Pain Management

Part I: PAIN MANAGEMENT IN HOSPICE *** PAIN: subjective unpleasant physical & emotional experience ***pain what patient says "hurts"; believe...

Genitourinary

GENITOURINARY URINARY-FREQUENCY/INCONTINENCE: (urge incontinence) # >7 during daytime, > 2-3 times/night # increases : with age, Diuretics...

Bedsores/Skin

*** PRESSURE SORES • Turn in bed Q2-4 hrs • Avoid pressure/friction except in last few days • Use skin prep (Sween, Hollister, Bard) • Egg crate,...

Nervous System

*** SEIZURES: 1% # CNS tumor & metastases, CVA, electrolyte abnormality, hypocalcema, hypoglycemia, drug, stopping anticonvulsants abruptly,...

Psychiatric S/S

PSYCHIATRY *** DELIRIUM: S/S: Mental status fluctuation, poor attention, hypervigilence, agitation, rage, visual / auditory hallucination,...

Special Notes

*** Needs pain management specialist or physician who is experienced *** SUBCUTANEOUS INFUSION: • Change needle site weekly • use: Intractable...

Pointers

In elderly Trazodone is the safer first line medicine for sleep. Opioid conversion: calculate total daily dose of current med, use...

Miscellaneous

*** ANIMEA: • Haemoglobin < 7, or sudden blood loss # Light headedness, dizziness, palpitation, dyspnoea, fatigue, generalized weakness • 1 unit...