Science, hospice, and terminal dehydration

  title={Science, hospice, and terminal dehydration},
  author={Steven J. Baumrucker},
  journal={American Journal of Hospice and Palliative Medicine},
  pages={502 - 503}
  • S. Baumrucker
  • Published 1 May 1999
  • Medicine
  • American Journal of Hospice and Palliative Medicine
3 Citations

Relating palliative care principles to the promotion of undisturbed sleep in a hospice setting.

Using the four principles of palliative care (Aranda, 1998a), the authors construct a series of strategies to prevent and manage sleep issues.

Continuous subcutaneous infusion practices of United States hospices.

Should we fear the Pain Relief Promotion Act?

  • S. Baumrucker
  • Medicine
    The American journal of hospice & palliative care
  • 2000
A bill currently before the Senate was designed to address the problem of adequate opiates to patients with terminal pain, but might also cause an unprecedented scrutiny by governmental agencies into the practice of end-of-life care.



Interest in physician-assisted suicide among ambulatory HIV-infected patients.

Patients' interest in physician-assisted suicide appeared to be more a function of psychological distress and social factors than physical factors, and the importance of psychiatric and psychosocial assessment and intervention in the care of patients who express interest in or request physician- assisted suicide is highlighted.

Dying cancer patients: choices at the end of life.

  • K. Severson
  • Medicine
    Journal of pain and symptom management
  • 1997

Opioid Agonists Modulate Release of Neurotransmitters in Bovine Trachealis Muscle

Inhalation of opioids as a method of analgesia is likely to result in an opioid concentration at airway receptors sufficient to protect against bronchoconstriction; the concentration may be insufficient when opioids are administered by conventional techniques.

The use of nebulized opioids for breathlessness: a chart review

A chart review undertaken on patients referred to the Ottawa Civic Hospital's Palliative Care Service over the 18-month period from 1 January 1992 to 30 June 1993 was to assess the recorded efficacy and safety of nebulized opioid use on patients with complaints of dyspnoea.

Disabling dyspnoea in patients with advanced disease: lack of effect of nebulized morphine.

It is concluded that the subjects benefited from saline or morphine via a placebo effect and/or a nonspecific effect, and that nebulized morphine had no specific effect on dyspnoea.

Perceptions and decision-making on rehydration of terminally ill cancer patients and family members

Hospice care receivers had various concerns about rehydration, related to patients’ nutrition, survival, and distress, and the main determinants for reHydration therapy were patients” performance status, fluid retention symptoms, denial, and care receivers’ beliefs about the effect of hydration on the patients�’ distress.

Comfort and incidence of abnormal serum sodium, Bun, creatinine and osmolality in dehydration of terminal illness

The findings of this study reinforce the belief that fluid depletion in dying patients results in relatively benign symptoms, that serum sodium levels are not always altered with limited intake and that comfort levels can be maintained when the serum sodium is abnormal.

When to treat dehydration in a terminally ill patient?

The data reported to date are insufficient to allow a final conclusion on the benefit or harm of dehydration in terminally ill patients, but it is worth considering that while some dying patients may not suffer any ill effects from dehydration, there may be others who do manifest symptoms that might be alleviated or prevented by parenteral hydration.