Palliative Pearls

Palliative and Hospice Care Clinical Case Studies

Palliative Pearls are clinical hospice case studies that offer brief evidenced-based reviews covering a range of hospice and palliative care topics. Designed as self study tools or for discussion at interdisciplinary team (IDT) meetings, Palliative Pearls are intended to improve patient care by enhancing clinician’s knowledge. Subscribe in the Newsletter Signup box below to have the Palliative Pearls Newsletter together with Clinical Alerts delivered to your inbox each month.


Principles of Pediatric Dosing

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This month’s Palliative Pearls Case Study aims to prevent medication errors and will provide dosing recommendations for the pediatric patient. We encourage you to download this month’s case study to share with your colleagues or continue reading below.  Pediatric patients, encompassing [...] Continue Reading

Topical Analgesics for Local Pain

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Acute and chronic pain are significant sources of suffering for patients with advanced illnesses. Adverse effects from systemic (oral, rectal, parenteral, transdermal) analgesics contribute to and often exacerbate suffering and limit dose titration thus hindering effectiveness. Topical analgesics offer a [...] Continue Reading

Hiccups Management

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VL is a 69-year-old woman admitted to hospice recently with a terminal diagnosis of gastrointestinal stromal tumor with metastases to the liver and pancreas. She has no comorbidities and current medications are listed below. Over the past few days, VL [...] Continue Reading

Polypharmacy Management

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KC is an 88-year-old woman with a terminal diagnosis of dementia without behavioral disturbances who lives at home with her 90-year-old husband. KC’s comorbidities include depression, hypertension, and hyperlipidemia. She experienced a CVA over 1 year ago and she has [...] Continue Reading