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Developing a Model for Pharmaceutical Palliative Care in Rural Areas—Experience from Scotland

Palliative care is increasingly delivered in the community but access to medicines, particularly ‘out of hours’ remains problematic. This paper describes the experience of developing a model to deliver pharmaceutical palliative care in rural Scotland via the MacMillan Rural Palliative Care Pharmacis...

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Autores principales: Akram, Gazala, Corcoran, Emma Dunlop, MacRobbie, Alison, Harrington, Gill, Bennie, Marion
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5419387/
https://www.ncbi.nlm.nih.gov/pubmed/28970418
http://dx.doi.org/10.3390/pharmacy5010006
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author Akram, Gazala
Corcoran, Emma Dunlop
MacRobbie, Alison
Harrington, Gill
Bennie, Marion
author_facet Akram, Gazala
Corcoran, Emma Dunlop
MacRobbie, Alison
Harrington, Gill
Bennie, Marion
author_sort Akram, Gazala
collection PubMed
description Palliative care is increasingly delivered in the community but access to medicines, particularly ‘out of hours’ remains problematic. This paper describes the experience of developing a model to deliver pharmaceutical palliative care in rural Scotland via the MacMillan Rural Palliative Care Pharmacist Practitioner (MRPP) project. The focus of the service was better integration of the MRPP into different care settings and professional teams, and to develop educational resources for the wider MDT including Care Home and Social Care staff on medicine related issues in palliative care. A variety of integration activities are reported in the paper with advice on how to achieve this. Similarly, many resources were developed, including bespoke training on pharmaceutical matters for Care Home staff. The experience allowed for a three step service and sustainability model for community pharmacy palliative care services to be developed. Moving through the steps, the key roles and responsibilities of the MRPP gradually shift towards the local Community Pharmacist(s), with the MRPP starting from a locality-based hands-on role to a wider supportive facilitating role for local champions. It is acknowledged that successful delivery of the model is dependent on alignment of resources, infrastructure and local community support.
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spelling pubmed-54193872017-09-29 Developing a Model for Pharmaceutical Palliative Care in Rural Areas—Experience from Scotland Akram, Gazala Corcoran, Emma Dunlop MacRobbie, Alison Harrington, Gill Bennie, Marion Pharmacy (Basel) Article Palliative care is increasingly delivered in the community but access to medicines, particularly ‘out of hours’ remains problematic. This paper describes the experience of developing a model to deliver pharmaceutical palliative care in rural Scotland via the MacMillan Rural Palliative Care Pharmacist Practitioner (MRPP) project. The focus of the service was better integration of the MRPP into different care settings and professional teams, and to develop educational resources for the wider MDT including Care Home and Social Care staff on medicine related issues in palliative care. A variety of integration activities are reported in the paper with advice on how to achieve this. Similarly, many resources were developed, including bespoke training on pharmaceutical matters for Care Home staff. The experience allowed for a three step service and sustainability model for community pharmacy palliative care services to be developed. Moving through the steps, the key roles and responsibilities of the MRPP gradually shift towards the local Community Pharmacist(s), with the MRPP starting from a locality-based hands-on role to a wider supportive facilitating role for local champions. It is acknowledged that successful delivery of the model is dependent on alignment of resources, infrastructure and local community support. MDPI 2017-02-16 /pmc/articles/PMC5419387/ /pubmed/28970418 http://dx.doi.org/10.3390/pharmacy5010006 Text en © 2017 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Akram, Gazala
Corcoran, Emma Dunlop
MacRobbie, Alison
Harrington, Gill
Bennie, Marion
Developing a Model for Pharmaceutical Palliative Care in Rural Areas—Experience from Scotland
title Developing a Model for Pharmaceutical Palliative Care in Rural Areas—Experience from Scotland
title_full Developing a Model for Pharmaceutical Palliative Care in Rural Areas—Experience from Scotland
title_fullStr Developing a Model for Pharmaceutical Palliative Care in Rural Areas—Experience from Scotland
title_full_unstemmed Developing a Model for Pharmaceutical Palliative Care in Rural Areas—Experience from Scotland
title_short Developing a Model for Pharmaceutical Palliative Care in Rural Areas—Experience from Scotland
title_sort developing a model for pharmaceutical palliative care in rural areas—experience from scotland
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5419387/
https://www.ncbi.nlm.nih.gov/pubmed/28970418
http://dx.doi.org/10.3390/pharmacy5010006
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