Related Experiment Video
Updated: Apr 29, 2026

Author Spotlight: Developing a Bedside Protocol for Kidney and Genitourinary Ultrasonography
Published on: June 21, 2024
Gross Hematuria: Assessment and Management at the End of Life
Hunter Groninger1, Jayne M Phillips1
1Pain and Palliative Care Service, National Institutes of Health Clinical Center, Bethesda, MD.
Abstract:
A distressing complication for patients and families, gross hematuria at the end of life challenges hospice and palliative care clinicians to utilize skills in medical and nursing management, communication and clarification of patient goals, and relief of symptom burden. Massive hemorrhage in the genitourinary tract can radically alter the terminal trajectory for patients and necessitate intensive interventions aimed at promoting comfort. Here, a case of gross hematuria in an adult hospice patient serves to broaching decision-making challenges and management strategies.
Related Concept Videos
Hemodialysis III: Nursing Management
Venous Thrombosis IV: Nursing Management
Esophageal Varices-II: Clinical Features and Management
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
Nephrotic Syndrome III : Nursing Management
Chronic Kidney Disease III: Interprofessional Care
Nursing Assessment of the Genitourinary System I: Health History

