Prof. Dr. John Ellershaw - Dehydration and the dying Patient

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Towards death, a person’s desire for food and drink lessens. Study evidence is limited but suggests that artificial hydration in imminently dying patients influences neither survival nor symptom control. As such it may constitute an unnecessary intrusion.
Thirst or dry mouth in people who are terminally ill may frequently be caused by medication. In such circumstances artificial hydration is unlikely to alleviate the symptom. Good mouth care and reassessment of medication become the most appropriate interventions.
Page 1 and 2: DEHYDRATION AND THE DYING PATIENT J
Page 3 and 4: Clinical Scenario
Page 6 and 7: DEHYDRATION Symptoms relieved by lo
Page 8 and 9: INCLUSION CRITERIA > 18 yrs diagnos
Page 10 and 11: CONCLUSION Symptoms: Increased fati
Page 13 and 14: HYDRATION Decreases distress of pat
Page 15 and 16: “It has become our standard of ca
Page 17 and 18: SITE CHANGES OF SUBCUTANEOUS NEEDLE
Page 19 and 20: CONCLUSION Standards of care 16% co
Page 21 and 22: The Dying Patient and Dehydration (
Page 23 and 24: CRITERIA FOR INCLUSION Patients adm
Page 25 and 26: BIOCHEMICAL ANALYSIS (N = 82) Mean
Page 27 and 28: Do You Have a Dry Mouth ? 100 80 %
Page 29 and 30: Use Of Drugs Known to Cause Dry Mou
Page 31 and 32: Health Care Professionals Perceptio
Page 33 and 34: DEHYDRATION AND THE DYING PATIENT C
Page 35: A blanket policy of artificial hydr
Page 39 and 40: It is a responsibility of the clini
Page 41 and 42: Clinical Decision Scenarios Patient
Page 43: Case History 2 Patient is dying and

Prof. Dr. John Ellershaw - Dehydration and the dying Patient

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