I don't know which state you live in and what the rules are there. See if the hospice nurse can give her the pain meds for breakthru pain rectally. I believe some can be given either way. She may have to get a new prescription because they may come in a different form. Are you allowed to have a pain pump at home in the state you live in? That would probably give her the best relief. In this case if she's able to right now she can push the button herself. At some point it can be changed over to give her the amount automatically. She could then go on Dilaudid for pain and the reglan has an I.V. form that could be used also. As far as eating, you could try small bites of crackers but she most likely isn't going to eat. What has she decided out hydration at end of life? If she wants it I.V. fluids could be put in and if she doesn't they don't need to be used. Ativan for anxiety can also be given interveniously.
I'm sorry your going through this. I don't remember how old your sister is exactly but I believe it's to young:( Your being a wonderful sister helping her through this time. It's something that you won't look back on fondly but in a way that I'm sure is bringing you even closer together.
I hope this helps. You, your sister and her family are in my prayers.
Chemo, radiation, 20 mo. chemo, IMRT, cyberknife, 6/11 lobectomy.
1/16 resection perm. colostomy intraop. rad.
PET 2/12 nose, thyroid, liver, lngs
Lord I know You'll keep me here until
you know I cannot suffer any longer!