Category: Medications

Medications used for symptom management or otherwise

Understanding Aggression in Elderly Patients with Dementia

Dementia can lead to aggressive behavior in elderly patients, causing distress for both them and their caregivers. This comprehensive guide explores the underlying causes of aggression, from sleep disturbances to medication side effects, and offers practical, empathetic strategies for managing these challenging situations and improving the quality of life for all involved.
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Navigating the Stormy Waters of Dementia-Related Aggression

Explore the complex world of dementia-related aggression and learn how to identify its underlying causes. This comprehensive guide offers insights into medication-related issues, pain management, and non-pharmacological interventions. Discover compassionate care strategies to support patients and caregivers on this challenging journey.
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Unveiling the Complexities of SSRIs: Half-Life, Risks, and Misconceptions

antidepressant side effects
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.
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Why Anticoagulants Should Be Reviewed Regularly for Deprescribing for Those Who Are Terminally Ill

medications that can impact clotting time
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.
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Late-Onset Medication Side Effects: The Importance of Continuous Vigilance and Medication Reconciliation

Explore why side effects from medications can emerge after initial use and understand the critical need for vigilant monitoring and regular medication reconciliation to ensure patient safety and efficacy.
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Uncommon Opioid Side Effects to Know: How They Affect You and Your Family

opioid adverse effects
Learn about uncommon opioid side effects like myoclonus and hyperalgesia, and how they impact you and your family. This guide explains these conditions, offers tips for managing them, and highlights the role of hospice in providing comfort and support.
Read MoreUncommon Opioid Side Effects to Know: How They Affect You and Your Family

Understanding Hospice Care: Insights from Nurse Peter Abraham

In this episode of Hospice Explained, host Marie Betcher, RN, interviews Nurse Peter Abraham. Peter shares his extensive experience in cardiac telemetry, skilled nursing, and rural home hospice care. They discuss the significance of early hospice enrollment, the challenges of caring for dementia and Parkinson's patients, and the impactful personal stories from Peter's career. Special focus is given to the educational resources on Peter's website, Compassion Crossing, which aims to support families, caregivers, and new hospice nurses. Peter emphasizes the importance of compassion and understanding in hospice care and reflects on how his faith informs his practice.
Read MoreUnderstanding Hospice Care: Insights from Nurse Peter Abraham

Oral Ketamine in Palliative Care: A Promising Approach for Emotional and Psychological Distress

Discover how oral ketamine is emerging as a game-changer in palliative care, offering rapid relief for severe depression, anxiety, and emotional distress. This comprehensive guide explores its potential benefits, administration methods, and important considerations for patients and healthcare providers.
Read MoreOral Ketamine in Palliative Care: A Promising Approach for Emotional and Psychological Distress

Comprehensive Approaches to Managing Hallucinations in Dementia Patients

Explore comprehensive approaches to managing hallucinations in loved ones with dementia. This article covers pharmacological methods, focusing on Seroquel and non-drug strategies such as Naomi Feil's validation therapy. Learn how to validate feelings, de-escalate fear, and improve the quality of life for those experiencing cognitive impairment.
Read MoreComprehensive Approaches to Managing Hallucinations in Dementia Patients

Crisis Management at End-of-Life

Crisis At End Of Life Dying In Pain
Discover effective strategies for managing end-of-life crises in hospice care. Learn how to recognize signs of distress, implement calming techniques, and provide compassionate support to patients and families. This guide offers practical tips for hospice nurses and caregivers to navigate challenging situations with confidence and empathy.
Read MoreCrisis Management at End-of-Life

Understanding Palliative Sedation: A Comprehensive Guide for Hospice Care

This guide covers the essentials of palliative sedation for hospice patients, including ethical dilemmas, timing, recommended medications, and monitoring effectiveness, ensuring comfort during the end-of-life journey.
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Methadone: A Compassionate Approach to Managing Terminal Pain

This article delves into the advantages of Methadone over Morphine for pain management in hospice settings. It covers dosage, titration, side effects, and scenarios where Methadone may not be the best choice. Ideal for hospice professionals and caregivers seeking compassionate pain relief options for the terminally ill.
Read MoreMethadone: A Compassionate Approach to Managing Terminal Pain

Managing Terminal Restlessness

Losing a loved one is an incredibly challenging experience, and witnessing changes in their behavior and well-being can be distressing. As a hospice nurse, I've supported many families and caregivers through this grim time. One common symptom that may arise towards the end of life is restlessness. In this article, I will explain the different types of restlessness and offer guidance on how to manage them. Understanding these distinctions can provide valuable insights into your loved one's condition and help you navigate the final stages of their life with compassion and care.
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Understanding the Decline of Terminally Ill Loved Ones: Medications vs. Disease Processes

Illness Trajectories And Palliative Care
When a loved one is terminally ill, it can be a perplexing and emotional journey. Understanding the root cause of their declining health becomes paramount. It's a complex puzzle where family members often grapple with questions: Are the symptoms a result of medications prescribed, or are they intrinsic to the terminal disease? This article delves into the critical distinctions between medication side effects and the natural progression of terminal illnesses, offering insights to empower families and caregivers in making informed decisions about their loved one's care.
Read MoreUnderstanding the Decline of Terminally Ill Loved Ones: Medications vs. Disease Processes

Early Detection of Serotonin Syndrome in Dementia Patients: Three Case Studies

Serotonin syndrome is a potentially life-threatening condition caused by an excess of serotonin in the body. Detecting this condition early is crucial, but it can be particularly challenging when dealing with dementia patients due to communication barriers and the complexity of their symptoms. In this article, we will present three case studies that highlight the early detection and successful management of serotonin syndrome in patients with different types of dementia: Alzheimer's disease, vascular dementia, and Lewy Body Dementia.
Read MoreEarly Detection of Serotonin Syndrome in Dementia Patients: Three Case Studies

Understanding Serotonin Syndrome: A Comprehensive Guide

clinical presentation of serotonin syndrome
Hospice nurses assess the status of the patient's journey towards the end of life every nursing visit. Situations where a reversible condition can drastically impact the patient and the hospice assessment can occur. If it is not caught, it is potentially mistreated, leading to increased discomfort and a faster death, often involving increased suffering. One of the common clues that someone is getting closer to dying is increased agitation and restlessness. Are you aware of Serotonin Syndrome?
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Presentation: Death, Dying, and Comfort Medications in Hospice Care

As an experienced hospice nurse, I understand that working in hospice care can be emotionally and physically challenging. In this presentation, I will share my knowledge and expertise on the topics of death and dying, as well as comfort medications including morphine, to help guide you in providing the best care for your patients.
Read MorePresentation: Death, Dying, and Comfort Medications in Hospice Care

Recognizing and Treating Common End of Life Symptoms

Guide to Recognize and Treat Common End of Life Symptoms provides tips on managing symptoms experienced by those at the end of their lives - Topics such as pain, shortness of breath, respiratory distress, and anxiety, and provides suggestions for medications and complementary therapies to help manage these symptoms.
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Morphine and Lorazepam are not euthanizing agents

Morphine and Lorazepam do not hasten death
As a hospice nurse with years of experience, I have encountered many situations where family members are hesitant to allow their loved ones to receive medications such as morphine and lorazepam. One of the main reasons for this hesitancy is the belief that these medications will hasten death, leading to euthanasia. In this article, I want to address this concern and help family members and friends understand the use of morphine and lorazepam in hospice care.
Read MoreMorphine and Lorazepam are not euthanizing agents

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