Hospice meds

heron, ASN, RN · May 11

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?

heron, ASN, RN · May 13

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 ...

HiddenAngels · Jun 11

She's hospice. Give her what she wants.

emtpbill, ASN, RN, EMT-P · Jul 25

I can remember about 15 years ago my grandmother lived in North Carolina and I lived in Pennsylvania. My grandmother had a bowel infarction and was, after growing up during the Great Depression being very stoic and not complaining of really anything, yelling in the background when the internal medicine resident was in her room at the hospital after the resident called me at my request. His reasoning was 'he didn't want her to get addicted'.

I reminded him that she is 86 years old, probably not gonna last too much longer and that he REALLY needs to rethink his strategy on medicating certain populations to an appropriate level. Once I asked who his attending was within 3 minutes I did not hear any more yelling, or had to have any more conversations with this resident.