Doctor insights on:
End Of Life Vital Signs
In a "natural" death-
in the last few months / weeks - progressive wt loss, anorexia, refusal to eat, weakness, increased sleeping and somnolence, confusion.
In the last few days / hours - decreased respiration and altered patterns of breathing, gurgling / inability to handle secretions. ...Read more
pallative lung cancer ad weight loss 8 stone to now 6, in the last week cough as gne much worse n she's sleepin mre is this signs of end of life comin?
From what you described, the patient is terminal, however, it is not feasible to provide a time line of events that may happen.
You are to be commended for providing care to a person at the end of life.
May God bless you and the patient! ...Read more
My dad, stage 4 small cell lung cancer. Gets out of breath, takes naps, losing weight, and today, coughed up blood 2 times. Is this end of life signs?
Lung Cancer: It sounds like he is not doing well. However, regarding when he will die - his physician or his medical team would be best to determine if he is close to death. Take care. ...Read more
Is the high liver enzymes from chemo & cancer (yellow skin, fatigue, weakness) sign of end of life? 3 yrs treated from cancer for 65 years old
Discuss: This could be sign of liver toxicity or another medical condition. You should discuss these symptoms with your treating oncologist. ...Read more
A short list:
A study of what patients want included the following:
-excellent pain and symptom control
-not prolonging life inappropriately
-achieving a sense of control
-strengthening important relationship
-reducing bürden on family (including non-biological family!)
i would add--a place to be, either at home or in a facility that gives the patient a sense of security and peace. ...Read more
Palliative care: Means that professionals keep the patient comfortable but do not focus on doing things to help the illness itself. It is often provided in end of life or hospice situations but can be used when no other alternative is available. None of us knows when we will die so please stay open to the way life unfolds. Prepare but live in the moment. Peace and good health. ...Read more
Palliative - Hospice: At a point when a fatal illness becomes un-treatable, palliative care may keep one comfortable and as strong as well as possible until death. Other, treatable conditions will be treated during this time and pain will be addressed. Sometimes this is in the home, but it may be inpatient. It is often part of hospice care. It may also include counseling for the patient and loved ones. Best wishes. ...Read more
Medication: Depending upon the source and severity of pain narcotics are used either as a patch, orally or injection. ...Read more
Your community: You can go to http://www. Nhpco. Org/palliative-care-0 for information about hospice care. You can also do a web search for "hospice" in your local community. This will bring up the available hospice organizations in your area. Visit them and talk to the providers so you can understand what each one offers, and whether they feel right for you or your loved one. ...Read more
Great question: Not necessarily, but in most cases has to do with life limiting diseases in different stages. Uncontrolled symptoms in serious diseases may trigger also a palliative care consult. Hope it helps. ...Read more
End of life: You should include as many people as you wish. The more the family and extended family is aware of your wishes, the less the potential guilt, confusion, and ambivalence that your loved ones may have when the critical decisions are ready to be made. There are cultural and psychosocial issues that you may have related to whom you will include. ...Read more
Palliative care: Care that is palliative, ie symptom support, but no treatment of underlying disease or cardio-resuscitation. ...Read more
End of Life: A physician can be very helpful in assisting in the end of life discussions in many ways. Most primary care physicians have the paper work to get you started on resusitation requests. They can refer you to others for medical power of attorney issues. They can provide you with many medical details to your decision making. ...Read more
Meds, hydration: The issues to consider: reducing some existing meds (sometimes opioids), adding meds to help control delirium (often haloperidol is a first choice), and sometimes small amounts of hydration can be helpful. You should get an experienced clinician to help--if you're at home with someone, call the hospice or your doctor's office. ...Read more
Discuss: This is a great question. I think that it is best done when there is not a crisis. The direct approach with a very caring sense is important. You want to learn how your loved one wants to be treated in a situation where they might not be able to express themselves. I think that idea should be worked into the discussion. ...Read more
Yes: Family and lawyer in that order.Get a more detailed answer ›
Sw: Provide support & grief work.Get a more detailed answer ›