Clinical Resource Guide on Appetite Stimulants

This guide discusses the use of appetite stimulants in hospice care, focusing on their role in managing anorexia and weight loss in terminally ill patients. It outlines the conditions under which appetite stimulants may be considered, emphasizing the importance of aligning their use with the goals of comfort-focused care. The document details the potential benefits of appetite stimulants, such as alleviating psychological distress related to not eating, while also addressing the limitations, including the rarity of significant weight gain and the potential for adverse effects. It presents a table of pharmacologic appetite stimulants, including their mechanisms, adverse reactions, initial dosing, and costs. Additionally, nonpharmacological techniques for stimulating appetite are described, highlighting strategies that enhance the eating experience for hospice patients. The guide concludes by stressing the need for individualized assessments when considering appetite stimulants, ensuring that any intervention prioritizes patient comfort and dignity at the end of life.