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What Medications are Commonly Used for Comfort in Hospice?

In hospice care, medications are primarily used to manage physical symptoms and ensure patient comfort when curative treatments are no longer the focus. These medications are overseen by a medical director and administered by a skilled nursing team.

Commonly used medications include:

  • Opioids: Such as morphine, these are used to manage moderate to severe pain. They are also a cornerstone for dyspnea management, as they help relax breathing and reduce the sensation of “air hunger.”
  • Anticholinergics: These medications are used to reduce excess respiratory secretions that may cause discomfort for the patient.
  • Antiemetics: These target nausea and vomiting, which can occur due to the underlying illness or as a side effect of other treatments.
  • Anxiolytics: Including benzodiazepines, these are used to ease anxiety, restlessness, and shortness of breath.
  • Oxygen Therapy: While not a medication in the traditional sense, supplemental oxygen may be provided via a nasal cannula or mask if it contributes to the patient’s well-being.

The hospice team monitors patients 24/7 to adjust these dosages as symptoms change, ensuring the right medication is provided at the right time.

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