Medical-surgical nurses in inpatient settings may encounter dying patients who exhibit a number of symptoms during the end of life. One symptom, the death rattle, refers to the noise of excessive secretions present during the inspiratory and expiratory phases of respiration. Symptom improvement can be obtained with pharmacologic and non-pharmacological measures. Empathic communication with the patient's significant others also is an important component of care.
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J Pain Symptom Manage
November 2024
Division of Palliative Medicine (P.W.), Department of Medicine, Washington University in St. Louis, St Louis, Missouri.
Context: Research has documented common respiratory changes at the end of life for hospice patients. Some studies have noted these symptoms as distressing and challenging for families, and as a potential reason for emergency room visits and hospice benefit revocation. However, the experiences and emotions of family members regarding these respiratory changes in the final days, particularly when they are alone in a home setting, are not well documented.
View Article and Find Full Text PDFPalliat Med
December 2024
Department of Public Health and Primary Care, Gerontology and Geriatrics, KU Leuven, Leuven, Belgium.
Background: Evidence based guidelines for treatment of physical symptoms during the last days of life in older people are not available.
Aim: We wanted to synthesize the existing evidence on the pharmacological treatment of pain, dyspnea, death rattle, fever, nausea, and vomiting during the last days of life in older people to develop recommendations that can help guide clinical practice.
Design: A systematic review was conducted (PROSPERO #CRD42023406100) and reported in accordance with PRISMA guidelines.
Front Plant Sci
August 2024
IRTA, Postharvest Programme, Edifici Fruitcentre, Parc Agrobiotech Lleida, Lleida, Catalonia, Spain.
Introduction: Brown rot is the most important fungal disease affecting stone fruit and it is mainly caused by , and . spp. are necrotrophic plant pathogens with the ability to induce plant cell death by the secretion of different phytotoxic molecules, including proteins or metabolites that are collectively referred to as necrotrophic effectors (NEs).
View Article and Find Full Text PDFJ Pain Symptom Manage
September 2024
Department of Palliative Medicine (T.Y.), Kobe University Graduate School of Medicine, Kobe, Japan.
Support Care Cancer
June 2024
Surrey Clinical Trials Unit, University of Surrey, Guildford, UK.
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