Palliative Intake

#Palliative Intake

Symptoms
-- Pain: *** (acetaminophen, NSAID, cyclobenzaprine, lidocaine patch, capsaicin, opioids)
- - Neuropathy: *** (gabapentin, duloxetine, TCA's, diclofenac gel, methadone)
-- Fatigue: ***
-- Dyspnea: *** 
-- Nausea/Vomiting: *** PPI, ondansetron, metoclopramide, prochlorperazine, promethazine, haloperidol, lorazepam, scopolamine, olanzapine
-- Bowel: *** Constipation (Miralax, senna, magnesium hydroxide, lactulose, bisacodyl, enema); Diarrhea (loperamide)
-- Appetite/Weight: *** Meds: mirtazapine 7.5-15mg, dronabinol, megestrol acetate - avoid if h/o clots, olanzapine; Supplements: protein/calories - nut butter, avocado, shakes
-- Mood/Coping: *** Depression - SSRI, bupropion

‍Psychosocial Support
-- Current Supports: *** (family, friends, neighbors)
-- Therapy: ***
-- Spiritual: ***

‍Advanced Care Planning
‍-- Treatment Goals: *** 
-- Prognosis: *** 
-- Medical Decision Makers: *** (Healthcare Proxy, advanced directive)