How to provide safe mouth care at the end of life

2021 ◽  
Vol 33 (6) ◽  
pp. 8-8
Author(s):  
Lynne Pearce
Keyword(s):  
End Of Life ◽  
Mouth Care

Therapy-related issues: palliative care

2017 ◽  
Author(s):  
Philip Wiffen ◽  
Marc Mitchell ◽  
Melanie Snelling ◽  
Nicola Stoner
Keyword(s):  
Spinal Cord ◽  
Palliative Care ◽  
End Of Life ◽  
Bowel Obstruction ◽  
End Of Life Care ◽  
Cord Compression ◽  
Life Care ◽  
Malignant Bowel Obstruction ◽  
Mouth Care ◽  
Dying Patient

This chapter covers important information for the pharmacist relating to palliative care. Conditions commonly seen when caring for patients at the end of life are covered, including anorexia, fatigue, and anaemia. Other topics include hypercalcaemia of malignancy, mouth care, noisy breathing, insomnia, spinal cord compression, and malignant bowel obstruction. In addition, this chapter includes detail on the priorities for end-of-life care, relating these to prescribing in the dying patient.

scholarly journals 92 An audit of current guidelines and recommendations for mouth care in palliative and end of life care

2018 ◽  
Author(s):  
Laura Daly ◽  
Yasmin Allen ◽  
Ashvir Basra ◽  
Jackie Sowerbutts ◽  
Mili Doshi ◽  
...  
Keyword(s):  
End Of Life ◽  
End Of Life Care ◽  
Life Care ◽  
Mouth Care ◽  
Guidelines And Recommendations ◽  
Current Guidelines

How to provide safe, effective mouth care at the end of life

2021 ◽  
Vol 36 (11) ◽  
pp. 59-60
Author(s):  
Lynne Pearce
Keyword(s):  
End Of Life ◽  
Mouth Care

scholarly journals Why mouth care matters in end of life care

BDJ Team ◽  
2020 ◽  
Vol 7 (3) ◽  
pp. 10-11
Author(s):  
Sarah Haslam
Keyword(s):  
End Of Life ◽  
End Of Life Care ◽  
Life Care ◽  
Mouth Care

Symptom management at the end of life

2019 ◽  
pp. 569-574
Author(s):  
Susi Lund
Keyword(s):  
End Of Life ◽  
Nursing Care ◽  
Symptom Management ◽  
Best Practice ◽  
Service Providers ◽  
National Guidelines ◽  
Mouth Care ◽  
Death Rattle ◽  
Syringe Driver ◽  
Need Support

At the end of life, it is important to review all medications, and those required may be continued via a syringe driver if the person is unable to take them orally. The anticipation of needs and forward planning are important, having medications and resources available, ensuring all service providers are aware of the patient 24 hours a day and families have relevant contact numbers. Effective communication with the patient and family is essential, to manage expectations and ensure they understand what is being done and why. Care should always be planned in accordance with local and national guidelines in best practice in palliative and end-of-life care. Anticipatory prescribing of as-required medications for symptoms can help avoid distress. Respiratory secretions (death rattle) can cause noisy, rattling breathing that occurs when the dying person is unconscious and close to death and is unable to cough or clear secretions. This can be distressing to family members, and they will need support and information about the condition. Nursing care involves repositioning to aid drainage of secretions, frequent mouth care, and review of fluid input, and drugs may be used to reduce secretions. Terminal agitation is a state of agitation and distress at the end of life. This is a distressing experience, and it is most important to communicate effectively with the patient and family, maintaining dignity and privacy and providing a comforting professional presence. Sedation should be used with care and discretion, taking the wishes of the patient and family into account.

Providing safe mouth care in end of life treatment

2021 ◽  
Vol 31 (6) ◽  
pp. 13-13
Author(s):  
Lynne Pearce
Keyword(s):  
End Of Life ◽  
Mouth Care ◽  
End Of Life Treatment

scholarly journals 77 Mouth care and hydration at the end of life: A survey for medical staff

2021 ◽  
Author(s):  
Rosanna Hill ◽  
Rachel Sorley ◽  
Suzanne Kite
Keyword(s):  
End Of Life ◽  
Medical Staff ◽  
Mouth Care

Much Ado About Fried Chicken: Abetting Aspiration or Respecting Autonomy?

2019 ◽  
Vol 28 (3) ◽  
pp. 1356-1362
Author(s):  
Laurence Tan Lean Chin ◽  
Yu Jun Lim ◽  
Wan Ling Choo
Keyword(s):  
Palliative Care ◽  
End Of Life ◽  
Multidisciplinary Team ◽  
Biopsychosocial Model ◽  
Family Members ◽  
Clinical Decisions ◽  
Goals Of Care ◽  
Complex Needs ◽  
Aspiration Risk ◽  
Patient Centric

Purpose Palliative care is a philosophy of care that encompasses holistic, patient-centric care involving patients and their family members and loved ones. Palliative care patients often have complex needs. A common challenge in managing patients near their end of life is the complexity of navigating clinical decisions and finding achievable and realistic goals of care that are in line with the values and wishes of patients. This often results in differing opinions and conflicts within the multidisciplinary team. Conclusion This article describes a tool derived from the biopsychosocial model and the 4-quadrant ethical model. The authors describe the use of this tool in managing a patient who wishes to have fried chicken despite aspiration risk and how this tool was used to encourage discussions and reduce conflict and distress within the multidisciplinary team.

End-of-Life Issues for People Who Use AAC

2005 ◽  
Vol 14 (3) ◽  
pp. 15-19 ◽  
Author(s):  
Melanie Fried-Oken ◽  
Lisa Bardach
Keyword(s):  
End Of Life ◽  
Life Issues ◽  
End Of Life Issues

Dysphagia in Hospice Care: The Roles of Social Work and Speech-Language Pathologists

2014 ◽  
Vol 23 (4) ◽  
pp. 173-186 ◽  
Author(s):  
Deborah Hinson ◽  
Aaron J. Goldsmith ◽  
Joseph Murray
Keyword(s):  
Social Work ◽  
End Of Life ◽  
Case Studies ◽  
End Of Life Care ◽  
Hospice Care ◽  
Patient Communication ◽  
Life Care ◽  
Speech Language Pathologists ◽  
Four Levels

This article addresses the unique roles of social work and speech-language pathologists (SLPs) in end-of-life and hospice care settings. The four levels of hospice care are explained. Suggested social work and SLP interventions for end-of-life nutrition and approaches to patient communication are offered. Case studies are used to illustrate the specialized roles that social work and SLP have in end-of-life care settings.

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