Distress Controlled in 10 Minutes
It is so easily inserted and gives an optimal route to administer meds when patients can’t swallow.
My name is Pia and I am currently working as a hospice nurse case manager in the San Francisco Bay area. I have worked with end-of-life in various settings and countries off and on since 1993. The most important thing I want to tell other nurses is that they should not hesitate to use the Macy Catheter! It is so easily inserted and gives an optimal route to administer meds when patients can’t swallow. You can make such a difference for both patients and families. I love it!
A middle-aged male with a brain tumor was unresponsive with terminal restlessness and severe pulmonary congestion. The patient was an MD and several family members and friends around the bedside were in the medical profession. The patient’s doctor had told the family that due to the location of the tumor in the brainstem, nothing but IV morphine and Ativan would work to control symptoms. The family was insisting that an IV be started and morphine administered as quickly as possible.
We explained to the family that we would order IV morphine and Ativan, but it would take a while to initiate, and we would like to to get the patient comfortable by administering medication rectally via the Macy Catheter. The family agreed and the Macy Catheter was placed with ease. Morphine 20mg and Ativan 1mg were administered rectally.
The patient’s symptoms were managed very rapidly– within 10 minutes. The family was absolutely amazed at how well the catheter worked and they were very much relieved and grateful. We never needed to start an IV and the patient died comfortably within 24 hours.