Expected needs for hospital pharmacy services in palliative care

ความคาดหวังต่องานเภสัชกรรมโรงพยาบาลในการดูแลแบบประทังอาการ

Name: Piyarat Pridiyanon

MeSH: Terminal Care

MeSH: Pharmaceutical Care

MeSH: Pharmacy Services, Hospital

MeSH: Palliative Care

Abstract: The objectives of this study were to (1) examine various patterns and models of palliative care in hospitals; (2) determine the expected needs for hospital pharmacy services of palliative care teams and (3) study perceptions about palliative care held by hospital pharmacists providing pharmacy services to terminally ill patients and the nature of such palliative care services. The study took place at the Songklanagarind Hospital, King Chulalongkorn’s Memorial Hospital and the Mahavajiralongkorn Cancer Center. The key informants were physicians, nurses, pharmacists and other healthcare professionals who provided palliative care in those hospitals. Many qualitative techniques were used for data collection such as informal interviews, observations and participant observations. Each hospital had a different level of development and service provision for palliative care which could be classified into 2 main categories. One was to disseminate concepts, principles and practices of palliative care to healthcare professionals in all wards in order to encourage them to practice palliative care. The other was to develop a palliative care system only in designated specialty wards for terminally ill patients. The study found that there were expected needs of pharmacy services in both direct patient care and other areas, such as drug information. For current pharmacy services also found that, there were pharmacists play role on both levels of care according to their readiness. The problems and barriers for implementing pharmacy services providing care to terminally ill patients consisted of: misunderstandings about roles and responsibilities of pharmacists, inadequate knowledge of providing pharmacy services to terminally ill patients, limitations of manpower, improper management and administration of professional development for palliative care, and lack of inspiration and interest of pharmacists themselves. The results of this study indicated the opportunities for implementing better pharmacy services. To meet this challenge, preparing for readiness of the pharmacist should be initiated. Pharmacists need to improve their perceptions and knowledge about palliative care, especially pharmacotherapy in terminal illness. For the pharmacy education system, pharmacy students should be taught about palliative care concepts together with their roles and responsibilities. Furthermore, the additional palliative care training should be arranged regularly

Mahidol University

Address: NAKHON PATHOM

Email: liwww@mahidol.ac.th

Name: Wichit Paonil

Role: Thesis Advisors

Created: 2005

Modified: 2553-06-29

Issued: 2009-08-03

วิทยานิพนธ์/Thesis

application/pdf

ISBN: 9740467709

CallNumber: TH P694ex 2005

eng

DegreeName: Master of Science

Level: Master's Degree

Descipline: Pharmacy Administration

Grantor: Mahidol University

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