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[Xerostomia in palliative care].

Madalena Feio1, Paula Sapeta

  • 1Hospital do Espírito Santo, Evora.

Acta Medica Portuguesa
|May 11, 2006
PubMed
Summary

Xerostomia, or dry mouth, significantly impacts palliative care patients, affecting quality of life. Management focuses on stimulating saliva, using substitutes, and improving oral hygiene to alleviate symptoms.

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Area of Science:

  • Oral Medicine
  • Palliative Care
  • Oncology Nursing

Context:

  • Xerostomia is a prevalent symptom in advanced cancer patients, affecting 60-88%.
  • It leads to significant physical, social, and psychological distress.
  • Saliva is crucial for oral health, aiding lubrication, swallowing, and protection.

Purpose:

  • To review the causes, diagnosis, and management of xerostomia in palliative care.
  • To highlight the impact of xerostomia on patient comfort and quality of life.
  • To provide strategies for symptom control and complication prevention.

Summary:

  • Xerostomia results from compromised salivary centers, autonomic dysfunction, or salivary gland issues.
  • Diagnosis is primarily clinical, with optional quantitative saliva assessment.
  • Treatment involves addressing the etiology and improving patient comfort.

Impact:

  • Effective xerostomia management enhances patient quality of life in palliative care.
  • Interventions include hydration, xerogenic drug control, and tailored oral care.
  • Patient education on relief measures and complication prevention is vital.

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