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Modules:

  • Introduction
  • 1. Advance Care Planning
  • 2. Communicating Bad News
  • 3. Whole Patient Assessment
  • 4. Pain Management
  • 5. Assisted Suicide Debate
  • 6. Anxiety, Delirium
  • 7. Goals of Care
  • 8. Sudden Illness
  • 9. Medical Futility
  • 10. Common Symptoms
  • 11. Withholding Treatment
  • 12. Last Hours of Living
  • 13. Cultural Issues
  • 14. Religion, Spirituality
  • 15. Legal Issues
  • 16. Social and Psychological
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    Back to Module 12: Last Hours of Living
    Part I: Physiological Changes and Symptom Management During the Dying Process

    As a person dies, many different physiological changes present as signs and symptoms. Each one can be alarming if it is not understood. To control each symptom effectively, physicians need to have an understanding of:

    • The symptom's cause
    • The underlying pathophysiology
    • The appropriate pharmacology to use

    Commonly encountered physiological changes during the dying process include:

    Weakness/Fatigue
    Decreasing Appetite/Food Intake, Wasting
    Decreasing Fluid Intake, Dehydration
    Decreasing Blood Perfusion, Renal Failure
    Neurological Dysfunction: An Overview
    Pain
    Loss of Ability to Close Eyes
    Changes in Medication Needs

    >continue