Comprehensive Medication Review

United Hospice and Palliative Care of Arizona is serious about the comfort care provided to our patients. One important part of this care is the medication ordered and provided for their comfort.

 

The hospice nurse completes a medication reconciliation during every comprehensive visit with the patient, ensuring the medications on hand match the orders given by the physician; and also match the facility medical records for our patient. This reconciliation process also gives the nurse the opportunity to order any medications that may be running low, ensuring the patient will not run out of the medications needed for their comfort and care.

Prescription Drugs

A comprehensive medication review is completed, at a minimum every two weeks, for each patient during the
Interdisciplinary Group meeting, guided by the Medical Director. As an added benefit, United Hospice and
Palliative Care of Arizona has Clinical Pharmacist Support on site to answer any questions and/or make
recommendations. This combination of comprehensive medication reconciliation, review with the Medical
Director & Clinical Pharmacist support allows us the ability to offer the best medical comfort care to our
patients.

Some medications that may be prescribed for pain & symptom management include:

  • Acetaminophen/Tylenol (fever, mild pain)

  • Morphine (moderate to severe pain, shortness of breath)

  • Fentanyl (severe pain)

  • Anxiolytics: Lorazepam (anxiety)

  • Anticholinergics; antispasmodic medications (Parkinson’s, COPD, asthma, overactive bladder, muscle spasms, breathing problems, diarrhea, gastrointestinal cramps, movement disorders)

  • Antidepressant medications (depression, sadness)

  • Atropine drops (end-of-life excess saliva production, noisy respirations)

  • Haloperidol (agitation, terminal agitation, dementia-related psychosis/behaviors)

  • Prochlorperazine (suppositories and tablets; severe nausea and vomiting)

  • Trazodone, Benadryl, Melatonin (insomnia)