Specialty Compounding Services for the Hospice Patient
We take great pride in working together with hospice agencies to help alleviate pain and suffering, making a patient’s last days as comfortable as possible. Hospice patients have specialized, individual needs. Compounding can provide personalized care to a patient in an end-of-life situation. Many patients are unable to swallow; compounding can provide medications in a variety of different dosage forms. Dosage forms that may be easier to administer include: suppositories, transdermal creams, troches or lollipops. Sublingual medications and topical gels or creams offer an alternative when unwanted systemic side effects limit oral drug therapy. Commercial medications do not always come in suitable strengths; fortunately, compounding can provide a specific dose in immediate or altered-release forms. There are several compounded medications available to treat the symptoms of the hospice patient. Their ailments include: pain, nausea and vomiting, shortness of breath, decubitus ulcers, oral hygiene, hygiene for the bedridden, plus many more.
Testimonials of Health Care Professionals
How has compounding affected your patient care?
"Fantastic!! We can offer our patients such good symptom control. We haven’t come across anything that Portage Pharmacy could not solve to aid our patients. We are amazed at the comfort level we can achieve with compounding. Not only quality care, but not complete sedation, better for quality end of life."
"It has increased the level of comfort in our patients."
"Tailors the medication specifically for individual patient needs and preferences."
"Very Positively! Very individualized, easy to titrate and adjust and specific for each patient."
"Less invasive, meaning simple and easy to teach and change doses frequently if needed. Able to keep constant level of medications after patient is no longer able to swallow. Promotes increased use of medications in combative/confused/non-compliant patients who normally might spit out medication, etc."
"It has improved the overall quality of life in the dying patient."
"All means to manage symptom control are used to provide the best comfort available in patient care."
"It has been wonder to know we can call the pharmacy and they are able to assist us in preparing whatever our client needs. The patients are so grateful for the assistance especially those who cannot swallow and need another route for medications."
"Improved 100%!! The compounding pharmacist is my secret weapon in Hospice. It is vitally important to have the services of a compounding pharmacist."
Would quality of care be affected if no compounding was available?
"I know that I can guarantee pain control and nausea and vomiting with the use of compounding. I could not have confidence to take care of symptoms with out it!"
"Much less patient focused and specific to individual needs. Quality of care would be decreased because we are able to give comfort medications to patients who can’t take oral medications."
"I cannot imagine practicing without these medications."
"We would not be able to control symptoms. Patient care would be adversely affected."
"We could not say that we are providing our 'absolute best' without it! Compounding simply makes our patients more comfortable. It is a blessing."
"There would be some symptoms not managed."
"More clients would need hospitalization or IM injections to receive the medications, which is NOT acceptable. It has improved their quality of life! Thank you for all your assistance, you make Hospice care so much easier!"
"There would be much more pain, nausea and anxiety in my clients. My families would have much less peace of mind and so would I."
Many thanks to the following agencies for their kind words:
- Hospice of Southwest Michigan, all divisions
- Wings of Hope Hospice
- Hospice of Holland, both offices
- Hospice Manager, Portage Pharmacy
- SouthernCare Hospice