now available, and methylnaltrexone is the only PAMORA indicated for the treatment of OIC in adults with advanced illness, as well as for patients with chronic noncancer pain, including patients with chronic pain related to prior cancer treatment who do not require frequent opioid escalation. Advanced practitioners need to have an understanding of how and when to best use these medications for the different indications in patients with advanced illness or chronic noncancer-related pain.

Published
2019

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