^^ Following a complete assessment of the patient, developing a comprehensive therapeutic plan that utilizes the fewest number of medications to achieve the highest quality of life is essential. Many times, one drug may provide relief for multiple symptoms, resulting in better patient care, lower costs, and fewer medications for the patient to take. Cost-effective drug recommendations are essential for hospice agencies to control costs, given that Medicare and most other third-party payors reimburse hospice at a fixed per-diem rate. Avoiding polypharmacy will reduce the incidence of adverse drug events related to drug interactions, excessive side effects, and duplications of therapy. The following list of symptoms addressed by palliative care includes common symptoms observed in end of life; however, it is not comprehensive. Palliative care is more than just pain management. It includes the treatment of symptoms resulting in the discomfort for the patient, which may include nausea, agitation, anxiety, depression, dyspnea, cachexia, constipation, diarrhea, pressure ulcers, edema, etc.

It should be noted that many drugs used for the treatment of symptoms in end-of-life care are often prescribed for unapproved uses, administered by unapproved routes or in dosages higher than that recommended by the package insert. This "off-label" use of medication is not unique to palliative care.

Constipation Prescription

Constipation Prescription

Did you ever think feeling angry and irritable could be a symptom of constipation? A horrible fullness and pressing sharp pains against the bladders can’t help but affect your mood. Sometimes you just want everyone to leave you alone and sleep to escape the pain. It is virtually impossible to be constipated and keep a sunny disposition. Follow the steps in this guide to alleviate constipation and lead a happier healthy life.

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