Guiding Life's Journey with Care
Guiding Life's Journey with Care
Medication reconciliation plays a pivotal role in hospice care, ensuring that terminally ill patients receive the most appropriate and safe medication regimens. This process involves creating and maintaining an accurate list of a patient’s medications to prevent adverse drug events and enhance their overall well-being.
A listed side effect that has not shown up yet is not proof you are safe. Many common medications, including some over-the-counter drugs, carry a real risk of cognitive decline. Learn what a genuine medication review involves, why the system misses so much, and three ways you can protect yourself.
Not every prescribed pill is the right one. Anticholinergic drugs appear in common medications for allergies, bladder problems, and depression. Over time, the buildup can cloud thinking, raise fall risk, and may lead to dementia. Learn why a medication review could protect you.
Your loved one may be taking medications that no longer help — and some that actively cause harm. A 2026 systematic review confirms deprescribing is safe. Here's what families, caregivers, and patients need to know — and the questions worth asking out loud.
If you're 60 or older and taking levothyroxine, a 2026 JAMA study found about 1 in 4 people your age stopped the medication and maintained healthy thyroid function for a full year. Could you be one of them? Here's what the research says and how to start the conversation with your doctor.
Medication decisions in hospice are some of the most ethically weighty choices a care team makes. This article compares the Beers Criteria, STOPPFrail, and STOPP/START criteria so hospice professionals can choose the right tool, deprescribe safely, and always honor the patient's voice and their family's authority.
When someone you love keeps falling, the cause is rarely obvious and almost never "just age." It could be an infection, a medication, a vision problem, or an early sign that the brain is changing. This article walks you through what dementia really is, what to rule out, and exactly how to advocate for answers.
America is overmedicated. Over 42% of older adults take five or more prescriptions daily, and most never hear the real risks. This article breaks down polypharmacy, medication stacking, and the insurance-driven system shaping your care, with practical steps you can take starting today.
Recent University of Michigan research found that benzodiazepines and antipsychotics commonly prescribed in hospice care may significantly increase mortality risk for people with dementia. This article explores these findings and provides essential advocacy guidance for families, caregivers, and hospice professionals.
Delve into the complexities of potentially inappropriate medications (PIMs) for older adults, especially those in hospice and palliative care. This comprehensive guide explores identification, risks, and alternatives to PIMs, providing valuable insights for healthcare professionals to enhance medication safety and quality of life for geriatric patients.
Understanding the potential risks associated with certain medications in the geriatric population is crucial. This article explores the top five medication classes that require close monitoring to reduce the incidence of syncope, falls, and mortality events in older adults. Learn how to optimize medication management for safer patient care.
The BEERS Criteria is vital for improving medication safety in older adults. This article explores the importance of regularly reviewing these guidelines, discussing the frequency of reviews, the potential risks of inappropriate medications, and how healthcare providers can implement effective medication management strategies for geriatric patients.
This guide helps families of terminally ill patients comprehend absolute vs. relative risk reduction. It’s a resource for making educated choices about medication continuation, tapering, or cessation in collaboration with healthcare professionals.
Dive into the world of Selective Serotonin Reuptake Inhibitors (SSRIs) and their role in treating depression. Discover the importance of medication half-life, the risks of serotonin syndrome, and why the chemical imbalance theory of depression is being challenged. Learn about the concerns of overprescription in older adults.
Medications like anticoagulants, antidepressants, and NSAIDs can cause harm to hospice patients. Learn how to balance comfort and safety with individualized care.
Anticoagulants can prevent blood clots but also cause bleeding risks for terminally ill patients. This article explains why these medications should be regularly reviewed for deprescribing, outlining factors like prognosis, preferences, and palliative care options to consider when making informed, compassionate choices aligned with the patient's goals.
This article discusses the importance of quarterly medication reconciliation for terminal patients and their families. It explains the benefits, such as improving patient safety, quality of life, symptom management, and the challenges and solutions. It also addresses the need to re-evaluate certain medications, like donepezil and memantine, for patients with dementia as their disease progresses.
Discover the potential side effects of dementia medications and how to support your loved one.
In this article, we will discuss how to use the Beers Criteria to identify PIMs and potential prescribing omissions (PPOs) in hospice patients. PPOs are medications that are indicated but not prescribed for a specific patient or population, or that are prescribed at a suboptimal dose or duration. We will also present 10 case studies to illustrate the medication reconciliation and deprescribing process and the outcomes of medication changes in different scenarios.
If you are caring for a terminally ill patient in hospice, you know how challenging it can be to manage their medications. You want to make sure they are getting the best possible care, but you also want to avoid unnecessary or harmful drugs that may worsen their quality of life or cause adverse effects.
That’s where medication reconciliation and deprescribing come in. Medication reconciliation is the process of reviewing and updating the patient’s medication list to ensure accuracy and completeness. Deprescribing is the process of reducing or stopping medications that are no longer needed, effective, or appropriate for the patient’s condition and goals of care.
I know how important it is to provide comfort and support during this challenging journey. One aspect of hospice care that often raises concerns is deprescribing medications. In this article, we'll explore what deprescribing is and why it can benefit patients nearing the end of life.
Medication reconciliation plays a pivotal role in hospice care, ensuring terminally ill patients receive safe medication regimens. This process involves maintaining an accurate medication list to prevent adverse drug events. It's essential at various stages, including admission, recertification, and changes in condition. Healthcare professionals should be familiar with tools like the Beers Criteria and STOPP/START criteria to identify potentially inappropriate medications and prescribing omissions in older adults.