Tag: Restlessness

Articles about managing restlessness including terminal restlessness in the terminally ill.

Best Practices for Managing Hallucinations

Flow Chart For Managing Hallucinations And Delusions
As an experienced hospice nurse, I understand the challenges faced by terminally ill patients and their families when dealing with hallucinations, especially in conditions like Lewy Body Dementia, Parkinson's disease, and other neurodegenerative diseases. Hallucinations can be distressing and confusing for patients and their loved ones, but with the right approach and a combination of pharmacological and non-pharmacological methods, we can help manage these symptoms to improve comfort and quality of life.
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Dementia Care for loved ones who are habitually restless

habbitually restless lady
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.
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Managing Terminal Restlessness

Exhausted Patient From 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.
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Clues for terminal restlessness often missed for facility patients

Exhausted Patient From Restlessness
One of the hardest portions of the job of a hospice nurse is to identify when a patient has two weeks of life left to live; this can be especially difficult at facilities going through staffing shortages leading to inconsistent caregivers with little to verbally report on a patient’s change of condition. Since being aware of the velocity of declines is extremely important, let’s cover an area that we in hospice (nurses, families, and caregivers alike) can keep an eye on in terms of identifying terminal restlessness which is often a key indicator for one week or less of life.
Read MoreClues for terminal restlessness often missed for facility patients

Best Practices for Approaching Combative Dementia Patients

Dementia is a progressive brain disorder that affects a person’s cognitive abilities, memory, and behavior. In the later stages of the disease, some patients can become combative and aggressive, making it difficult for caregivers to provide the necessary care. As a hospice nurse, it’s important to know how to approach and manage combative dementia patients to ensure their comfort and safety. Here are some best practices to consider:
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Recognizing and Treating Common End of Life Symptoms

Guide to Recognize and Treat Common End of Life Symptoms provides tips on managing symptoms experienced by those at the end of their lives - Topics such as pain, shortness of breath, respiratory distress, and anxiety, and provides suggestions for medications and complementary therapies to help manage these symptoms.
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Delirium vs Terminal Restlessness

delerium vs terminal restlessness
As an experienced hospice nurse, I understand how difficult it can be to distinguish between delirium and terminal restlessness. Both conditions can cause significant distress for the patient and their loved ones, and it’s crucial for nurses to be able to tell the difference between the two to provide the best possible care. In this article, I will share my knowledge and experience to help new hospice nurses understand the differences between delirium and terminal restlessness along with ways to rule out delirium.
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Terminal Restlessness in the Completely Nonverbal Patient

Terminal restlessness is a common phenomenon that occurs in the final stages of life, characterized by agitation, confusion, and distress. It can be challenging to recognize and manage, especially in patients who are unable to communicate verbally. This article aims to share some insights and tips from a hospice worker who learned how terminal restlessness can manifest differently in nonverbal patients, and how to cope with it.
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Validation Therapy: A Valuable Tool for Families and Healthcare Teams

Naomi Feil is an expert in gerontology and the creator of validation therapy which is a means of communicating and acknowledging the internal reality of patients with dementia. When properly utilized, validation therapy can enhance the quality of life of patients with dementia as well as reduce stress of the family and caregivers. While Naomi Feil and her followers (of which the writer of this article may be considered one at least in form) focus on the use of this method of communication for maintenance of health with the potential for a level of restorative health, I want to share how the concepts of this method can be used during times of crisis.
Read MoreValidation Therapy: A Valuable Tool for Families and Healthcare Teams

Understanding Terminal Restlessness

Navigating the final days of a loved one's life can be a challenging and emotional journey. One of the signs that can be observed during this time is known as terminal restlessness. As someone deeply rooted in the realm of hospice care, I have witnessed various manifestations of this restlessness. Understanding its types, causes, and management strategies is crucial for providing compassionate end-of-life care. This article aims to shed light on the different types of terminal restlessness, identify reversible causes, and discuss effective management techniques. By equipping caregivers, families, and healthcare professionals with this knowledge, we can ensure that the terminally ill individual experiences comfort and dignity in their final days.
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