Text Size

  • Increase
  • Decrease
  • Normal

Current Size: 100%

Rational Pharmacopalliation: the Confluence of Anecdote, Evidence and Innovation

Plenary III
Thursday, July 27, 2017
12:30 - 1:30 PM ET

Dawn Kashelle Lockman, PharmD, MA

Pharmacopalliation isn’t simply treating symptoms with drugs; it also requires critical review of a patient’s medications to ensure the benefit of each medication outweighs its potential or actual burden. Despite our efforts to provide rational pharmacopalliation, it’s easy to fall into the trap of clinical inertia. Medications with questionable benefit are often continued because a patient “has always taken” them, and medications are often started because of routine clinical practices or anecdotal experiences.

In this session, we will discuss current evidence for prescribing and deprescribing commonly misused medications in patients with advanced illness. We will also explore how to reconcile evidence with anecdote and the need to continue building evidence through innovation. Participants will gain practical pearls to communicate patient-centered, evidence-based recommendations to prescribe and deprescribe medications in hospice and palliative care.

Learning Objectives:

  • Identify medications of questionable benefit that are commonly prescribed to patients with advanced illness
  • Evaluate evidence for prescribing and deprescribing medications in hospice and palliative care
  • Formulate consensus-building strategies to communicate evidence-based medication recommendations to interdisciplinary team members, patients, and caregivers in hospice and palliative care

Dawn Kashelle Lockman, PharmD, MA

Dr. Lockman is a Clinical Assistant Professor in Hospice and Palliative Care at the University of Iowa College of Pharmacy and a Clinical Pharmacy Specialist in the outpatient Palliative Care clinic at University of Iowa Hospitals and Clinics. She also serves as faculty for the UIHC Hospice and Palliative Medicine fellowship program. She creates and teaches palliative care content across the PharmD curriculum, in addition to co-teaching in the University of Iowa India Winterim course with Pallium India.  Her research interests include pharmacopalliation, opioid safety, and evaluation of instructional methods.

Dr. Lockman earned a Bachelor of Science in biology at the College of Charleston and a Doctor of Pharmacy from the University of Maryland. After finishing a PGY-1 Pharmacy Practice residency at the University of Maryland Medical Center, she completed a PGY-2 pharmacy residency in Pain Management and Palliative Care and a fellowship in instructional design at the University of Maryland School of Pharmacy. As part of this program, she earned a Masters of Arts in Instructional Systems Development from University of Maryland Baltimore County in May 2016.