Caregivers experiences of managing medications for palliative care patients at the end of life: a qualitative study

American Journal of Hospice & Palliative Medicine, March 2014, vol./is. 31/2(148-54)

Sheehy-Skeffington B, McLean S, Bramwell M, O'Leary N, O'Gorman A.

This study explores the experience of caregivers managing medications for patients dying at home, focusing on the impact of polypharmacy, the use of syringe drivers and the use of "as needed" medications for symptom control. Themes that emerged include: 

• the significant burden of polypharmacy
• the positive impact of subcutaneous infusions
• the value of being able to give medications as needed for symptom control
• the importance of clear guidance to assist with medication management

Strategies are suggested that might ease the burden of medications at the end of life.