Category: Symptom Management
Articles relating to managing symptoms of terminally ill patients with the goal of maintaining comfort through the natural dying process.
Natural Remedies for Dementia Anxiety: Ashwagandha and CBD
Explore the use of ashwagandha and CBD to ease anxiety in dementia patients. Learn about dosages, safety precautions, and real-life stories.
Read MoreNatural Remedies for Dementia Anxiety: Ashwagandha and CBDUnderstanding and Managing Sundowning in Dementia: Ensuring Safety for Your Loved One
Sundowning, or "late-day confusion," is a challenging experience for individuals with dementia and their caregivers. This phenomenon, occurring in the late afternoon or evening, brings about increased confusion, anxiety, and agitation. Caregivers need to comprehend sundowning and offer compassionate care to ensure the well-being of their loved ones. This article delves into effective pharmacological and non-pharmacological strategies to manage sundowning and create a safe environment.
Read MoreUnderstanding and Managing Sundowning in Dementia: Ensuring Safety for Your Loved OneUnderstanding Dementia Medication Side Effects: A Guide for Families
Discover the potential side effects of dementia medications and how to support your loved one. Stay informed!
Read MoreUnderstanding Dementia Medication Side Effects: A Guide for FamiliesManaging Diabetic Ketoacidosis and Hyperosmolar Hyperglycemic State at End of Life: A Comfort-Based Approach
As an experienced hospice nurse, I understand that managing diabetic ketoacidosis (DKA) and hyperosmolar hyperglycemic state (HHS) at end of life can be challenging, especially when patients choose to stop taking their diabetic medications or when those medications are no longer an option. In this article, I will provide information on recognizing the signs and symptoms of hyperglycemic crises and outline comfort-based treatment options that align with hospice goals of care.
Read MoreManaging Diabetic Ketoacidosis and Hyperosmolar Hyperglycemic State at End of Life: A Comfort-Based ApproachUnderstanding and Managing Contractures
I know that the journey you and your loved one are on can be challenging, especially when facing a terminal illness. As an experienced hospice nurse caring for terminally ill patients, I want to provide you with some valuable insights on a common issue that may arise during this time: contractures.
Read MoreUnderstanding and Managing ContracturesManaging Shortness of Breath in Hospice Care: Non-Pharmacological Methods for Comfort
Discover effective non-pharmacological methods to manage shortness of breath in hospice care. Learn about positioning techniques, breathing exercises, and environmental adjustments that can comfort and relieve patients experiencing dyspnea, enhancing their quality of life during end-of-life care.
Read MoreManaging Shortness of Breath in Hospice Care: Non-Pharmacological Methods for ComfortBest Practices for Managing Hallucinations
Learn effective strategies for managing hallucinations in terminally ill patients. This guide covers pharmacological and non-pharmacological methods to improve comfort and quality of life.
Read MoreBest Practices for Managing HallucinationsPromoting Quality of Life in Dementia Through Doll Therapy
Doll therapy offers a compassionate approach to enhancing the quality of life for dementia patients. By providing comfort, reducing anxiety, and promoting social interaction, this non-pharmacological intervention can significantly improve emotional well-being and cognitive function in individuals with dementia.
Read MorePromoting Quality of Life in Dementia Through Doll TherapyHow to Use Pursed Lip Breathing to Manage Shortness of Breath
Dealing with shortness of breath can be challenging for terminally ill patients, but there are techniques that can help manage this symptom and improve their overall comfort. One such technique is pursed lip breathing. Pursed lip breathing is a simple and effective breathing technique that can help reduce shortness of breath and improve oxygen exchange in the lungs. As an experienced hospice nurse with years of experience, I will guide you through the steps of pursed lip breathing in a compassionate and easy-to-understand manner.
Read MoreHow to Use Pursed Lip Breathing to Manage Shortness of BreathDementia Care for loved ones who are habitually restless
Caring for a loved one with dementia can be both rewarding and challenging. If your loved one has been restless throughout their life, this restlessness may continue as a symptom of their dementia. As an experienced hospice nurse, I understand the difficulties you may face in managing habitual restlessness while ensuring the safety and welfare of your loved one. In this article, I'll provide you with practical tips and evidence-based practices to create a calming environment for your loved one, even if they have trouble with fine motor control due to arthritis or other factors.
Read MoreDementia Care for loved ones who are habitually restlessManaging Infections in the Geriatric Population
This article will delve into common infections in geriatric patients, encompassing early, middle, and late-stage symptoms, preventive measures, and prevalent treatment approaches, particularly for patients facing a terminal illness prognosis of six months or less.
Read MoreManaging Infections in the Geriatric PopulationAbdominal Aortic Aneurysm: A Life-Threatening Condition for Hospice Patients
The purpose of this article is to provide you with some information and guidance about AAAs and how they can be managed in hospice patients.
Read MoreAbdominal Aortic Aneurysm: A Life-Threatening Condition for Hospice PatientsUnderstanding the Importance of the PAINAD Scale in Pain Assessment for Terminally Ill Patients
The PAINAD scale is a comprehensive tool that assesses and manages pain in older adults with dementia and delirium. It focuses on observable signs of pain rather than patient self-report, making it particularly useful for individuals who cannot communicate their discomfort
Read MoreUnderstanding the Importance of the PAINAD Scale in Pain Assessment for Terminally Ill PatientsFour Case Studies About External Oxygen on Hospice
It is common for family members and caregivers who are not trained in end-of-life topics to be concerned about their loved one's oxygen concentration (SpO2 and sometimes also abbreviated SPaO2) reading from a pulse oximeter. Suppose their loved one refuses external oxygen or takes off the external oxygen. In that case, this often causes distress to the family and caregivers because they are focused on the numbers vs. the patients themselves. Hospice is about patient-centered care, and I would like to present four case studies to demonstrate how hospice manages this situation with compassion.
Read MoreFour Case Studies About External Oxygen on HospiceManaging Terminal Restlessness
Losing a loved one is an incredibly challenging experience, and witnessing changes in their behavior and well-being can be distressing. As a hospice nurse, I've supported many families and caregivers through this grim time. One common symptom that may arise towards the end of life is restlessness. In this article, I will explain the different types of restlessness and offer guidance on how to manage them. Understanding these distinctions can provide valuable insights into your loved one's condition and help you navigate the final stages of their life with compassion and care.
Read MoreManaging Terminal RestlessnessUnderstanding Parkinson’s Disease: A Guide for Families
If you have a loved one diagnosed with Parkinson's disease, you may have many questions and concerns about what to expect and how to provide the best care possible. As an experienced hospice nurse with extensive experience in managing terminal illnesses, I am here to guide you through the journey of Parkinson's disease and offer compassionate support. In this article, we will explore Parkinson's disease, the changes your loved one may experience over time, and practical tips to care for them from the onset to the end-of-life phase.
Read MoreUnderstanding Parkinson’s Disease: A Guide for FamiliesRestoring Taste After Radiation Therapy to the Face and Neck
Radiation therapy is a common treatment for head and neck cancers, but it can lead to the loss of taste, also known as dysgeusia, in some patients. This can be a distressing side effect, but there are steps that patients and caregivers can take to help restore the patient's sense of taste as quickly as possible, with minimal risk. While there is no guaranteed way to restore taste, these tips and strategies may help patients regain some of their enjoyment of food and drink.
Read MoreRestoring Taste After Radiation Therapy to the Face and NeckMinimizing Dementia Progression in Loved Ones: Beyond Medications
Dementia is a progressive disease that affects memory, thinking, and behavior. While there is no cure for dementia, there are ways to minimize its progression and improve the quality of life for those living with the disease. Here are some activities to do, activities to avoid, dietary changes to make, and activities to perform to minimize the progression of dementia.
Read MoreMinimizing Dementia Progression in Loved Ones: Beyond MedicationsUnderstanding the Decline of Terminally Ill Loved Ones: Medications vs. Disease Processes
When a loved one is terminally ill, it can be a perplexing and emotional journey. Understanding the root cause of their declining health becomes paramount. It's a complex puzzle where family members often grapple with questions: Are the symptoms a result of medications prescribed, or are they intrinsic to the terminal disease? This article delves into the critical distinctions between medication side effects and the natural progression of terminal illnesses, offering insights to empower families and caregivers in making informed decisions about their loved one's care.
Read MoreUnderstanding the Decline of Terminally Ill Loved Ones: Medications vs. Disease ProcessesEarly Detection of Serotonin Syndrome in Dementia Patients: Three Case Studies
Serotonin syndrome is a potentially life-threatening condition caused by an excess of serotonin in the body. Detecting this condition early is crucial, but it can be particularly challenging when dealing with dementia patients due to communication barriers and the complexity of their symptoms. In this article, we will present three case studies that highlight the early detection and successful management of serotonin syndrome in patients with different types of dementia: Alzheimer's disease, vascular dementia, and Lewy Body Dementia.
Read MoreEarly Detection of Serotonin Syndrome in Dementia Patients: Three Case StudiesUnderstanding Serotonin Syndrome: A Comprehensive Guide
Hospice nurses assess the status of the patient's journey towards the end of life every nursing visit. Situations where a reversible condition can drastically impact the patient and the hospice assessment can occur. If it is not caught, it is potentially mistreated, leading to increased discomfort and a faster death, often involving increased suffering. One of the common clues that someone is getting closer to dying is increased agitation and restlessness.
Are you aware of Serotonin Syndrome?
Read MoreUnderstanding Serotonin Syndrome: A Comprehensive GuideCaring for a Loved One with a History of Diverticulitis
Caring for a loved one with a history of diverticulitis requires a combination of preventive measures, early detection of warning signs, and understanding the common signs and symptoms of this condition. Your role as a caregiver is crucial in providing support and assistance to ensure their well-being. In this comprehensive guide, we will explore essential aspects of caring for someone with diverticulitis, including prevention, early warning signs, and treatment options.
Read MoreCaring for a Loved One with a History of DiverticulitisUnlocking the Power of Validation Therapy in Compassionate End-of-Life Care
In the realm of hospice care, where empathy and compassion are paramount, a remarkable approach called Validation Therapy has emerged as a beacon of hope and comfort for individuals facing dementia and cognitive disorders in their final journey. As an experienced hospice registered nurse case manager, I've witnessed the transformative impact of Validation Therapy on patients, allowing them to find solace, regain their self-worth, and experience a sense of dignity during their end-of-life phase.
Read MoreUnlocking the Power of Validation Therapy in Compassionate End-of-Life CareUnderstanding Discomfort: Distinguishing it from Pain While Caring for Your Terminally Ill Loved One
Caring for a terminally ill loved one is a profound and challenging journey that requires compassion, understanding, and a willingness to alleviate any discomfort they may experience. In this guide, we will explore the concept of discomfort, its distinction from pain, and the importance of recognizing and addressing discomfort in addition to pain. You'll be better equipped to provide holistic care that enhances your loved one's quality of life during this sensitive time.
Throughout your loved one's illness, you might find yourself thinking that they don't require "pain medication" because they don't seem to be in pain. They might even respond with a direct "no" when asked about their pain. However, are you aware that most types of pain medication can alleviate discomfort? Did you also know that your loved one could be feeling uncomfortable without necessarily being in severe pain? Nonetheless, it's important to recognize that their discomfort requires the same treatment as if they were in pain.
Read MoreUnderstanding Discomfort: Distinguishing it from Pain While Caring for Your Terminally Ill Loved One