I do not ask to dc any meds upon admission. for one, I don't know this pt. and to just dc them to me is unethical. To me that's like stopping the feedings just because they are on hospice.. Now, after doing a few visits and getting to know them and get a baseline, then I will discuss in IDT about dc'ing some of them, depending on what the pt or family wants. Most of the time, they want them to continue to take their meds as long as possible. I will explain the meds we cover and if they still want them to take the ones we do not cover, they will just continue to get them as they already are doing.
When the patient starts having difficulty swallowing, I help the family prioritize which ones to give first and eventually, they all have to stop most of the time except sl, pr or topical meds.