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Reducing medication use in a chronic pain management program.

J E Kientz, D S Fitzsimmons, P J Schneider

American Journal of Hospital Pharmacy

|December 1, 1983

Summary

Pharmacists effectively reduce chronic pain medication through behavior modification. Patients utilized fewer analgesics and sedatives post-program, demonstrating improved long-term pain management.

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Area of Science:

Pharmacology
Behavioral Medicine
Pain Management

Background:

Chronic pain affects millions, often leading to long-term reliance on analgesic and sedative medications.
Behavior modification offers a structured approach to managing chronic pain and reducing medication dependency.

Purpose of the Study:

To describe the pharmacist's role in an inpatient behavior-modification program for chronic pain management.
To evaluate the impact of pharmacist-led interventions on medication use in chronic pain patients.

Main Methods:

An interdisciplinary team managed patients during a six-week inpatient stay.
Pharmacists negotiated contracts with patients for stepwise reduction of analgesic and sedative drugs.
Medication administration followed a regular schedule, not on-demand, with patient and family education provided.

Main Results:

A post-discharge survey indicated most patients used less medication compared to pre-admission levels.
The pharmacist's role included planning medication reduction strategies and patient/family drug education.
Behavior modification techniques, guided by pharmacists, showed positive outcomes in medication management.

Conclusions:

Pharmacists play a crucial role in managing chronic pain patients through structured medication reduction programs.
Inpatient behavior modification, with pharmacist involvement, can lead to decreased long-term medication use.
Patient and family education on proper drug use is integral to successful chronic pain management.

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