Morphine and Hospice
2
Introduction
In 2014, more than 1.6 million Americans received hospice services (Chi, Demiris, Pike,
Washington, & Oliver, 2017).
Hospice consists of an interdisciplinary team of nurses, doctors,
chaplaincy and social work.
The goal of hospice is comfort care and the end of life.
It includes
pain control, symptom management and spiritual needs (Chi, Demiris, Pike, Washington, &
Oliver, 2017).
Despite the goal of pain management, studies find that many hospice patients are
not having their pain managed at a level that provides an ideal quality of life during their final
days (Mayahara, Foreman, Wilbur, Paice, & Fogg, 2015).
Many barriers exist that contribute to
the undertreatment of pain during the end of life.
Misconceptions about pain management
include family concerns about addiction and the belief that opioids, such as morphine, can
impede death (Cagle et al., 2015).