The pharmacists role international perspective

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1 Pharmacy and Pharmaceutical Sciences The pharmacists role international perspective Dr Safeera Hussainy Parkville Campus 2 nd September 2014

2 At the conclusion of this session participants will be able to: describe the basic principles of palliative care define the application of palliative care in different diseases outline the palliative care approach to symptom control explain the major challenges in palliative care research describe the role for pharmacists in palliative care 2

3 Challenges faced by pharmacists 3

4 Hussainy SY. Community pharmacists and palliative cancer care: Addressing educational needs. Monash University, 2007 Akram G et al. J Palliat Med. 2012;15(3): O Connor M et al. Patient Educ Couns. 2011;83(3): Ise et al. J Palliat Med. 2010;13(6):

5 Hussainy SY. Community pharmacists and palliative cancer care: Addressing educational needs. Monash University,

6 Hussainy SY. Community pharmacists and palliative cancer care: Addressing educational needs. Monash University, 2007 Akram G et al. J Palliat Med. 2012;15(3): Ise et al. J Palliat Med. 2010;13(6):

7 The role of the pharmacist 7

8 1. Medication review Hussainy SY. Community pharmacists and palliative cancer care: Addressing educational needs. Monash University, 2007 Cortis et al. Palliative care is everyone s business, including pharmacists. Am J Pharm Educ. 2013;77(2):21. Gilbar & Stefeniuk. The role of the pharmacist in palliative care: results of a survey conducted in Australia and Canada. J Palliat Care. 2002;18(4): Walker KA. Role of the pharmacist in palliative care. Progress in Palliative Care. 2010;18(3):

9 2. Educate/counsel patients and carers Hussainy SY. Community pharmacists and palliative cancer care: Addressing educational needs. Monash University, 2007 Cortis et al. Palliative care is everyone s business, including pharmacists. Am J Pharm Educ. 2013;77(2):21. Gilbar &Stefeniuk. The role of the pharmacist in palliative care: results of a survey conducted in Australia and Canada. J Palliat Care. 2002;18(4): Walker KA. Role of the pharmacist in palliative care. Progress in Palliative Care. 2010;18(3):

10 3. Educate/liaise with other health providers Hussainy SY. Community pharmacists and palliative cancer care: Addressing educational needs. Monash University, 2007 Walker KA. Role of the pharmacist in palliative care. Progress in Palliative Care. 2010;18(3):

11 4. Work in the palliative care team Hussainy SY. Community pharmacists and palliative cancer care: Addressing educational needs. Monash University, 2007 Cortis et al. Palliative care is everyone s business, including pharmacists. Am J Pharm Educ. 2013;77(2):21. Gilbar & Stefeniuk. The role of the pharmacist in palliative care: results of a survey conducted in Australia and Canada. J Palliat Care. 2002;18(4): Walker KA. Role of the pharmacist in palliative care. Progress in Palliative Care. 2010;18(3):

12 5. Develop protocols Hussainy SY. Community pharmacists and palliative cancer care: Addressing educational needs. Monash University,

13 6. Ensure adequate access to & disposal of medicines Hussainy SY. Community pharmacists and palliative cancer care: Addressing educational needs. Monash University, 2007 Walker KA. Role of the pharmacist in palliative care. Progress in Palliative Care. 2010;18(3):

14 7. Prepare non-standard dosage forms Hussainy SY. Community pharmacists and palliative cancer care: Addressing educational needs. Monash University, 2007 Walker KA. Role of the pharmacist in palliative care. Progress in Palliative Care. 2010;18(3):

15 Recent trends in context of these roles 15

16 16

17 17

18 18

19 19

20 88.4% (373/422) of patients screened 380 MRSTs conducted 52 home visits 113 interventions based on DRPs detected 120 recommendations Pharmacist accepted within team & by patients/carers Increased knowledge & skills of team 20

21 Can expand positives to other teams, huge loss not to have a pharmacist Confidencebuilding helping give better service and better outcomes for patients 21

22 22

23 23

24 Take home messages 24

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