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                                    Case Study 4: End-of-Life Medication Planning%u2022A 78-year-old man with end-stage COPD is being prepared for discharge to home hospice care. The palliative care team is planning his anticipatory medications.Scenario:%u2022What four subcutaneous medications should be prescribed as anticipatory medications?Clincher:%u2022Morphine%u2022Haloperidol%u2022Midazolam%u2022Hyoscine butylbromideAnswer:%u2022These are the standard anticipatory medications for end-of-life care%u2022Morphine for pain and breathlessness%u2022Haloperidol for nausea and vomiting%u2022Midazolam for anxiety, delirium, or agitation%u2022Hyoscine butylbromide for respiratory secretions%u2022Subcutaneous route ensures administration even if oral route becomes unavailable%u2022Having these medications ready ensures prompt symptom management in the last days of lifeRationale:
                                
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