Hospice Physician Services

Pain & Symptom Management

Our hospice physician services are tailored to each individual case. No one needs to live in pain. If the patient feels uncomfortable, have their doctor consult with our hospice and palliative care physicians. Our physician care services manage a patient’s pain and symptoms based on collaborative work with the patient’s primary doctor—particularly those involving cancer and chronic disease resulting in pain and discomfort.

Our hospice and palliative care doctors have extensive knowledge and understanding of pain management drugs and try to minimize pain with as little medication as possible. Doctors also track the dosage and reactions of each condition to reach the correct degree of dosage of pain medication with the least amount of adverse effects on the individual.

Almost all of the pain can be alleviated with proper medications. While decreasing discomfort to a substantial degree, patients will eat and sleep, remain emotionally aware, and retain a sense of freedom, security, confidence, and self-care.

Opiates саn bе аdmіnіѕtеrеd bу mоuth оr іntrаvеnоuѕlу. These include codeine, hydrocodone, morphine, hydromorphone, and oxycodone, but are not limited to just these. Opiates are stems from the opium poppy in nature. “Opioids” are medications produced that have the same impact as natural opioids. Both medicines are safe, strong, and effective pain medication when prescribed and used appropriately.

If you have any questions please contact us.

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Pain & Symptom Management

Our hospice physician may prescribe morphine to control a patient’s pain.  While taking morphine many patients might experience known side effects of opioids.  These are all  genuine concerns which will be briefly discussed as follows:

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Sedation and lethargy

A few of the side effects of taking morphine may include sedation and being lethargic. Moreover, this impact may diminish within a few days. By reducing discomfort and making breathing easier, opioids eventually help patients get the much-needed rest they depend on. Once the individual becomes more relaxed and restful, their desire in daily life tasks will also increase.

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Nausea

Nausea may arise at first while taking opioids, but tends to wear off after taking these opioids for a few days. Meanwhile, our physician care team can offer a limited amount of additional medication that may be used to treat vomiting and nausea.

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Constipation

Constipation from Morphine as well as other opioids should be expected, and therefore should be managed vigorously to ensure patient comfort. Our physician care services will continuously monitor patients’ bowel movements on a day to day basis, ensuring correct movement.

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Opioids are Less Effevtive Overtime

Tolerance is possible when morphine is used to manage discomfort for an extended period of time, but this is not always a problem. The dіѕеаѕе is more likely tо have еvоlvеd оvеr time, a сhаngе that can rеѕultѕ in аddеd раіn and discomfort. If and when pain increases, the hospice physician care team can increase the dosage. Doctors will usually start with small doses of morphine then increase the dosages in small amounts until the desired effect is reached. In some circumstances, the medication may be exchanged for a different opioid if the pain continues to increases.

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Opioid Addictions:

Opioid addiction is usually rare in hospice cases due to the short periods’ individuals are in a hospice setting and near end-of-life. However, this still might be a valid concern for some, yet we encourage individuals to do their own research. Opioids should never be stopped suddenly after two or more weeks of using opioids, as a change in the body’s dependency will have occurred. This is an innate human nature and not addiction, patients need to be weaned off opiates if so desired. Our physician care team will always take the patients’ wishes into account but will always try to discourage a patient from hurting more than necessary.