Knowledge, Attitudes, And Practices Towards Cancer Pain Management Amongst Healthcare Workers (Physicians, Pharmacists, And Nurses): A Cross-Sectional Study From First-Tier Cities in China

Purpose China is currently one of the countries with the largest increased number of new cancer cases in the world, but cancer pain management (CPM) is still inadequate. This study, through a questionnaire designed to show the knowledge, attitudes, and practices (KAP) status and differences towards CPM among healthcare workers (HCWs) in developed areas of China and explore areas and advantages of the role of pharmacists and mobile devices.Methods This study used data from a questionnaire on CPM from March to June 2019. The study population consisted of a total of 515 HCWs in four first-tier developed cities in China. The questionnaire has four major components, analysis of differences in KAP of different occupations through one-way analysis of variance (ANOVA).Results Among the respondents, the physicians had the highest knowledge scores towards CPM, pharmacists had the lowest practice scores. Around half of the respondents indicated that their hospital or department have a pharmacist participating in CPM. Physicians, and nurses were more likely to expect pharmacists to provide drug counseling. The HCWs interviewed most expect that the mobile-based pain management system can automatically screen and mark patients with pain.Conclusion From this study, it can be suggested that pharmacists and nurses in the CPM team should actively promote relevant knowledge. Besides, pharmacists should focus on improving practical ability such as increasing the frequency of pain assessment. Multidisciplinary collaboration and the introduction of mobile devices can improve and refine the CPM.

PELAKSANAAN KONSELING OBAT OLEH APOTEKER DI APOTEK KABUPATEN BADUNG

Republic of Indonesia Health Minister Regulation No. 73 of 2016 states that counseling is one of the pharmaceutical services at the Pharmacy. This study aims to determine the implementation of drug counseling by Pharmacists to patients in the Pharmacy in accordance with Republic of Indonesia Health Minister Regulation No. 73 of 2016. This type of research is non experimental with cross sectional design. In this study the data was taken using a questionnaire via Google Form. Fill out the google form by the pharmacists in Badung Regency. The data obtained were analyzed and then the percentage was made. Based on the data obtained, as many as 100% of respondents had counseled patients with varying time periods. Respondents had counseled within 1-10 minutes. When providing counseling, as many as 55.55% of respondents asked that there were those who needed help, such as lack of time, place and knowledge. Provision of information in the implementation of counseling, namely how to use and store drugs (100%), time of drug use (88.89%), drug dosage and duration of drug use (77.78%), and drug side effects (66.67%). This is good enough to increase patient approval for taking the drug. However, counseling documentation and recording patient documentation is still not effective in its implementation due to various factors. In terms of the pharmacist's knowledge regarding the laws governing the performance of pharmaceutical personnel, 88.89% of respondents already knew that. Therefore, it is expected that pharmacists can carry out their duties properly in accordance with statutory regulations.

The Effect of Substance Abuse Programs on Positive Drug Screening Tests in Trauma Patients

Background According to the National Institute on Drug Abuse, West Virginia has the highest age-adjusted rate of drug overdose deaths involving opioids. To combat this crisis, comprehensive drug counseling support services were established within the Cabell Huntington Hospital (CHH) system in October 2018 in Huntington, WV, USA. The purpose of this study was to investigate whether these services significantly reduced the number of trauma patients with a positive urine drug screen (UDS) seen at CHH. Methods The trauma registry at CHH was used to obtain data on trauma patients with positive UDS from January 2017 to October 2019, which was divided into groups before and after October 2018. Exclusion criteria were any patients who were prescribed the drug. The percentages of the total number of positive drug screens within each group were calculated, and a t-test analysis was performed to determine the P values. Results 345 trauma patients with positive UDS were selected. Results showed that there was an overall decrease in the rate of nonprescribed use after October 2018 of benzodiazepines (18.1%-11.5%), cocaine (19.5%-15.3%), opioids (19.1%-12.3%), and oxycodone (10.2%-4.6%). However, none of these changes were statistically significant. There was an increase in the rate of nonprescribed use of amphetamine (20.0%-23.8%) and methamphetamine (14.4%-33.8%). Discussion Our hypothesis is that the support systems are relatively new, and may need more time to identify and intervene on patients before a statistically significant effect on drug abuse rates in our region can be seen.

The Role and Responsibility of Clinical Pharmacists in Rheumatology Clinic: An exploratory study in Hong Kong

In Hong Kong, arthritis is the third leading chronic disorder among the older people. It could create a huge amount of burden on the health care system if patients cannot achieve good diseases control and have recurrent flare up of diseases. To maintain stable control and minimize acute flare up, medication adherence is essential. Studies revealed that drug education has the highest evidence in improving medication adherence. Pharmacists who are expert in drugs can provide counseling to arthritis patients, improving their drug adherence and disease activities. As a result, research evaluating the effectiveness of pharmacist counseling service on improving arthritis patients’ medication adherence and disease activities in Hong Kong has been initiated in a specialist out-patient clinic of a local acute hospital. This research aims to improve patient medication adherence and enhance medication safety. A validated Compliance Questionnaire on Rheumatology (CQR-19) is used to measure the medication adherence. From the preliminary data, over 90% of the recruited subjects are non-adherence at baseline and thus, detailed drug counseling is necessary. During the first visit, pharmacists will provide a 20 minutes drug counseling service to the referred patients. This includes discussion on drug administration schedule, importance of drug adherence, side effects management and pain management. Besides, pharmacists also have different roles in other aspects such as drug information and procurement. Pharmacists would assist in providing evidence-based information and recommendations to physicians and nurses for drug-related enquiries. These attempts to improve therapeutic outcomes and minimize medication errors, enhance medication safety and reduce hospitalization. Design of the multidisciplinary care model and results of this study would provide a reference for the future development of clinical pharmacist service in rheumatology.

Penerapan Konseling Adiksi Narkoba di Balai Rehabilitasi Badan Narkotika Nasional (BNN) Tanah Merah Samarinda

In East Kalimantan, many people use Substance Use Disorders (GPZ) due to drug use that require counseling services in rehabilitation. Related research to study the qualifications and competencies of counselors involving drug counseling, techniques used, evaluation, coordination and solutions in the application of drug counseling at the National Narcotics Rehabilitation Agency (BNN) Tanah Merah-Samarinda. This research uses descriptive qualitative method. Data sources consist of primary and secondary data sources. Collection techniques used are interviews, observation, and study documentation. Data analysis techniques consist of data reduction, data display, conclusion drawing. The technique of checking validity data uses credibility, transferability, dependability, and confirmability. The results showed that this study involved 13 people, 11 people from health education and 1 psychologist. Counseling techniques used consist of individual counseling, group counseling and family counseling as well as cognitive and behavioral therapy (CBT). Clients receive experience and knowledge to support healthy and proven life. The hard character of the client and the negative family stigma often become difficult in providing services. However, through the approval of individual humanists, patience and high service commitment can work well.

Perekrutan dan Kegiatan Anak Sebagai Kurir dalam Jaringan Peredaran Narkoba

Polrestabes satresnarkoba data for the third quarter in surabaya until 2018 in total there are 20 suspects with the drug as a courier. As many as 15 people have as users, dealers and courier 2 3 .So based on the advanced analysis was needed on how the recruitment of children as a courier in the trafficking of drugs and analyzes on efforts to satresnarkoba polrestabes surabaya in reducing activity the recruitment of children as drug couriers .The statute used is research approach , the conceptual approach and empirical legal using interviews as a primary data and the cases handled satresnarkoba polrestabes surabaya as secondary data. The pattern of recruitment carried out to make children as drug couriers is through the use of weak economic conditions of children and the inability of children to work so that children have no other way to get money for drugs other than being couriers. The use of child loyalty to his group colleagues, the use of trap patterns and threats is another way of recruiting children in drug syndicates. The effort to handle the recruitment of children as drug couriers by the Satresnarkoba Polrestabes Surabaya is done in a pre-emptive manner, namely through integrated coordination with BNN Surabaya City by exchanging information about children caught in drugs and drug syndicates detected. The formation of anti- drug student cadres and drug counseling for parents of students is a pre- emptive method carried out by the Satresnarkoba Polrestabes Surabaya. While the repressive method is carried out by the application of criminal procedural law, especially for drug dealers and dealers to break drug networks. Firm and measurable actions and various drug raids operations are expected to break the chain of drug trafficking, especially those targeting children to be used as couriers.

Odong-Odong Apoteker: Maskot Baru untuk Sosialisasi GEMACERMAT

Pharmacist Odong-Odong, Symbols, and Media Branding the Pharmacist's Existence in Indonesian Communities within the framework of the Drug Conscious Smart Society Movement (GEMACERMAT) is a movement based on the deterioration of the pharmacist's image in the last two years due to various cases in Indonesia. The goals of pharmacists odong-odong become symbols of the existence and role of pharmacists in society. The method used is making odong-odong in the form of a pharmacist holding a capsule, turning children's song lyrics into lyrics about basic knowledge of medicine that the public must know and introducing odong-odong as the new mascot of the pharmacists of IAI Bantul Branch members and pharmacists of IYPG members of the Yogyakarta Branch when they organizing community service activities. The result of this community service is that pharmacists odong-odong are created with various children's songs whose lyrics have been changed. The pharmacist odong-odong, was first used by the IAI when conducting antibiotic drug counseling at a healthy walk event in the framework of the 73rd Independence Day of the Republic of Indonesia organized by Karang Taruna Tanuditan Bantul. Odong-odong pharmacists have also been placed in several pharmacies belonging to IYPG member pharmacists. Pharmacists odong-odong become a favorite place for children to play while enjoying a song that contains knowledge about medicine. The songs are expected to enter the subconscious of the community and indirectly educate the use of drugs.Keywords: pharmacist; odong-odong; IYPG; IAI; GEMACERMAT.

Care coordination for oral oncolytics through pharmacy integration and cycle 1-day 1 documentation.

260 Background: The growing number of oral oncolytic therapies (OOTs) necessitates a standardized EMR workflow that integrates pharmacy activities for dispense and patient management and standardizes cycle-1/day-1 (C1D1) documentation. Our practice’s treatment plans contain appropriately timed OOT follow-up activities including labs, physician follow-up visits, and pharmacy calls for toxicity and adherence checks, however complications in prescription fulfillment such as prior authorization, co-pay assistance, or inability of in-practice pharmacy to dispense limit the predictability of C1D1 dates of OOTs. Methods: An EMR query identified patients at a single clinic location of 5-medical oncologists (MDs) for whom oral oncolytic treatment plans were entered from January 1 to June 30, 2018. C1D1 date entered by the MD in the EMR was compared to the pharmacy processing system dispense date. Ten patients were identified, and 10% (1/10) had an accurate C1D1 documented within the EMR. As part of the ASCO Quality Training Program, to improve the accuracy of C1D1 documentation, a new workflow was implemented whereby: (1) a “hold” activity was added to new EMR treatment plans so that C1D1 remained pending until patients had received medication; (2) clinic checkout staff provided patients with information on the in-practice pharmacy and expectations for next steps; (3) pharmacists utilized existing reporting tools to identify newly entered treatment plans and transcribed orders into e-prescriptions sent to our practice pharmacy; (4) the pharmacy workflow ensued with pharmacy staff leading patient engagement, drug counseling; (5) pharmacists confirm C1D1, document within EMR (6) subsequent treatment plan activities were scheduled. Results: Following education and process changes within the clinic and pharmacy, accurate C1D1 documentation occurred in 90% (9/10) of patients initiating OOTs. Conclusions: Including pharmacy fulfillment time in EMR workflow can improve C1D1 documentation accuracy and associated management of OOTs. Education regarding roles and processes of prescribing MDs, pharmacy staff and clinic staff will be required to scale this process improvement throughout the organization.