Morphine for the dying patient

Common Questions and Answers about Morphine for the dying patient

avinza

I had patients that the family would demand that we feed them but they could not eat any food physically because of their symptoms so they would make us put in a feeding tube for the patient even though we told them that it was not good for the patient and it would probably kill them earlier they never wanted to believe us they always thought we were trying to starve their family member.
I think you will be alright and can slowly taper off on your own,but if you are caught up in the Morphine High you WILL be in for a long rough ride,Please do not blame the Drug,remember what you are going back to,yourself.Addiction is different to psychological and physical dependence,you are not addicted.Addicted people are totally preocupied by the drug they crave the euphoria and only want to stop because they are not getting high anymore.
THEN AGAIN I AM THINKING LOGICALLY HE WAS ALREADY DYING, AND AS MUCH AS I DONT WANT THIS, I DIDNT WANT TO SEE HIM STRUGGLE ANY LONGER, BUT EITHER WAY I DIDNT KNOW IF HE WAS DYING NATURALLY BUT I TRUELY BELIEVE THAT GOD SAW WHAT WAS GOING ON AND EVEN THOUGH HE WAS READY TO TAKE HIM, THE MORPHINE JUST ACCELLERATED THE EASING OUT OF THIS LIFE FOR HIM ACCORDING TO THE DOCTORS.
If that gets no action, ask for the Director of Nursing and the hospital's patient advocate (usually part of social services). If you really want to make a Rached shake in her shoes, ask for her nursing license number. I think most hospitals now have that number printed on nurse IDs so it's not like she'd have to go look it up. The sad thing is that if you're alone in the hospital and these things happen, you're sick and hardly in any shape to be your own advocate.
I delivered end stage drugs for hospice, and could tell the status of the patient by the doses and medication they were receiving (this was ironic considering I was a former heroin user delivering very large quantities of opiates on a daily basis). Anyway, hospice contains some of the most compassionate people I have encountered. Eventually, I left the job (I'm a artist, and it was one of many survival strategies), as watching everyone die finally became overwhelming.
I think (though I haven't really encountered such) that it is stressful on the part of the patient, challenging and stressful on the part of the clinician, and painful on the part of the relatives. Is there a softer way of divulging such information? It's true that patients always have the right to be informed, and yet, there is paternalism on the part of the doctor. Another question: When do you know that it is the high time to do it?
it is a form of rapid detox and basically stops the brain craving for the morphine, can be very effective with some people but also has down sides like it makes your body extra extra sensitive to any opiod you may take after thetreatment and this can be very dangerous as a dose which you could once tolerate you will no longer be able to tolerate and thus there is the danger of even death.
She had already bled out the entire transfusion and then some. Back to her usual out-patient place for another transfusion which took me 3 more days to set up. In the meantime, Mom is bleeding to death. I managed to get her cardiologist to look at the x-ray while she was getting transfused. When he went down to talk to her, he wanted to admit her for further evaluation of the aneurysm. BOOM! Mom threw a fit of epic proportions.
At the time of his dying (he had serious breathing diffulties because he had aspergillis, a type of mold) he had his blood pressure going very low and nurse said he was dying. We wanted this to be less painful for him and asked for morphine. 30 minutes after he died, he came back suddenly to stay on and off with us for 8 hours. The nurse said that the morphine given might sometimes lead to adrenaline release and make them come back. Is this true? Where can I research more on this issue?
My mom has her final will stating that she is not to be resusitated nor intibated, and she's requested no dialysis. She refused a cathiter for the first 3 days in the hospital because it was uncomfortable, until I begged her to do it, but if I leave for a second, she pulls it out and bleeds alot. I feel that she's given up. I think now though, she sort of has a regret for drinking and not stopping when she was well enough to "recover", but she's trying to refuse all options.
I know it was on the ballot for several different areas and even in my area on legalizing it for medical purposes or banning it. I looked briefly into it and was impressed by not only how much it may help people (medically) but how carefully it is regulated when it is used medically. It is strictly done in a doctor's office and carefully monitored. It's not like they are going into a back alley somewhere and buying this from drug dealers. They also appear to monitor the amount and usage.
They have me drink all this 'stuff' for the MRI and about 2 hours later they come and get me for the MRI. They pull me over from the gurney to the MRI table, and mind you, I'm pretty relaxed right now. The nurse is talking to me over a lspeaker telling me to 'breath in, hold my breath, exhale ...etc...etc.' She asks me if I'm okay and I tell her .... 'I really need to go to the bathroom ...' Well to make a long story short, I wasn't kidding. But that wasn't the bad part of it.
In patient or out-patient…typically every day for the first 5-6 days, than every other day until the symptomology has subsided. These nutrient bags can contain proteins, vitamins, electrolytes, and other elements necessary for the body-mind to heal. The advantage of IV therapy is that all essential cofactors bypass compromised gut function. Only when the healing occurs will the symptoms of withdrawal disappear totally.
He signed consents, went through pre-procedural testing, but the morning of the procedure the pull of the heroin was too great. All he wanted to do is back out and get back to using. He told us that he knows all the risks, but he is too smart and nothing will happen to him. His mind created excuses for his use and he told us that he does not use that much and there is nothing wrong with getting occasionally high.
(it's the laws that are trouble) Something must have happened in the Clinic I go to because out of the blue (first time in seven years) they gave me a UA (pee test) and when I came up hot for cannabis the Dr cut me off cold turkey from Oxy. Not good. The ethics of cutting a six-year opiate patient off cold turkey are questionable at least-- I believe the first tenet of the Hippocratic Oath is "Do No Harm" but that is beside the point of this forum.
I'm sure my HR has been way high in the morning for a long time, just never checked it until today. I think it's the Soma, maybe I chose the wrong one to wean off. Doctors kept me on soma for 12 years and will continue. He used to prescribe 120 soma w/11 refills then the rules changed and he gave me 120 Soma w/4 refills, 120 Lortabs w/4 refills and 90 Valium w 4 refills, then he moved away after 25 years of being my Doctor. I never took as many as he rx'd me.
Methadone was originally to help heroin addicts stop using and later for severe pain management, it is near the end of the line for control of either, and I don't know if your there yet?
Now he is so out of it that he can not make any conversation and just sleeps. I know 100% in my Heart it is the Med. So the other day I get a call from the Place. ( I worked there off and on since the 90s so I know most if them) Anyway I told them that I am happy with them and all they do..THIS has nothing to do with them..Hospice is supposed to let me know things. I told her that I had just called Hospice and let them know how I felt. Hospice said that they would take the patch down to 12mg.
I took lortab 10's for what seemed like 4EVER. But, i also take/took MsContin 3x a day along w/ it. My dr. switched my meds recently due to my tox screen showed i do NOT absorb hydrocodone (lortab/vicodin). Maybe u don't absorb it either?! THE next step up for pain control is PERCOCET/PERCODAN (oxycodone 5mg. generic name)! I take 3 percodan's (w/ NO tylenol) a day ALONG w/ 3 MsContin 15mg. NOTHING gets me out of pain. BUT it helps EASE the pain.
OK, I can't help it if you are having some anger tonight, except to say I wish you well and don't care to argue with you so this will be my last attempt to explain. If my words mean nothing to you, fine, you perhaps need to read my bios.....but no. I'm not worth one cent more than anyone else, less in fact, and less deserving of tx.
If you don't have access, Valerian Root extract from the health food store is very valium-like in its effect. Take hot baths or jacuzzis for the muscle aches. Take Immodium for the runs. That's about all you can do, but this is the tried and true way to ease the withdrawal to a bearable level. Take care. Post some more here if you want to talk.
Please let me know if you found relief, or if you had side effects. I am really feeling at a loss right now. I'm proud of myself for surviving the morphine withdrawal. But am really getting quite depressed, because my pain is causing me to withdraw from life. My husband is away on business, and my boys are out golfing today. I have really isolated myself, because I've been too sick to participate in life. I would sincerely appreciate any words of advice on drugs or just how to survive.
But if a doctor felt that yes, there amount of pain would be more successfully treated by using short acting meds without the APAP or a long acting med like a lower dose oxycontin, than that's between teh doctor and the patient and not between the DA, doc and patient. They continue to make the doctors liable for patients actions. There is no way a pain doctor throughout their career will not treat at the very least two addicts who scammed their way in.
But, significant harm can occur if patients are uninformed about how to properly take the drugs, doctors inappropriately prescribe the drugs, or if legitimate prescriptions get into the hands of people other than the intended patient, Dr. John Jenkins, director of the FDA's Office of New Drugs, part of the Center for Drug Evaluation and Research, said during a news conference back in February.
It is hard for us, naturally, but what we can't see is that it is actually a wonderful time for this dying person. Only her shell "body" will remain but that is not her. Her spirit "soul" will be gone and will be soooo happy.
I threw a fit and asked for something to be given IV and I was accused of wanting the drugs for myself, at that point I was truly wanting pain meds for the patient. I was swiping percocet that time, not demerol or Morphine. They felt because she could not speak that she was not in pain. I really did and still am sick and tired of the whole deal......and Annie, I know where you are at with this and I truly do feel for you, I only wish there was some way I could help....
She still has no feeling in her foot, but we are still early in the game. We never heard from the Nerve Doc for an appt. maybe it would be a waste for her as well. I hope you get this. Glad you are feeling better!
i am an addict and have been clean for 13 months , with help from the folks here at this fourm, and my involvement with N.A. meetings. i have painfull arthritis in both knees, and have rotator cuff operation on both shoulders, these problems flare up with pain now and then. right now i am suffering from severe pain in my elbow , do to possible tennis elbow, this started last augest.
I have been taking Paxil for depression and was also recently switched from morphine to Methadone for pain treatment. I read on the Internet that Paxil (or any SSRI drug) can cause a spike in blood pressure and possibly a stroke when mixed with Methadone. My doctor is now recommending Effexor in place of Paxil. Isn't Effexor also an SSRI? and to your knowledge, does it pose significant risk(s) when taken with Methadone?
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