A terminal cancer patient has been Rx'd Fentanyl 25mg but they only provide the desired analgesia for 48 hours. The patient's hospice care plan does not permit increasing the Rx. The patient has unused Fentanyl 50 patches which delivered too much analgesia. Can she cut the Fentanyl 50 patches in-half and use them that way?
No, they cannot be cut. What kind of a plan for a terminal cancer patient includes a statement that the pain med can't be increased? That contradicts anything I ever learned about taking care of a cancer patient. 48 hrs is perfectly acceptable and 25mg is extremely low a dose. I'd find another hospice if they aren't helping the patient fight pain. Pain control is a large part of hospice care.
- Fentanyl Information for Consumers
- Fentanyl Information for Healthcare Professionals (includes dosage details)
- Side Effects of Fentanyl (detailed)
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