The Dying Process with Hospice Nurse Allie

Have you ever wondered what happens to your patients who you discharge home on hospice? What medications do they receive to promote comfort? What does the dying process actually look like?

Listen in as Nurse Allie @nurseallie anwers all the questions we have about hospice care.

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Meet Nurse Allie!

Hospice Nurse Residency Programs

Medication Administration in Hospice

When oral routes fail at the end of life, the following are examples of what can be used to administer medications in the home setting:

Macy Catheter

This is a discreat rectal catheter that is used to administer medication to the distal rectum. According to Allie, the catheter can be easily removed when the patient has a bowel movement.

Lam YWF, Lam A, Macy B, Pharmacokinetics of Phenobarbital in Micro-
enema Via Macy Catheter versus Suppository, Journal of Pain and Symptom Management (2016), doi:

CADD pump

This ambulatory infusion pump can administer continuous or patient controlled doses of IV medications (i.e. analgesics) through a central line.

About Your CADD Pump – Memorial Sloan Kettering Cancer Center

Subcutaneous Infusions

Subcutaneous (SQ) infusions are used when other routes are inappropriate or ineffective. By bypassing the gut, SQ infusions allow continuous supply of medications at a controlled rate

Queensland Health – Management of Subcutaneous Infusions in Palliative Care