Methadone in hospice
Common Questions and Answers about Methadone in hospice
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Morphine is preferred for the treatment of COPD because a doctor can better control its effect on breathing, however, both morphine and methadone work in similar ways -- it is just that methadone suppresses the breathing longer. At end of life, it doesn't matter much which medication you use.
If your husband had an allergy to morphine, then methadone is definitely the proper medication to give.
Death is not often a pleasant experience, especially death from lung cancer.
Thinking it would not matter now I allowed myself to become addicted to Methadone. Hospice care assured me that I should never be in pain.. Until they took away my meds, and told me I would have to take whatever they wanted me on. Now even if I was addicted to Methadone and that was all I wanted then WHY NOT. For 30 years I worked hard, stayed clean raised a family etc.. Now I am dying and it is all a lie. Suffer,be in pain. That is what you are looking forward too.I have come to accept this.
For instance, here's the top Rx of Methadone in Colorado
http://projects.propublica.
I actuall worked Wednesday and left for Smokies. We ended up In Helen, Ga. He was in awe. I pushed him in the wheelchair down to to picnic area for awhile, and neither of us said anything.Thursday, his G-Tude came out. and I had no way to give him pain meds . I had to give them by mouth. Luckily he didn't need ANY while were there. Went uo to a little town and bought firewood. He had wanted to stay at a place on the water and have a real fire in the fireplace.
I have recently found out that he obviously abused cocaine in the past and he had to go to a methadone clinic years ago. Everyone is entitled to pain treatment but should hospice be supporting his habit? He would hide his good medicines (lasix, spirolactone, propananol, lactulose). but yet he only took up his pain meds as well as any other he could get.
age, we have a need for basic knowledge in how to know when to consider Palliative and/or Hospice Care. Professionals like myself, a Hospice Nurse has the better knowledge as to the hands on assistance that enrollment in a Palliative Care Program or a Hospice Program can give.
So I believe that you should add Palliative/Hospice/End of Life Issues to both your questions from the general public and the knowledge areas of your professionals.
No, that is NOT how hospice usually works. My Dad was on home hospice care - twice. Once when the doctors determined he was in end stage heart failure; the second time when he had cancer throughout his body. The first time the hospice workers would come by the house a couple times a week to monitor his general health and adjust his meds as needed and answer any questions/give support to him and my Mom.
I am very sorry to hear about your mother in law's multiple health conditions and her need for hospice care. It must be very difficult for you.
Sadly in a person with ESLD as the liver fails the complications caused by the failing liver; ascites, hepatic encephalopathy and the other complications can become"refractory". Meaning the complication does not respond to treatment and recurs continually. When this happens only liver transplantation can reverse the situation.
t bring myself to agree and then she started eating again - then in Dec she stopped eating again, looked skeletal and I then put her on Hospice - She died 5 days later after getting pneumonia - her death cert listed alz as cause of death. Now they are suggesting hospice for my Dad (92) who is in assisted living (in the same facility ). I did agree to it although it is eating me up.
the doctor has us contact hospice on an in home basis early this month he is still able to get around and he goes out occassionally in the mornings. They are asking me if i think he needs to be on hospice or if I wan to tka ehim off until he gets worse. I dont kow what to do I'm frightened he almost died two weeks ago and they gave him four units of blood.
I'm so sorry for your pain. Your mother doesn't want medical intervention and is end stage liver and kidney failure. She wants to die in peace. Hospice provides comfort in a time when people no longer want medical intervention.
It's very hard to let a parent go. Even when it's their very wish. Your asking for non medical advice at this very difficult time. You have been caring for your mother for a very long time and you have done a very good job.
But her vitals are stable and the only pain she refers to is that of her right side limbs, which she has been complaining of since her stroke 18 months ago. But in the past couple of weeks Hospice has decided that this pain/discomfort in her right leg/arm requires 190 mg of (recatally administered) morphine q 12 hrs. My mom has been suffering, we all have, but at least she was able to be present, as much as she could. She was able to sit and watch television...
Hi HKelly,
When he no longer has the quality of life that he deserves that is the time for hospice and it sounds as if he should have been in hospice by now. If he is no longer capable of you feeding himself or needs assistance going to the bathroom (soiling himself, or having to change a depend, etc) it's time. bMy mother died in July and I am caretaker for my 84 yr. old father.
One of my regrets was the night before she passed, I made the decision for hospice in home care without her acknowledgment because she was in and out of sleep. that night I also left early to go and give my husband a break with the kids. The next morning she passed away at 6 am. I tried hard explaining that the doctors didnt want to do any more chemo and she said no I want to live. I play those words in mind every minuet of the day and it hurts badly. Its just part of life.
He is 78 and is now in hospice hospital. H just started getting worse as far as weekness goes. He wont eat much, drink either but, the man still goes to the bathroom on his walker with help. Because of him doing that they may make him go out of the hospice because he is the only patient that can go potty still and walk a little. He gets so tired after he goes he cant hardly stay awake all day..
I don't know what it all means because I'm not a cardiologist but I think the bottom line here is who is in charge of your father's care. When I had to put my father into hospice care, his doctor was still in charge of my father's care, the doctor and his family made all of the decisions concerning his care.
My Mom is in her final weeks of end stage Ovarian cancer. She was in the hospital last week for 5 days to try to control her pain. She has tumors in her lungs and a very large tumor on her left hip that is causing most her pain. They now have her on Methadone and morphine (as needed). She's been on morphine for some time. She was going through another round of chemo for the lung tumors when she took ill. Isn't eating and sleeps almost all the time.
My dad (92) is in an assisted living facility. He was put on hospice a couple weeks ago. He really didn't seem bad to me but I trusted that the "professionals" see signs that I don't. My son and daughter-in-law and the new baby (10 months) came out (across country) to see my dad. They wanted to see him and let him see the baby before he died (my mom didn't get that opportunity - she died Dec 24 this past year).
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