
Contents
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Place of death Place of death
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Cause of death Cause of death
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How to approach a patient who is comatose and dying How to approach a patient who is comatose and dying
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Medication review Medication review
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Communication with the family Communication with the family
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Team work Team work
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Specific issues in end-of-life care Specific issues in end-of-life care
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Hydration Hydration
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Symptom management Symptom management
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Pain management Pain management
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Delirium Delirium
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Dyspnoea Dyspnoea
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Terminal secretions Terminal secretions
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Sedation in the imminently dying Sedation in the imminently dying
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Crisis management Crisis management
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Other dimensions of care Other dimensions of care
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References References
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Further Reading Further Reading
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Cite
Abstract
Caring for a dying patient requires clinical expertise and humanity of the medical team. There is a sense of urgency, power, and poignancy in accompanying the people in their last days of life that has a great impact on the boundaries of care. The duties of the clinician in this phase usually extend beyond the clinical domain, and these non-clinical aspects of end-of-life care challenge most physicians. This chapter discusses end-of-life care, with emphasis on the practical issues associated with dying, such as planning for the preferred death and establishing good communication within the grieving family. It also examines the medical aspects of end-of-life care. Discussed are the proper methods of approaching and caring for a comatose and dying patient, medication reassessment and review, symptom management of specific issues in end-of-life care, and crisis management.
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