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July 30, 2026Journal of Hospice and Palliative Nursing

Deprescribing in Hospice and Palliative Care: A Rapid Review of Clinical Tools, Nursing Practice Considerations, and Nursing Policy Implications

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Authors

JWJoAnn WilsonAKAndrea KoplinTFTracy Fasolino

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Overview

Rapid review identifies deprescribing strategies in hospice care, suggesting better nursing approaches may enhance patient comfort.

Key Points

  • This review aims to analyze deprescribing practices among adults in hospice and palliative care, focusing on medication burden and the nursing role.
  • Conducted systematic searches in PubMed, CINAHL, and Scopus for studies published from January 2020 to December 2025.
  • Included 37 studies from 494 records identified, covering qualitative and observational research as well as pharmacist-led interventions.
  • Evaluated frameworks like STOPPFrail and OncPal related to deprescribing.
  • Long-term preventive medications often provide limited short-term benefit and increase treatment burden near end-of-life.
  • Deprescribing practices are frequently reactive, highlighting the need for more consistent and proactive approaches.
  • Nurses play a vital role in medication reconciliation and shared decision-making, essential for enhancing patient care during deprescribing.

Cite This Study

Wilson et al. (2026) studied this question.

synapsesocial.com/papers/6a6af51160e2b924d3ea0b02https://doi.org/10.1097/njh.0000000000001254
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Medication review and deprescribing in different healthcare settings: a position statement from an Italian scientific consortium2024 · 21 citations
  2. 2‘Do I actually even need all these tablets?’ A qualitative study exploring deprescribing decision-making for people in receipt of palliative care and their family members2025 · 7 citations
  3. 3Deprescribing in older adults with polypharmacy2024 · 91 citations
  4. 4Deprescribing in Older Adults With Cancer and Limited Life Expectancy: An Integrative Review2021 · 19 citations
  5. 5Deprescribing in cardiometabolic conditions in older patients: a systematic review2023 · 12 citations