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Related Experiment Videos

The last few days.

R E Enck

    The American Journal of Hospice & Palliative Care
    |July 1, 1992
    PubMed
    Summary
    This summary is machine-generated.

    Terminal symptoms like noisy breathing, pain, and agitation are common in dying patients. These end-of-life symptoms, including delirium and restlessness, can often be effectively managed with reassurance or specific drug interventions.

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    Area of Science:

    • Palliative Care
    • Geriatrics
    • Neurology

    Background:

    • Coma in dying patients can be preceded by progressive sedation or delirium.
    • Over one-third of patients experience significant symptoms in the final 48 hours of life.
    • Common terminal symptoms include noisy breathing, pain, agitation, and restlessness.

    Purpose of the Study:

    • To review the management of common terminal symptoms in dying patients.
    • To identify effective interventions for end-of-life symptom control.

    Main Methods:

    • Literature review of studies on palliative care and symptom management.
    • Analysis of pharmacological and non-pharmacological interventions for terminal symptoms.

    Main Results:

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    • Noisy and moist breathing, pain, agitation, and restlessness are prevalent.
    • The majority of these symptoms are manageable.
    • Sublingual lorazepam and continuous subcutaneous midazolam infusions show efficacy in controlling terminal restlessness.

    Conclusions:

    • Terminal symptoms are frequent but largely manageable.
    • Pharmacological interventions, such as lorazepam and midazolam, are effective for specific symptoms like restlessness.
    • Palliative care strategies are crucial for improving end-of-life symptom control.