Lou's Treatment

Decision on surgery for tumor

Hospice first visit

Individualize the program

Protect the stomach

Elavil helped in many ways

Look for best anti-depressant

Using Ibuprofen and Morphine

Social workers can help

Hospice first visit

(Bev - Lou's nurse)

After sitting down and spending some time with Lou and talking to him very specifically about the different pains, character and quality of his pain and doing each pain assessment individually, it seemed to me like a lot of the pain that he was having was bone pain. She described it as kind of a gnawing kind of an aching pain in his shoulders and in his legs. At that time the only pain medication he was on was MS-Contin which is the long-acting opioid and we decided that trying maybe an anti-inflammatory drug like Ibuprofen might be beneficial. So we did, and we put him on 400 mg of Ibuprofen, four times a day and, low and behold, within a couple days his pain was relieved. And we were looking at a whole new perspective on life and he was feeling much better, was able to get out of bed and go into the kitchen and do the things that he hadn't been able to do for some time. We have left him on the Ibuprofen and we have increased his Morphine.

Additional Medical Information:

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