Hospice meds

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I'm a hospice RN and I have a patient who is prescribed 75mcg fentanyl, 2mg Dilauded Q4H PRN, 15mg morphine sulfate Q4H PRN, 1mg Ativan Q4H PRN. This patient is demanding that everything is scheduled. The MD refused. Now the patient asked for a new nurse. I'm concerned I'm going to be let go because the patient is saying I was judging her of being addicted to the drugs. 

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Specializes in Hospice.

So ... what is your question?

Meanwhile, I have a few question of my own:

What is her hospice diagnosis? Co-morbidities?

What is her hospice level of care?

Does her history include any evidence of a substance use disorder.

What s/s of breakthrough pain does she have when asking for PRN pain meds? 

What rationale does the MD have for refusing to modify the pain regimen?

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Up Vote Up Vote ×
Specializes in Hospice.
heron said:

So ... what is your question?

Meanwhile, I have a few question of my own:

What is her hospice diagnosis? Co-morbidities?

What is her hospice level of care?

Does her history include any evidence of a substance use disorder.

What s/s of breakthrough pain does she have when asking for PRN pain meds? 

What rationale does the MD have for refusing to modify the pain regimen?

(Crickets)

Hmmm ...

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