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Pain Management 2016
October 03-04, 2016
Volume 5, Issue 5(Suppl) J Pain Relief
ISSN: 2167-0846 JPAR, an open access journal
conferenceseries .com
October 03-04, 2016 Vancouver, Canada
International Conference on
Pain Research & Management
Alibaud Régine et al., J Pain Relief 2016, 5:5(Suppl)
Drug and non-drug conciliation with patient-course process in chronic pain consultation
Alibaud Régine, Metadier De Saint-Denis Alix, Metadier De Saint-Denis Dominique, Ruiz Isabelle and Lavaud Katia
Hospital Narbonne, France
Background: In order to implement a prevention of the iatrogenic risk associated with analgesic and ensure a continuity of the
course of care in the management of pain, experience in drug and non-drug conciliation was initiated at the consultations pain
chronic of the Centre Hospitalier de Narbonne (France) by a pharmacist, a doctor and a nurse. Conciliation is an interactive
and multi-professional approach which, in addition to secure the requirements by preventing errors, promotes the transfer of
information between health actors and opportunity to strengthen the city-hospital link.
Objectives: Four objectives were investigated: secure drug and non-drug pain management in chronic pain consultations until
home, coordinate hospital and city professionals, educate patient and evaluate conciliation by indicators.
Methodology: Prospective monocentric study was performed by proactive conciliation of drug and non-drug prescriptions
including clinical pharmacist, doctor, the pain-nurse at the hospital; doctor and pharmacist, in the city.
Results: 25 adult patients were included for two months. Conciliation and intentional divergences were assessed by nine
indicators: CM1: eligible patients/total patients (25/25); CM2: patients with serious medication error/conciliated patients
(1/25); CM3: non-observant patients/conciliated patients (14/25); CM4: patients with adverse drug reactions/conciliated
patients (13/25); CM5: patients with drug treatment optimization (9/25). CM6: patients with non-drug treatment optimization
(20/25); CM7: opioids information/concerned patients (7/7). CM8: satisfied patients/conciliated patients (25/25); and CM9:
information/city pharmacist (9/9).
Conclusion: Objectives were achieved, and new components emerged: non-drug conciliation, major role of nurse pain,
interactive process of continuity of pain treatment between admission in consultation and return to home. This first drug and
non-drug conciliation increased pain management security and city/hospital links expansion (physiotherapist, sophrologist,
psychotherapist, etc.).
Biography
Alibaud Régine is working as a Pharmacist in Hospital Narbonne, France. He pursed his Diploma in 1979. In 1980, he completed Diploma of Advanced Studies in
Pollutants Toxicology. He obtained State Doctorate degree in Pharmaceutical Sciences in 1983.