Managing Pain and Symptoms in End-of-Life Care

29 Jun Managing Pain and Symptoms in End-of-Life Care

Effective pain and symptom management is essential in hospice. Learn how hospice teams keep patients comfortable during end-of-life care.

One of the most important roles of hospice care is to ensure patients are as comfortable and pain-free as possible during their final days. Families often worry about suffering, but with the right care, pain and symptoms can be effectively managed to support dignity, peace, and quality of life.

The Goal: Comfort and Dignity

At the end of life, comfort—not cure—becomes the focus. Pain and symptom management in hospice means:

• Relieving physical pain
• Reducing distressing symptoms
• Supporting emotional, spiritual, and psychological well-being
• Helping families understand and cope with changes

Common Symptoms at End of Life

Hospice teams are trained to address a wide range of symptoms, including:

• Pain (mild to severe)
• Shortness of breath
• Nausea or vomiting
• Constipation or diarrhoea
• Fatigue and weakness
• Anxiety or agitation
• Delirium or confusion

Each patient’s symptoms are unique, and treatment plans are customised accordingly.

How Hospice Manages Pain

Pain is assessed frequently and managed proactively. Hospice may use:

1. Medications

• Opioids (like morphine) to relieve moderate to severe pain
• Non-opioid medications for mild discomfort
• Adjuncts (like anti-anxiety meds or anti-nausea drugs) to improve comfort
• Doses are carefully monitored to ensure relief without oversedation.
• 2. Non-Medical Approaches
• Positioning for comfort
• Gentle massage or touch therapy
• Warm or cold compresses
• Guided imagery, music, or relaxation techniques
• 3. 24/7 Support: Hospice nurses are available around the clock to respond to new symptoms or adjust treatment promptly.

Involving the Patient and Family

Hospice values shared decision-making. Patients and families are included in all care discussions, helping shape the approach based on personal values, goals, and preferences.

If a patient wishes to be alert for family visits or conversations, medication can be adjusted accordingly.

Emotional and Spiritual Symptoms Matter Too

Not all discomfort is physical. Hospice also addresses:

• Fear or sadness
• Loneliness or spiritual distress
• Worries about death or leaving loved ones

Chaplains, counsellors, and volunteers are available to provide compassionate, holistic support.

Contact us at Angel Wings Hospice https://angelwingshospice.org/contact-us/ to learn how we provide gentle, expert care that prioritises comfort and dignity through every stage of the hospice journey.