By Judith A. Paice
"Provides an summary of symptom administration whilst a sufferer is achieving the tip in their lifestyles. This quantity covers delirium and the benefits of early analysis, picking the presence of dyspnea, demise rattle, or cough, pressing syndromes that could look on the finish of existence, palliative sedation, and the withdrawal of life-sustaining therapies."--Book cover.
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Extra resources for Care of the imminently dying
If the lung fails to expand and there is no evidence of obstruction or noncompliant lung, additional chest tube placement may be considered. Fibrinolysis with urokinase or streptokinase may improve drainage in cases in which fluid is still present or is thick or gelatinous. 9% saline can be attempted and the chest tube clamped for 6 hours, with suction then being resumed for 24 hours. After the pleural fluid has been drained and the lung is fully expanded, pleurodesis may be initiated. This can usually take place the day after chest tube insertion.
Do the trajectories of dyspnea differ in prevalence and intensity by diagnosis at the end of life? A Consecutive Cohort Study. J Pain Symptom Manage. 2010;39:680–690. Lansing RW, Gracely RH, Banzett RB. The multiple dimensions of dyspnea: review and hypotheses. Respir Physiol Neurobiol. 2009;167:53–60. Bausewein C, Farquhar M, Booth S, Gysels M, Higginson IJ. Measurement of breathlessness in advanced disease: a systematic review. Respir Med. 2006;101:399–410. 6. Woodcock AA, Gross ER, Gellert A, Shah S, Johnson M, Geddes DM.
N Engl J Med. 1981;305:1611–1616. Viola R, Kiteley C, Lloyd NS, Mackay JA, Wilson J, Wong RKS. The management of dyspnea in cancer patients: a systematic review. Support Care Cancer. 2008;16:329–337. Ben-Aharon I, Gafter-Gvili A, Leibovici L, Stemmer SM. Interventions for alleviating cancer-related dyspnea: a systematic review. J Clin Oncol. 2008;26:2396–2404. 9. Clemens KE, Klaschik E. Symptomatic therapy of dyspnea with strong opioids and its effect on ventilation in palliative care patients.
Care of the imminently dying by Judith A. Paice