According to the World Health Organization, pain is a major unsolved healthcare problem. In many Countries of the world there is poor access to opioids for medical use due to the misconceptions that strict narcotic control prevents drug abuse. In the last few years, a series of recommendations were approved to make the use of analgesic opioid medicines easier in pain therapy culminating with the introduction of "Ordinanza Ministeriale 16 giugno 2009" (Ministerial Ordinance June 16th, 2009) and the following Law which was adopted in March 2010. This Law explicitly takes into account the respect and the dignity of the individual. Aim of the present study is to verify the effectiveness of the "Ordinanza Ministeriale 16 giugno 2009" (Ministerial Ordinance June 16th, 2009) in pain therapy, the variation in the use of opioids has been analyzed, comparing its consumption before and after the Ordinance. Consumption data and the main clinical health data available in the medical records of a sample of 100 patients were the source of information. The analysis of the data showed that there was an overall increase in consumption of opioid drugs after the Ordinance. Pre-set therapy, prescription by the ward doctor, by the palliative doctor and following the Specific Procedure were the motivations which led to the prescription of these drugs. Pain was reported as "satisfactorily controlled", after the introduction of an opioid in the therapy, a change of dosage or molecule, for 55 patients. The present results show that great attention has been paid by doctors and nurses to the pain after the introduction of the law. This is clear by the improvement in the attitudes of physicians towards opioids, by the correct compilation of the pain detection's schedules and by the patient's declaration of a pain "satisfactorily controlled".
|Translated title of the contribution||Opioid medicines consumption variation analysis after "ordinanza Ministeriale 16 giugno 2009" (Ministerial Ordinance June 16th, 2009) in the Azienda Ospedaliera Ospedale Treviglio-Caravaggio|
|Number of pages||10|
|Journal||Giornale Italiano di Farmacia Clinica|
|Publication status||Published - Apr 1 2014|
ASJC Scopus subject areas
- Pharmacology (medical)