TY - CHAP
T1 - Panting for breath in end-stage dementia
AU - Goderie-Plomp, Hermien
AU - Parsons, Carole
AU - Mehr, David
AU - van der Steen, Jenny T
PY - 2023/4/1
Y1 - 2023/4/1
N2 - When a person with advanced dementia develops respiratory symptoms, infection, pulmonary embolism, and heart failure are considerations. Pneumonia often has a high mortality rate and high symptom burden. While a decision to focus on palliative treatment is often appropriate, even with prior discussions families may experience considerable distress. Dyspnea can usually be controlled with opioids, typically morphine. Other symptoms, such as reduced oral intake and dehydration, pain, fever, and neuropsychiatric symptoms, are also discussed. The need for careful symptom monitoring, preferably with observation scales, and swift interventions to alleviate the symptom burden is highlighted. Family support and guidance on a daily basis are important treatment foci.
AB - When a person with advanced dementia develops respiratory symptoms, infection, pulmonary embolism, and heart failure are considerations. Pneumonia often has a high mortality rate and high symptom burden. While a decision to focus on palliative treatment is often appropriate, even with prior discussions families may experience considerable distress. Dyspnea can usually be controlled with opioids, typically morphine. Other symptoms, such as reduced oral intake and dehydration, pain, fever, and neuropsychiatric symptoms, are also discussed. The need for careful symptom monitoring, preferably with observation scales, and swift interventions to alleviate the symptom burden is highlighted. Family support and guidance on a daily basis are important treatment foci.
U2 - 10.1093/med/9780190098896.003.0013
DO - 10.1093/med/9780190098896.003.0013
M3 - Chapter
SN - 9780190098896
T3 - What Do I Do Now Palliative Care
SP - 109
EP - 118
BT - Respiratory symptoms
A2 - Campbell, Margaret L
PB - Oxford University Press
ER -