Medications used hospice care

Common Questions and Answers about Medications used hospice care

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547368_tn?1440545385 My 81 year old father lives with us and I am the full time caretaker. the past year has been challenging to say the least. My father has end stage lung disease and recently has experienced some mild to moderate heart failure. He has severe spinal structural issues that has resulted in back pain. He is prescribed Oxycontin and oxycodone for break through pain. He has been referred to the hospice Program that should begin tomorrow.
Avatar_n_tn If your mom told you this and she is a pharmacist(?), then that is troubling. When I t>usedt> to get oxycontin filled, I would get the paper that described the med, side effects, how to take, etc. Right on the paper it says "OXYCODONE".
419309_tn?1326506891 thursday marked my husband's 62nd birthday, and I t>usedt> the early hours of the morning to track down birthday favors -- cake, card, flowers -- I wasn't sure if my husband would be aware enough of his surroundings to enjoy the day, but family wanted to come by with birthday greetings so I did my best to make the day festive. It was a remarkable day all things considered. My husband absolutely beamed when I wished him happy birthday, and seemed more alert than he has been for days.
Avatar_n_tn How did you know it was time for t>hospicet>? And, if someone has t>usedt> t>hospicet> for someone with liver failure, how did they help? I have a great family and my husband is greatly loved and cared for. We pray he gets better, but I am not seeing it. How do I know what is best for him? Or is keeping him here with family the best I can do to support him?
726204_tn?1285879778 You can recieve help for things like shopping, cleaning, cooking, ironing, child care for any children you have, help with other things including personal t>caret>, t>medicationst> etc. If you do qualify for help you do not need to accept the services provided by your local council but you can apply for Direct Payments which will enable you to employ your own 'carer/helper' (this is usually the better option).
Avatar_n_tn I know many people that have lived years and years once t>hospicet> came into their lives and other that t>usedt> t>hospicet> and now they are better and do not need hospice. If you do decide on hospice, research the different hospices, some provide better care than others, are more reliable, etc. I hope you find the help you need and my prayers are with you and your family.
Avatar_n_tn When the doctors in the hospital found that haldol was used to make her comatose,her heart medications were withdrawn and refused to be continued dont they have an obligation to my mother?Does t>hospicet> have any obligations to the withdrawal of t>medicationst>? Can the GP three weeks after an appointment with the cardiologist sign an affadavid that my mother has six months or less to live?He did not even call the cardiologist.
Avatar_f_tn I used to be a t>hospicet> nurse so I can tell you from experience that t>hospicet> does not intentionally starve or dehydrate you to end your life sooner. When you get to the end stages of life your body doesn't need food and giving it food will actually speed up death. Do some research on it and you'll see what I'm talking about. And morphine is a wonderful drug for people at the end of life.
Avatar_n_tn my Dad (age 79) was in end-stage heart failure (so much damage to his heart from 4 heart attacks). they started t>hospicet> t>caret> for him but still monitored his meds every week (the hospice nurse), kept in touch with his cardio, had oxygen tanks at home, etc. Now it's almost a year later and he's stablized enough that they took him off hospice care last week. He still takes him various meds and visits his cardio but he's so much better.
Avatar_n_tn the last month he was alive he spent in a hospice facility as I couldn't take t>caret> of him myself anymore. the t>hospicet> place took very good t>caret> of him and let him die with some dignity even though he was in a coma at the end. the actions that your mother is going through are all normal so don't be alarmed. My dad would see members of his family that had been dead for many many years. He saw angels and people he didn't know. Sometimes he would carry on conversations with them. All normal.
Avatar_m_tn Last week she began receiving services from Home t>Caret> and t>hospicet> group but she is not in any pain. today my father went to the pharmacy to pick up some meds that evidently the nurse told him had been called in. the pharmacy called to talk to me because my dad was confused about the meds. WHY would morphine, lorazepam and atropine be prescribed for her? these are meds given when a person is near the end of life?
547368_tn?1440545385 I t>caret> for my terminally ill father in my home with the help of t>hospicet>. Getting his MD to prescribe his narcotics on time and correctly is next to impossible. I don't know if it is his nurse that continually makes these errors or drags her feet but it is very frustrating. On the 23rd the hospice RN called his office (from my home so I heard every word) to request refills and add a new liquid form of pain medication.
Avatar_n_tn I was on the Fentanly patch (50mcg) for almost a year. I used it as prescribed (changing the patch every 3 days) but started having side effects with my pancreas and all the pain medications I was taking. I talked to my doctor and he asked if I could add a day (changing the patch every 4 days). I agreed, cut down on my other pain medications and tried it. the morphine will build up in your system over time.
Avatar_m_tn I am Not a cancer patient but I am very versed in pain t>medicationst>. My father died of lung cancer he t>usedt> oral morphine till the end. Fentanyl is a much better choice as it comes in different treatment forms. they have what are traditionally called pops which the patient suck on and receive a very strong dose of pain relief. they have trans-dermal patches which are worn anywhere from 48 to 72 hours depending on how the doctor prescribes it.
1840891_tn?1431551393 I will add to Flycaster's comments, sometimes a hospice service can provide in-home services. People tend to think of hospice as "a place where you go to die," but in my own state of Arkansas, it's almost all in-home services. If there is a hospice in your sister's area, maybe using them would provide a way for your father not to have to move again.
Avatar_n_tn Within an hour of her getting there they had the pain under control. the t>hospicet> was brilliant, it was not like a hospital at all. the standard of t>caret> and attention my mum received was excellent. the main thing for my mum was that she was no longer in pain. It enabled her to have visitors every day including her grandchildren. When I visited her every day in her last week she would say what a good nights sleep she had because the pain was under control.
Avatar_m_tn the other cause is chemical this relates to electrolyte imbalances, potassium or sodium levels also drugs (primarily the opoid pain killers) can cause the peristalic waves - the movement that propels fecal material through the intestine. Reglan is not usually t>usedt> if it is related to a blockage because of a tumor, it would increase the movements and could cause a rupture of the colon. if it is chemical, then it may require a change of drugs, or a decrease in dosage.
Avatar_f_tn the last 8 months of their life they were on t>hospicet> but could have been since the DX. the t>caret>, support and love, yes love they and we received from hospice was awesome. My parent was not over medicated nor was their life shortened. their wishes were followed to the t - and I mean to the t. My parents' wants and needs were always put first. We were free to leave the Program at any time.
5179324_tn?1364907384 No does not need a baby sitter. He needs medical t>caret> you can not provide. He should be taken to t>hospicet> or get home t>hospicet> t>caret>. You can't help him at this point. He is trying to use you to maintain the status quote so he can continue his self destructive addiction. You do not to be part of this. It will haunt you for the rest of your life if you enable him to kill himself.
Avatar_m_tn With all the new drugs they have now days for pain, people do not suffer as they t>usedt> to. I took t>caret> of my hubby for 11 years and in the end he asked me to just let him go. Not that he was in pain, he was just tired of fighting it. Sometimes I have watched family members try to prolong life by artifical means because they could not let go, but I always wonder what their loved one wanted.
Avatar_n_tn As a family we were wondering if anyone knows of any alternative t>medicationst>/herbal remedies for overall heart health, not to cure of course but to prolong this diagnosis? Also, wondering if anyone has used hawthorn berries/capsules/tea?
1137999_tn?1263534619 His heart was getting worse in terms of function. they even put him on t>hospicet> t>caret> believing he would not last another 6 months. Some how the medications he was taking stabilized his heart rhythm and function and he lived another 2 years. that was unusual and unexpected. After 4 heart attacks and several years of living with heart failure, they never thought his heart would pause in the downward spiral.
Avatar_f_tn I was not able to see my grandmother's doctor due to a mix up with the appt date, so I asked a pharmacist if it was safe to reduce the Haloperidol 3 x a day to 2 x a day. He said it was safe, so I have reduced dosage to 2 x a day. My grandmother seems to be more herself, more alert, less groggy, and can sleep better. She has some muscle stiffness in her neck and legs, but she is also short (5ft tall) and has trouble sitting comfortably in couches or chairs.
Avatar_f_tn Bypass surgery 24 years ago in a different city. Heart attack 26 years ago. Routine cardiac t>caret>-doesn't miss appointments. Admitted to ER 2 wks ago with terrible edema in lower extremities. Went to ER because docs (internist and cardio) out of town and said couldn't see for 2 weeks- they called in 20 mg Lasix 1xday, which was useless. Edema alarming so took to ER on a Friday night. ER did ecg and upped lasix to 40mg 1x day. ER report says no CHF.
Avatar_f_tn I also don't know what state you are in, but here in KY there are programs that provide monies for attendant t>caret> or respite t>caret>. those monies can be t>usedt> to pay a family member, friend, professional etc to help with her care. I would be willing to research such programs in your area if you would like. these are just some of my thoughts. I would really like for you to tell us more, then maybe we on the forum would be able to offer more specific advice.
Avatar_f_tn And you are right, it is often t>usedt> to replace genuine nursing t>caret>. As an individual that have seen elderly patients become anxious, agitated, and combative, putting themselves and those around them at great risk, medication is often times the only answer. Medications are beneficial for so many things. to control blood pressure, control blood sugars, help with depression, help with schizophrenia and other mental disorders.
Avatar_m_tn I am on morphine sulfate and hydromorphone for break through pain and in pain management. I t>usedt> to love to work out and the only time I think I can work out is when I ween myself off of my pain meds but when my pain is so bad I go back on and then I quit working out. I used to go to the gym and now I have a full set of weights at home and just cant get motivated to work out "at all" Does it sound like I am depressed or could this be a side effect of the medication I am on?
Avatar_n_tn they will send us home after 2 days with t>hospicet> t>caret>. I will take t>caret> of her most of the time. Can anyone give me advice how I can make her happy? What can I do for her? How I can prepare my self for the end? I really want to be strong but I can't. thank you everyone and wish you guys happiness and health.
483733_tn?1326802046 By March 2002, she had undergone several tissue and muscle biopsies and was on 24 various prescription t>medicationst>. the doctors could not determine what was wrong with her. She was in so much pain, and so sick she just knew she was dying. She put her house, bank accounts, life insurance, etc., in her oldest daughter's name, and made sure that her younger children were to be taken care of.
655467_tn?1304963550 Are you out of your mind? I have the most painful conditions known to man. I do not t>caret> how much or what opiates one has to take,but Actiq is something that should have NEVER been approved by the FDA. You want to wind up like meth addict? Please Never touch that drug!!! Storm this discussion is related to <a href='/posts/show/1017971'>fentanyln patch</a>.