Palliation of cancer patients in terminal care
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Terminal care refers to the care of the dying patient in the last hours or days of life. Principles of care in terminal care are symptom control, avoidance of unnecessary interventions, a regular control of drugs and symptoms, continuity of regular communication, and support of relatives and carers. Clinical issues that commonly arise in the last hours of living include the management of feeding and hydration, changes in consciousness, delirium, pain, breathlessness, and secretions. All drugs necessary for symptom control must continuously be given in the terminal phase.
KeywordsPalliative Care Terminal Phase Pastoral Care Professional Caregiver Terminal Care
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- — Bruera E, Fainsinger RL (1998) Clinical management of cachexia and anorexia. In: Doyle D, Hanks GWC, MacDonald N, eds. Oxford Textbook of Palliative Medicine. 2nd ed. Oxford, England: Oxford University Press; 548Google Scholar
- — Feldman MD (1986) Paradoxical effects of benzodiazepines. NC Med J 47: 311–2Google Scholar
- — Lethen W (1993) Mouth and skin problems In: Saunders C, Sykes N. The Management of Terminal Malignant Disease, 3rd ed. Boston: Edward Arnold, 139–42Google Scholar
- — Storey P (1998) Symptom control in dying. In: Berger A, Portenoy RK, Weissman D, eds. Principles and Practice of Supportive Oncology Updates. Philadelphia, Pa: Lippincott-Raven Publishers, 741–8Google Scholar
- — Twycross R, Lichter I (1998) The terminal phase. In: Doyle D, Hanks GWC, MacDonald N, eds. Oxford Textbook of Palliative Medicine. 2nd ed. Oxford, England: Oxford University Press, 985–6Google Scholar