July'18 Pharmacist's Corner Management Dyspnea
Did you know that A1c’s below 7.5% are associated with an increased mortality rate? After years of striving to keep an A1c at 7% or lower, that once magic number becomes deadly. The American Diabetes Association (ADA) released updated guidelines switching the focus in older, less active adults from tight glycemic control to prevention [...]
Using medications appropriately in hospice is more than simply making sure to follow the prescriber’s directions. Appropriate use of medications means the difference between a good and great quality of life for the patient. It also means the difference between a happy boss and a boss with a scowl on pharmacy invoice day. Ultimately, what [...]
Sounds made near the time of death as a result of fluid collecting in the throat and/or chest. Not all hospice patients develop terminal secretions; however, it is best to know how to manage them if they do occur.
Nausea may be only the fourth most common symptom/complaint at end of life, but it is one of the most disruptive to both the patient and family members.
The LTC MEGA Rule Part II is effective as of November 28, 2017. The overall goal of the new regulations is the safe and effective use of medications.
The 2018 Wage Index and Payment Rate Update for Hospice includes significant wording differences compared to the current Conditions of Participation. These differences may cause hospice agencies to feel that they now must cover more medications. The Wage Index wording reads: "...hospice to cover all reasonable and necessary palliative care related to the terminal prognosis, [...]
It is that time of year again. The time of year when the cold weather drives everyone inside, where they huddle together with their electronic device of choice. They hack, sneeze, and cough passing the micro-organisms back and forth to one another until things warm up in April or May. There are two big questions [...]
Methadone has the ability to relieve a wide variety of pain types, is available in a “long acting” 10 mg/ml concentration, and it is low cost. All of these reasons make it an ideal analgesic for hospice. Many nurses and medical directors may be reluctant to use methadone because of its complex metabolism and their [...]
The Occupational Safety and Health Administration (OSHA) requires employers to inform employees how to identify the hazardous materials they may encounter in the workplace. However, many drugs are considered hazardous materials. If an employee is filling a pillbox, splitting/crushing tablets, or in any way coming in contact with medications, employers are required to make them [...]