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Pharmaceutical services in hospices

J I Berry, C C Pulliam, S M Caiola

American Journal of Hospital Pharmacy

|July 1, 1981

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Hospices are increasingly utilizing pharmacists for essential services like drug management and education. Many organizations without current pharmacist affiliation plan to integrate these vital pharmaceutical services in the future.

Area of Science:

Palliative Care
Health Services Research
Pharmacy Practice

Background:

Hospice care focuses on improving quality of life for patients with life-limiting illnesses.
Pharmaceutical services are integral to safe and effective patient care within hospice settings.
Understanding the current and future role of pharmacists in hospices is crucial for service development.

Purpose of the Study:

To identify the types and scope of pharmaceutical services currently provided by hospice organizations.
To explore hospice directors' perceptions of the future role of pharmacists in hospice care.
To examine the relationship between pharmacist involvement and the type of care provided by hospices.

Main Methods:

A survey was distributed to 75 hospice organization directors to gather data on pharmaceutical services and future outlook.

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Forty-eight usable responses were analyzed to determine pharmacist affiliation and service provision.

Descriptive statistics were used to summarize findings regarding pharmacist roles and hospice characteristics.

Main Results:

Thirty-seven out of 48 responding hospices reported pharmacist affiliation, with most pharmacists serving as consultants (68%).
Pharmaceutical services included drug storage policies, inservice education, drug information, and patient education.
Hospices without pharmacists predominantly offered outpatient care (91%), while those with pharmacists provided a mix of outpatient and inpatient services.

Conclusions:

A significant majority of hospices either have pharmacist affiliation or plan to integrate pharmaceutical services.
Pharmacists play a key role in developing essential policies, providing education, and offering drug information within hospice settings.
Hospice directors desire increased pharmacist engagement in education, consultation, and pain research to enhance interdisciplinary team collaboration.