Palliative Care. “How one might live before they die” Melissa Matulis, MD. . Cultural Attitudes. In the beginning, man did not fear death but instead accepted it as a natural process.
“How one might live before they die”
Melissa Matulis, MD..
1. It affirms life and regards dying as a normal process.
2. It neither hastens nor postpones death.
3. It provides relief from pain and other distressing symptoms.
4. It offers a support system to help patients live as actively as
possible until death.
5. It integrates the psychological and spiritual aspects of patient care.
6. It offers a support system to help the family cope during the
patient’s illness and in their own bereavement.
1. Our aging population
2. Emergence of patient autonomy and informed consent
3. The Right-to-Die Movement
4. The high cost of dying
GI Symptoms - Nausea and Vomiting
The Four Pathways to the vomiting center:
- 62% experienced either no thirst or thirst only initially in their terminal illness and received relief with sips of water, ice chips, and mouth care.
It is important to remember when trying to determine the cost/benefit/limits on hospice care, that we all will eventually be part of the dying and want dignity and comfort despite the cost.