One-on-one care management and procurement of Naloxone for ambulatory use.
Background Morbidity and mortality from prescription opioids has reached unprecedented levels. Opioids remain part of chronic pain treatment in primary care. This study was designed to determine whether one-on-one care management increases procurement of Naloxone, an opioid antagonist shown to reduc...
| Publicado en: | Journal of Public Health Vol. 40; no. 4; pp. 858 - 863 |
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| Autores principales: | , , , , , , |
| Formato: | forms research tables/charts Journal Article |
| Publicado: |
Oxford University Press / USA
Dec2018
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=134247649&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 134247649 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 17413842 1CA0 jtl: Journal of Public Health issn: 17413842 maglogo: N pubinfo: dt: Dec2018 vid: 40 iid: 4 pid: 622 pub: Oxford University Press / USA artinfo: ui: 134247649 134247649 134247649 10.1093/pubmed/fdy029 134247649 ppf: 858 ppct: 5 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: One-on-one care management and procurement of Naloxone for ambulatory use. aug: au: Whittington, Richard Whittington, Kathleen Whittington, John Porter, Joel Zimmermann, Karla Case, Holly Berg, Stacey affil: Intermountain Healthcare, Salt Lake City, Utah, USA sug: subj: Naloxone Therapeutic Use Chronic Pain Drug Therapy Narcotics Adverse Effects Overdose Education Pain Management Patient Education Nursing Role Human Cross Sectional Studies Utah Primary Health Care Registered Nurses Narcotics Administration and Dosage McNemar's Test Chi Square Test Male Female Adolescence Adult Middle Age Aged Questionnaires Adolescent: 13-18 years Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Male Female ab: Background Morbidity and mortality from prescription opioids has reached unprecedented levels. Opioids remain part of chronic pain treatment in primary care. This study was designed to determine whether one-on-one care management increases procurement of Naloxone, an opioid antagonist shown to reduce morbidity and mortality in opioid overdoses. Methods Participants included all patients ≥18 years enrolled in a primary care-based chronic pain management program and who were prescribed a daily dose of opioids for treatment of chronic pain. In total, 153 patients chose to participate. Each had a 1 h one-on-one education meeting with a registered nurse. Results Among the enrolled, eight patients (5.2%) had procured Naloxone prior to intervention. Overall, 31 additional patients (20.2%) procured Naloxone after intervention, a 288% relative improvement in the attainment of Naloxone (P < 0.0001) (χ 2 = 29.032 with 1 degree freedom). Of the 114 participants who never procured Naloxone, 69.3% believed it was unnecessary, 20% forgot about Naloxone, 8% said it was cost prohibitive, 3.5% had access concerns and 0.9% had concerns about side effects. Conclusion Direct one-on-one nurse care management sessions were associated with an increased procurement of Naloxone in a primary care-based pain management program. A significant number of patients believed Naloxone was unnecessary after the intervention. pubtype: Academic Journal doctype: forms research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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