How do you (with the Dr of course, if applicable) decide what meds to keep and what meds to discontinue? I have two patients on hospice who are still on thyroid pills. Is this common? They are both doing pretty good and death is not imminent for either. They actually have improved while on hospice.
I also have a patient who is a brittle diabetic on hospice. She had been on AC & HS gluco checks, with sliding scale coverage. The sliding scale was completely discontinued. She began to have some hyperglycemia at HS about a week later. She was then put on just a before dinner check with sliding scale coverage and has been doing well with that. She still gets her long acting insulin. Is this normal? We were happy not to poke her finger 4 times a day, but worried about hyperglycemia. She still gets checked twice a week and has had no further problems.