Company Blog
  • Register

Blog articles are provided as informational purposes only and are not intended to constitute medical advice. Medication protocols are subject to patient’s medical provider’s authorization.

 

Celebrating Hospice Awareness Month with a virtual standing ovation for our valued hospice partners!

 

The word "sedation" is of Latin derivation, with sedare meaning "to settle, to calm" in Latin.  Use of the word transferred to the English language (from the French sedation) in the mid-16th century but did not become a commonly used term until about 1950.  Since then, various forms of sedation have found clinical use, from temporary sedation for clinical procedures to palliative sedation to manage distressing symptoms at end-of-life, to name just two examples.

 

 

Exceptional pain and symptom management is an essential component of hospice care. Hospice clinicians must consider cost-management in addition to therapeutic appropriateness when choosing medications for their patients at the end-of-life. This article will focus on common end-of-life symptoms seen in the hospice setting, including pain, anxiety and agitation, nausea and vomiting, constipation, dyspnea, and terminal secretions and how to cost-effectively manage these symptoms.

 

In hospice and palliative care, we sometimes need to consider complementary and alternative (CAM) therapies.  One reason might be that the more “traditional” medication therapies are not effective, despite dose optimization, or a given patient has issues with drug allergies, interactions, and/or adverse effects.  Or sometimes, patients and caregivers may desire complementary therapies.  In a study that took place in a palliative IPU, 82% of the patients surveyed were interested in trying CAM therapies, with the greatest interest expressed in music therapy (61% of patients) and massage therapy (58% of patients).  In this same study, 100% of “substitute decision makers” expressed an interest in having CAM therapies available for their loved ones to try.1  Furthermore, aromatherapy and music therapy typically have a favorable benefit-to-risk ratio, although every patient is unique and should be evaluated individually.

 

The Lown Institute has identified medication overload, or polypharmacy, as a threat to the future of our healthcare system. Researchers found that almost 20% of older adults take 10 or more medications per day. The more medications a patient takes, the greater the risk of complications.  The US is on track to spend $62 billion on hospitalizations due to adverse drug events over the next 10 years. The good news is that hospice and palliative care clinicians are uniquely positioned to be part of the solution. Nurses and physicians can emphasize the importance of medication reviews and deprescribing to patients and families to stop these projections from becoming statistics.

URAC Certification  URAC Certification
 PHARMACY BENEFIT MANAGEMENT
EXPIRES 01/01/2021
PBM Services Provided by ProCare PBM

ANCC Accreditation

ProCare HospiceCare is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation.

MAIL SERVICE PHARMACY
EXPIRES 04/01/2021
Mail Order Provided by ProCare PharmacyCare