What Is a Hospice Care Kit?
The hospice comfort kit—also known as the emergency kit, e-kit or hospice kit—is a prescribed set of medications that are kept in a patient’s home should a medical crisis strike. Having the medications already in your home will help the hospice team treat any distressing symptoms as quickly as possible.
The hospice comfort kit may be ordered and delivered to your home at the start of hospice care or anytime the case manager nurse sees a possible need for one. The actual contents of the kit vary. In some cases, it may be custom designed for the diagnosis, but this will vary widely among hospice agencies.
Medications that may be found in a hospice comfort kit and the symptoms they might treat include:
Morphine Liquid — Used to treat pain and shortness of breath Ativan (Lorazepam) — Can be used to treat anxiety, nausea or insomnia Atropine Drops — Used to treat wet respirations, also known as the death rattle Levsin — An anticholinergic like atropine, also used to treat wet respirations Haldol (Haloperidol) — Can treat agitation and terminal restlessness Compazine (Prochlorperazine) — In either pill or rectal suppository form, this medication is used to treat nausea and vomiting Phenergan (Promethazine) — An anti-emetic like Compazine, Phenergan is used to treat nausea and vomiting Dulcolax suppositories (Bisacodyl) — Rectal suppositories to treat constipation Senna — A plant-based laxative used to treat constipation Fleet Enema — Used to treat constipation if other treatments are ineffective
Other medications may be included depending on the hospice diagnosis. For example, a patient with a brain tumor who is at risk for seizures may have valium suppositories included in his comfort kit.
In Closing
Your hospice nurse should explain each medication to you including the purpose and correct way to administer it. Some hospice agencies simply instruct their patients not to use any of the medications and then wait for a symptom to occur before explaining the medication.
This method of instruction has a major drawback because it requires the patient or caregiver to learn about a new medication under a great deal of stress, which is very difficult to do. If this is how your hospice agency instructed you, consider asking your case manager nurse to explain each medication to you before any symptoms actually occur. That way you can be prepared when and if symptoms do appear.
