Palliative Care Program, University of California, San Diego, San Diego, California, USA.
Division of Geriatrics, Gerontology, and Palliative Care, Department of Medicine, UC San Diego Section of Palliative Care, La Jolla, California, USA.
J Palliat Med. 2023 Dec;26(12):1755-1758. doi: 10.1089/jpm.2023.0186. Epub 2023 Jun 26.
Palliative care (PC) pharmacists are an integral member of the PC team. Essential roles have been defined and entrustable professional activities (EPAs) have been recently developed for hospice and PC pharmacists. We review four different complex patient cases where the specialist PC pharmacist worked with the interdisciplinary team to address whole patient suffering. Through the case series, we highlight the various components of HAPC pharmacist EPAs across the continuum of care. Through the case series discussion, we brought to light PC pharmacists' EPAs in pharmacotherapy consultation, assessing and optimizing medication therapy, symptom management, deprescribing, participating in goals-of-care discussions, managing medication therapy in the withdrawal of life-sustaining therapy in collaboration with interdisciplinary team in alignment with patient and family values, prognosis, and plan of care. We also emphasized the importance of PC pharmacists contributing to the advancement of science.
姑息治疗(PC)药师是 PC 团队的重要成员。目前已经为临终关怀和 PC 药师定义了基本角色和可委托的专业活动(EPA)。我们回顾了四个不同的复杂患者病例,其中专科 PC 药师与跨学科团队合作,解决了患者的整体痛苦。通过病例系列,我们强调了 HAPC 药师在整个护理连续体中进行 EPA 的各个方面。通过病例系列讨论,我们阐明了 PC 药师在药物治疗咨询、评估和优化药物治疗、症状管理、停药、参与目标关怀讨论、与跨学科团队合作管理在停止生命维持治疗期间的药物治疗以符合患者和家属的价值观、预后和护理计划方面的 EPA。我们还强调了 PC 药师为推进科学做出贡献的重要性。