Reduced Hydration or Feeding in Advanced Disease — a Flow Diagram

Regnard, Claud; Mannix, Kathryn

doi:10.1177/026921639100500212

Cited by 13 publications

(1 citation statement)

References 11 publications

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“…Refusal of food and fluid by a dying person is a common occurrence, particularly as the body slowly shuts down, and this may be the evidence signifying an actively dying process rather than starvation (Ijaopo & Ijaopo, 2019). Previous studies have argued that dehydration is not distressing, rather, may provide comfort to the dying patient in reducing death rattle (Regnard & Mannix, 1991). One recently published multicenter prospective observational study showed that giving a dying person a higher amount of fluids, in excess of 250 mL/ day, during 48 to 25 hr before death may be associated with the occurrence of terminal restlessness in the last 24 hr of life (Lokker et al, 2021).…”

Section: Decreased Food Intake and Impaired Hydrationmentioning

confidence: 99%

A Review of Clinical Signs and Symptoms of Imminent End-of-Life in Individuals With Advanced Illness

Ijaopo

Zaw

Ijaopo

et al. 2023

Gerontology and Geriatric Medicine

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Background: World population is not only aging but suffering from serious chronic illnesses, requiring an increasing need for end-of-life care. However, studies show that many healthcare providers involved in the care of dying patients sometimes express challenges in knowing when to stop non-beneficial investigations and futile treatments that tend to prolong undue suffering for the dying person. Objective: To evaluate the clinical signs and symptoms that show end-of-life is imminent in individuals with advanced illness. Design: Narrative review. Methods: Computerized databases, including PubMed, Embase, Medline,CINAHL, PsycInfo, and Google Scholar were searched from 1992 to 2022 for relevant original papers written in or translated into English language that investigated clinical signs and symptoms of imminent death in individuals with advanced illness. Results: 185 articles identified were carefully reviewed and only those that met the inclusion criteria were included for review. Conclusion: While it is often difficult to predict the timing of death, the ability of healthcare providers to recognize the clinical signs and symptoms of imminent death in terminally-ill individuals may lead to earlier anticipation of care needs and better planning to provide care that is tailored to individual’s needs, and ultimately results in better end-of-life care, as well as a better bereavement adjustment experience for the families.

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Section: Decreased Food Intake and Impaired Hydrationmentioning

confidence: 99%

A Review of Clinical Signs and Symptoms of Imminent End-of-Life in Individuals With Advanced Illness

Ijaopo

Zaw

Ijaopo

et al. 2023

Gerontology and Geriatric Medicine

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Sterbebegleitende Medizin — Grundlagen und Perspektiven

Knupp

Stille

1997

Med. Klin.

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Pastrana

Reineke-Bracke

Elsner

2012

Schmerz

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Noisy breathing during the terminal stages of life (death rattle) is one of the most common and most difficult symptoms to treat. In palliative medicine there are still no accepted guidelines for the treatment of death rattle in the final phase of life. In the first part of this article a description of death rattle is presented and in the second part a systematic literature review gives an insight into the effectiveness of interventions for death rattle. Two databases (Embase and Medline) were searched up to 2010 which identified 134 studies but only 6 met the inclusion criteria (2 cohort and 4 experimental studies) in which scopolamine, glycopyrrolate, butyl scopolamine, atropine and octreotide were tested. There is a lack of conclusive studies which investigated the effectiveness of treatment of death rattle. Furthermore, the identified studies revealed methodical problems. In general non-drug therapy is recommended as first choice. If anticholinergics are considered the selection also depends on whether simultaneous sedation is desired or not. The English full text version of this article will be available in SpringerLink as of November 2012 (under "Supplemental").

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Reduced Hydration or Feeding in Advanced Disease — a Flow Diagram

Cited by 13 publications

References 11 publications

A Review of Clinical Signs and Symptoms of Imminent End-of-Life in Individuals With Advanced Illness

A Review of Clinical Signs and Symptoms of Imminent End-of-Life in Individuals With Advanced Illness

Sterbebegleitende Medizin — Grundlagen und Perspektiven

Empfehlung bei Rasselatmung

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