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Palliative Care at the Very End of Life - Dartmouth-Hitchcock

Palliative Care at the Very End of Life - Dartmouth-Hitchcock

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Fears<br />

…Changes Changes in Respir<strong>at</strong>ion<br />

Suffoc<strong>at</strong>ion<br />

Management<br />

OPIOIDS!!! (Cochrane review-evidence review evidence strong)<br />

Evalu<strong>at</strong>e use <strong>of</strong> fans or fresh air<br />

Position<br />

Provide O 2 via nasal cannula<br />

Tre<strong>at</strong> anxiety from bre<strong>at</strong>hlessness<br />

Tre<strong>at</strong> “de<strong>at</strong>h de<strong>at</strong>h r<strong>at</strong>tle” r<strong>at</strong>tle as appropri<strong>at</strong>e-Positioning,<br />

appropri<strong>at</strong>e Positioning,<br />

anticholinergics, anticholinergics,<br />

do not deep suction-suction suction suction only<br />

oral secretions if helpful

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