Pain Medicine for a dying patient ... - page 6

with unstable vital signs. The patient is very near death and is a DNR. A scenero such as a patient that is actively dying, vitals signs are poor, bp low, heart rate low, respirs low. The... Read More

  1. by   Valerie Salva
    Quote from dphrn
    With the scenero stated, I would provide the pain medicine without hesitation.
    Me, too.

    I have been in similar situations. The goal is to have the pt on routine dosing, and have pain and sx managed way before the pt is actively dying. This way, there is no "big dose" needed near the end, just continuation of the routine dosing. Meds are titrated as needed, so a pt wouldn't be getting a large dose of meds that their body was not accustomed to. Their routine dose would not "push them over the edge" towards death.

    This way, there are very slight to no signs of distress, or adverse side effects from meds at the end.
  2. by   bnrn03
    I just wrote a paper for my MSN concerning medicating the dying patient. In my research I have found that most times clients do not receive adequate symptom control at the end of life. I am a hospice educator and I will tell you this you must as a nursing professional advocate for your patient. Advocating for your patient includes medicating them for pain and keeping them comfortable.