When to treat dehydration in a terminally ill patient?

Supportive Care in Cancer

Volumn 5, Issue 3, 1997, Pages 205-211

  Fainsinger, Robin L ^a,b   Bruera, Eduardo ^a  

^a UNIVERSITY OF ALBERTA   (Canada)

^b ROYAL ALEXANDRA HOSPITAL   (Canada)

Author keywords

Dehydration; Terminally ill patients

Indexed keywords

CANCER PALLIATIVE THERAPY; CANCER PATIENT; DEHYDRATION; FLUID THERAPY; HUMAN; PRIORITY JOURNAL; REHYDRATION; REVIEW; TERMINAL CARE; TERMINAL DISEASE;

DEATH AND EUTHANASIA;

DEHYDRATION; ETHICS, MEDICAL; FLUID THERAPY; HUMANS; KIDNEY FAILURE; NEOPLASMS; PALLIATIVE CARE; TERMINAL CARE;

EID: 0031009369     PISSN: 09414355     EISSN: None     Source Type: Journal    
DOI: 10.1007/s005200050061     Document Type: Review

References (54)

1. Andrews M, Bell ER, Smith SA, et al (1993) Dehydration in terminally ill patients. Is it appropriate palliative care? Postgrad Med 93:201-208
2. Ashby M, Stoffell B (1995) Artificial hydration and alimentation at the end of life: a reply to Craig. J Med Ethics 21:135-140
3. Back IN (1992) Terminal restlessness in patients with advanced malignant disease. Palliat Med 6:293-298
4. Badr K, Ichikawa I (1988) Prerenal failure: a deleterious shift from renal compensation to decompensation. N Engl J Med 319:623-629
5. Brady HR, Singer GG (1995) Acute renal failure. Lancet 346:1533-1540
6. Bruera E, Legris M, Keuhn N, Miller MJ (1990) Hypodermoclysis for the administration of fluids and narcotic analgesics in patients with advanced cancer. J Pain Symptom Manage 5:218-220
7. Bruera E, Schoeller T, Pruvost M (1994) Proctoclysis for hydration of terminal cancer patients. Lancet 344:1699
8. Bruera E, Franco JJ, Maltoni M, Watanabe S, et al (1995) Changing pattern of agitated impaired mental status in patients with advanced cancer: association with cognitive monitoring, hydration, and opioid rotation. J Pain Symptom Manage 10:287-291
9. Bruera E, Stoutz ND de, Fainsinger RL, et al (1995) Comparison of two different concentrations of hyaluronidase in patients receiving one hour infusions of hypodermoclysis J Pain Symptom Manage 10:505-509
10. Bruera E, Belzile M, Watanabe S, Fainsinger RL (1996) Volume of hydration in terminal cancer patients. Support Care Cancer 4:147-150
11. Bruera E, Schoeller T, Pruvost M, Montejo G (1996) Rectal administration of fluids (proctoclysis) in advanced cancer patients (abstract). Support Care Cancer 4:246
12. Burge FI (1993) Dehydration symptoms of palliative care cancer patients. J Pain Symptom Manage 8:454-464
13. Burge FI, King DB, Wilson D (1990) Intravenous fluids and the hospitalized dying: a medical last rite? Can Fam Physician 86:883-886
14. Burke AL, Diamond PL, Hulbert J (1991) Terminal restlessness - its management and the role of midazolam. Med J Aust 155:485-487
15. Constans T, Dutertre J, Froge E (1991) Hypodermoclysis in dehydrated elderly patients: local effects with and without hyaluronidase. J Palliat Care 7:10-42
16. Craig GM (1994) On withholding nutrition and hydration in the terminally ill: has palliative medicine gone too far? J Med Ethics 20:139-143
17. Dicks B (1994) Rehydration or dehydration? Support Care Cancer 2:88-90
18. Dunlop RJ, Ellershaw JE, Baines MJ, Sykes N, Saunders CM (1995) On withholding nutrition and hydration in the terminally ill: has palliative medicine gone too far? A reply. J Med Ethics 21:141-143
19. Dunphy K, Finlay I, Rathbone G, Gilbert J, Hicks F (1995) Rehydration in palliative and terminal care: if not - why not? Palliat Med 9:221-228
20. Ellershaw JE, Sutcliffe JM, Saunders CM (1995) Dehydration and the dying patient. J Pain Symptom Manage 10:192-197
21. Fainsinger RL (1995) Dehydration and palliative care. Palliat Care Lett 7:1
22. Fainsinger RL (1995) Deshydratation et soins palliatifs. In: Roy DJ, Rapin C (eds) Les annales de soins palliatifs, vol 3. Centre de Bioethique. Institut de Recherches Cliniques de Montreal, pp 171-180
23. Fainsinger RL (1995) Nutrition and hydration for the terminally ill. JAMA 273:1736
24. Fainsinger RL, Bruera E (1991) Hypodermoclysis for symptom control vs the Edmonton Injector. J Palliat Care 7:5-8
25. Fainsinger RL, Bruera E (1995) The management of dehydration in terminally ill patients. J Palliat Care 10:55-59
26. Fainsinger RL, MacDonald SM (1994) Concerns about dehydration/ starvation. J Gen Intern Med 9:115-116
27. Fainsinger RL, Bruera E, Miller MJ, Hanson J, MacEachern T (1991) Symptom control during the last week of life on a palliative care unit. J Palliat Care 7:5-11
28. Fainsinger RL, MacEacheron T, Miller MJ, Bruera E, Hanson J (1992) The use of hypodermoclysis for rehydration in terminally ill cancer patients. J Palliat Care 8:70
29. Fainsinger RL, Tapper M, Bruera E (1993) A perspective on the management of delirium in the terminally ill. J Palliat Care 9:4-8
30. Fainsinger RL, MacEachern T, Miller MJ, Bruera E, et al (1994) The use of hypodermo-clysis for rehydration in terminally ill cancer patients. J Pain Symptom Manage 9:298-302
31. Fainsinger RL, Bruera E, Watanabe S (1996) Rehydration in palliative care. Palliat Med 10:165-166
32. Hays H (1985) Hypodermoclysis for symptom control in terminal cancer. Can Fam Physician 31:1253-1256
33. Lichter I, Hunt E (1990) The last 48 hours of life. J Palliat Care 6:7-15
34. McCann RM, Hall WJ, Groth-Juncker A (1994) Comfort care for the terminally ill patients. The appropriate use nutrition and hydration. JAMA 272:1263-1266
35. MacDonald SM, Fainsinger RL (1994) Symptom control: the problem areas. Palliat Med 8:167-168
36. Meares CJ (1994) Terminal dehydration. A review. Am J Hospice Palliat Care 11:10-14
37. Mercadante S, DeConno F, Ribamonti C (1995) Propofol in terminal care. J Pain Symptom Manage 10:639-642
38. Molloy DJ, Cunje A (1992) Hypodermoclysis and the care of old adults. An old solution for new problems? Can Fam Physician 38:2038-2043
39. Monta T, Inoue S, Chihara S (1996) Sedation for symptom control in Japan: the importance of intermittent use and communication use with family members. J Pain Symptom Manage 12:32-38
40. Moyle J (1995) Use of propofol in palliative medicine. J Pain Symptom Manage 10:643-646
41. Musgrave CF (1996) Fluid retention and intravenous hydration in the dying. Palliat Med 10:53
42. Musgrave CF, Bartle N, Opstad J (1995) The sensation of thirst in dying patients receiving IV hydration. J Palliat Care 11:17-21
43. Needham D (1995) Proctoclysis for hydration. Lancet 345:596
44. Oliver D (1994) Terminal dehydration (letter). Lancet II:631
45. Slomka J (1995) What do apple pie and motherhood have to do with feeding tubes and caring for the patient? Arch Intern Med 155:1258-1263
46. Smith SA (1995) Patient induced dehydration - can it ever be therapeutic? Oncol Nurs Forum 22:1487-1491
47. Sullivan RJ (1994) In reply: Concerns about dehydration/starvation. J Gen Intern Med 9:116
48. Ventafridda V, Ripamonti C, DeConno F, Tamburini M, Cassileth BR (1990) Symptom prevalence and control during cancer patients last days of life. J Palliat Care 6:7-11
49. Waller A (1995) Letter to the editor. Am J Hospice Palliat Care 7:5-6
50. Waller A, Caroline NL (1996) Nutrition and hydration. In: Waller A, Caroline NL (eds) Handbook of palliative care in cancer. Butterworth Heinemann, Newton, Mass, pp 45-57
51. Waller A, Herskowitz M, Adunsky A (1994) Am J Hospice Palliat Care 11:22-27
52. Weinberg A, Minakar KL (1995) Dehydration. Evaluation and management in older adults. JAMA 274:1552-1556
53. Wilkes E (1994) On withholding nutrition and hydration in the terminally ill: has palliative medicine gone too far? A commentary. J Med Ethics 20:144-145
54. Yan E, Bruera E (1991) Parenteral hydration of terminally ill cancer patients. J Palliat Care 7:40-43