Improving analgesic prescribing in a general teaching hospital

McQuillan, R., Finlay, Ilora Gillian, Branch, C., Roberts, D. and Spencer, M. 1996. Improving analgesic prescribing in a general teaching hospital. Journal of Pain and Symptom Management 11 (3) , pp. 172-180. 10.1016/0885-3924(95)00166-2

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Abstract

Patients suffering from cancer and human immunodeficiency virus (HIV) disease at a teaching hospital were found to have poorly controlled pain. Many were prescribed inappropriate analgesia. A palliative care service was established to provide symptom control for patients and education for staff. Educational materials were developed, didactic teaching organized, and one-to-one education by case discussion provided to improve patient management. A repeat survey to evaluate the service showed an increase in the use of appropriate opioids, such as morphine and diamorphine, and a decrease in the use of buprenorphine and papaveretum, which are less suitable for use in chronic cancer pain. The acceptability of the guidelines and rapid availability of a palliative care opinion has improved analgesic prescribing.

Item Type:	Article
Date Type:	Publication
Status:	Published
Schools:	Medicine
Subjects:	R Medicine > R Medicine (General) R Medicine > RZ Other systems of medicine
Publisher:	Elsevier
ISSN:	0885-3924
Last Modified:	04 Jun 2017 07:47
URI:	https://orca.cardiff.ac.uk/id/eprint/67926

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