Palliative Care at the Very End of Life - Dartmouth-Hitchcock
Palliative Care at the Very End of Life - Dartmouth-Hitchcock
Palliative Care at the Very End of Life - Dartmouth-Hitchcock
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(Blues & Zerwekh, 1984)<br />
From Wilkie, 2002<br />
Signs <strong>of</strong> Approaching De<strong>at</strong>h:<br />
6. Bubbling sounds in<br />
thro<strong>at</strong> and chest<br />
(de<strong>at</strong>h r<strong>at</strong>tle)<br />
5. Laborious<br />
bre<strong>at</strong>hing;periods <strong>of</strong><br />
apnea; Cheyne-Stokes<br />
bre<strong>at</strong>hing<br />
The Last 48 Hours<br />
1. Reduced level <strong>of</strong> consciousness<br />
2. Taking no fluids or only sips<br />
3. No urine output or small<br />
amount <strong>of</strong> very dark urine<br />
(anuria or oliguria)<br />
4. Progressing coldness<br />
and purple discolor<strong>at</strong>ion in<br />
legs and arms
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