Symptom Control in Palliative Care—Part III: Dyspnea and Delirium

Symptom Burden, Depression, and Spiritual Well-Being: A Comparison of Heart Failure and Advanced Cancer Patients

“…5 Palliative care approaches can reduce both persistent prototypical and concurrent symptoms in patients with heart failure through pharmaceutical and behavioral approaches. [53][54][55][56] While we do not have data on whether attempts were made to address these domains in the study population, the presence of burdens in these domains implies unmet needs. This suggests that heart failure patients, particularly those with more severe heart failure, need the option of palliative care treatment just as cancer patients do.…”

Use of palliative sedation for intractable symptoms in the palliative care unit of a comprehensive cancer center

“…Common refractory symptoms resulting in PS include delirium, dyspnea, pain, bleeding, seizure, and uncontrolled myoclonus [7,11,12,17,28].…”

“Whatever My Mother Wants”: Barriers to Adequate Pain Management

“…She could have also obtained significant relief from dyspnea with optimal opioid use. [8][9][10] In the absence of delirium, psychosis, or severe depression, as assessed by both the psychiatry and palliative care teams, Ms. AB was considered to be competent to make these decisions on the basis of the following principles, as previously described by other authors: [11][12][13] -Ability to understand the relevant information pertaining to the diagnosis and treatment and the associated benefits and risks with and without the treatment. Our patient had a very clear understanding of the diagnosis of end-stage acute myeloid leukemia, stem cell transplantation, BK virus-associated hemorrhagic cystitis, and pain as a result of the primary mediastinal mass and the passage of clots from the urethra.…”