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manage pain in palliative/end of life care do not hasten death (2018).” “Misconceptions about pain management include family concerns about addiction and the belief that opioids, such as morphine, can hasten death (Cagle, 2015).”PICO(T) QuestionComfort based care including pain management and symptom management is key to improving and maintaining quality of life of hospice patients, whether they are actively dying or in early stages of the end of life. In adult and geriatric patients with terminal illness on hospice/palliative care service, does patient, family and healthcare staff education regarding the use of comfort medications when first admitted to hospice, compared to education at the time of transition to actively dying improve pain and other symptom management, quality of life and apprehension of family and healthcare staff during the end of life. References:2
MILESTONE TWO: COMFORT MEDICATIONS AND HOSPICECagle, J. G., (2015). EMPOWER: An intervention to address barriers to pain management in hospice. Journal of Pain and Symptom Management,49(1), 1-12. doi:10.1016/j.jpainsymman.2014.05.0Chi, N., G., Pike, K. C., K., & Oliver, D. P. (2017). Pain management concerns from the hospice family caregivers' perspective. American Journal of Hospice and Palliative Medicine®,35(4), 601-611. doi:10.1177/10499091177294Coyle, S., Elverson, J., Harlow, T., Jordan, A., Mcnamara, P., Oneill, C., . . . Stephenson, J. (2018). The myth that shames us all. The Lancet,392(10154), 1196. doi:10.1016/s0140-6736(18)31876-2Hospice Care. (2016, July 06). Retrieved from -care.htmPolit, D. F., & Beck, C. T. (2018). Essentials of nursing research: Appraising evidence for nursing practice(9th ed.). Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins.3