Several updates/additions to the Comfort Care and Hospice Admission order sets are being placed in Epic at the request of the Palliative Care leadership and Pharmacy.
- Clarifying orders regarding comfort assessment documentation and the appropriate use of pain medications
- Addition of nursing orders regarding bowel care
- Addition of PCA orders for opioid naïve patients, and clear labeling of existing PCA orders for opioid tolerant patients
- Reorganization of agents for delirium/agitation, anxiety, and nausea/vomiting to stepwise escalate administration based on patient response and prevent duplicate PRN reasons