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Evaluation of an opioid patient manual and diary - NICE shared learning project

Taubert, Mark and Holloway, James 2014. Evaluation of an opioid patient manual and diary - NICE shared learning project. Presented at: NICE Shared Learning Conference, International Convention Centre, Birmingham, 13-14 May 2014.

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Abstract

Opioids are offered frequently in palliative care to help reduce both pain and breathlessness. NICE have recommended that strong opioid prescribing in palliative care should be backed up with written guidance. A patient information manual was created, with feedback from patients, carers and healthcare professionals including doctors, nursing staff, pharmacists. The manual was written to cover the most frequently asked questions that patients have when they have started on these medicines. To evaluate the manual, we conducted a clinical audit based on a NICE clinical audit tool developed for the Opioids in Palliative Care guideline CG140. The National Institute For Health and Clinical Excellence (NICE) states that patients on strong opioids should be provided with written and verbal information about their pain relief and indicate which aspects of communication should be covered. NICE have set a list of key criteria that should be discussed when first prescribing opioids. Using the audit tool provided by CG140 a survey of 40 inpatients in total at Velindre Cancer Centre was conducted. Patients were selected at random throughout. Patients were excluded from the audit if they lacked capacity or were in the terminal phase of life. In the first audit cycle, 20 patients who were on opioids but had not received any supplementary written information were asked to provide information on how much information they had been given on initial prescription of strong opioids. This was done following the template which can be found in the supporting material. Patients were asked to answer yes or no for each question. In the 2nd audit data collection, 20 further patients, who had received both verbal and written information on strong opioids were asked the same set of questions. The opioid manual contains patient examples on how and when to take the prescribed opioid, has a useful opioid diary which can help the reader to learn about correct or incorrect use of medication, and answers some of the less commonly addressed queries, for example is it safe to drive whilst on opioids?

Item Type: Conference or Workshop Item (Poster)
Status: Unpublished
Schools: Medicine
Related URLs:
Date of First Compliant Deposit: 24 May 2020
Last Modified: 18 Jun 2020 15:00
URI: http://orca.cf.ac.uk/id/eprint/131910

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