CBD in the Hospice Setting

More and more terminal patients and their families are calling upon cannabis to provide some symptom relief, and understandably so.  Cannabis has been used for centuries to treat a broad assortment of symptoms and diseases.  Over 100 known cannabinoids have been identified, each appearing to exert different effects.  Most Americans are fairly familiar with the…

Statin Discontinuation in Hospice Patients

  Hospice prescribers and pharmacists have long approached statins as appropriate for discontinuation in their patients who have no active cardiovascular disease since preventative or prophylaxis medications, as well as medications with long-term therapeutic outcomes, are not considered part of palliative care.  With the benefits of statin discontinuation ranging from decreasing pill burden to preventing…

Options for Switching Antipsychotics

Medication cost, adverse effects, and poor therapeutic response often necessitate switching a hospice patient from one antipsychotic to another.  Prescribers can choose among several options when a switch is necessary. Abrupt switch: Often preferred by hospice prescribers, one antipsychotic can be abruptly discontinued with the immediate start of a new antipsychotic at a therapeutic dose.…