04.21.2025
Palliative Pearls
03.19.2025
Managing Hiccups at End of Life
Introduction1,2 Hiccups are involuntary, intermittent contractions of the diaphragm and intercostal muscles. The medical term for hiccups is singultus, which derives from the Latin “singult”...
02.19.2025
Antibiotic Use: Decision-Making Guidance for Hospice Care
Lack of clear, evidence-based guidelines for antibiotic use in patients at the end-of-life challenges decision making for the palliative clinician.1 Antibiotic use may prevent hospitalizations...
01.23.2025
Methadone as a Coanalgesic
This month’s case expands upon methadone as an adjuvant analgesic, or coanalgesic, a concept introduced in Methadone, Beyond the Basics and a common topic of...
12.11.2024
Top 3 Clinical Case Studies and Reviews in 2024 from Enclara Pharmacia
In response to feedback from hospice nurses and leadership, Enclara pharmacists took a “back to basics” approach with their Palliative Pearls case studies in 2024....
11.18.2024
Amyotrophic Lateral Sclerosis (ALS) – Wrangling the Symptom Management Rodeo
INTRODUCTION1-4 Amyotrophic lateral sclerosis (ALS), also known as Lou Gehrig’s disease, is a rare, incurable, progressive neurodegenerative disease that directly affects the motor neuron system...
10.18.2024
Pain Management: Back to the Basics
PATIENT CASE KP is a 66-year-old female with metastatic breast cancer and gastroesophageal reflux disease, who has recently been admitted to hospice. Current medications: Famotidine...
09.13.2024
Guideline-Directed Medical Therapy for Heart Failure: Hospice Considerations
Guideline Directed Medical Therapy (GDMT) for Heart Failure1 Guideline-directed medical therapy (GDMT) for heart failure (specifically, for heart failure (HF) with reduced ejection fraction, or...
08.20.2024
Back to Basics: Skin Conditions & Topical Treatment
The skin is the largest organ in the human body. It functions to protect against microorganisms, dehydration, and mechanical damage. It is the human body’s...