The Comfort Kit

The Comfort Kit is a box or bag from a pharmacy (either delivered or picked-up by the family) of medications that can be used to treat symptoms that some hospice patients can experience during their end-of-life journey.

Your attending physician (your physician overseeing your hospice cares) will determine which medications will be (or might be) needed for your loved one’s comfort.

It is important to have these medications delivered right away at the start of hospice care so they are ready to use at any time, if needed. If your loved one never uses any of these medications during their hospice cares – that’s fine. But, if your loved one does experience a symptom of discomfort, it is important to have these medications already in the home and ready to use immediately.


Things to know about the Comfort Kit:

  • These medications must be kept out of reach of children and pets.
  • These medications will be counted and monitored during your Hospice Nurse visits.
  • You should always talk with your nurse first before administering any of these medications.
  • Comfort Kit contents vary depending on the patient and the hospice agency. Below is a guide only, and education on these medications should always come from your Hospice Nurse.
  • Your nurse should explain each of the medications in the Comfort Kit, and how to administer each of these items. If you don’t remember or need more instruction, ask your nurse to explain it again.
  • These medications are to be administered to your loved one only.
  • If there is any concern about the possibility of diversion in your home, notify your Hospice Nurse or your Hospice Social Worker immediately.
  • Lock boxes are recommended for storage of Comfort Kits in private home settings.
  • TIP: For my home patients, I like these medications kept in a bag/box above the fridge or near the fridge. This way, in case of an urgent off-hours need, the hospice team knows EXACTLY where to find these medications. I’ve seen families start to panic and then they can not remember where they put the Comfort Kit. Thus, the reason I like it on top of the fridge or near the top of the fridge (in a cabinet) because, as the nurse, that will be the first place I look for the medications.

Signs & Symptoms that medications in the Comfort Kit can help with:

Pain
Acetaminophen, Morphine, or Oxycodone

Shortness of Breath
Morphine or Oxycodone

Anxiety
Lorazepam (aka Ativan)

Restlessness
Lorazepam (aka Ativan)

Agitation
Lorazepam (aka Ativan)

Constipation
Bisacodyl suppository, Senna-S tablets

Diarrhea
Loperamide (aka Imodium)

Nausea
Compazine, Lorazepam, Zofran

Vomiting
Compazine, Zofran (aka Ondansetron)

Fever
Acetaminophen

Tracheal Secretions
Levsin/Hyoscyamine, Atropine drops, Scopolamine patch


Remember, every Comfort Kit is different. Comfort Kits contain different medications depending on the patient and their diagnosis/hospice agency/physician orders. ALWAYS consult with your hospice team before administration of any medications.