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The Last 48 Hours of Life
Abstract
Though patients usually die peacefully, problems may arise in the last period of a terminal illness. In the final days new symptoms may arise or there may be exacerbation or recurrence of symptoms previously well controlled. Two hundred consecutive hospice patients were studied. The incidence was noted of pain, dyspnea, moist breathing, nausea and vomiting, confusion, restlessness, jerking and twitching, difficulty in swallowing, incontinence and retention of urine, sweating, moaning and groaning, and loss of consciousness. Each symptom is considered and the results of the management employed are noted. Many of the features appearing in the last days of a terminal illness, especially cancer, can be attributed to organic brain disease consequent to metabolic disorder associated with multi-organ failure. An awareness of the nature of the problems that may arise in the last 48 hours of life makes it possible to keep the patient comfortable to the end.
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Citations
Cited by
Prevalence of pain in patients with cancer: a systematic review of the past 40 years
van den Beuken-van Everdingen, M. H. J., de Rijke, J. M., Kessels, A. G., Schouten, H. C., van Kleef, M., & Patijn, J. (2007) · Annals of Oncology · doi:10.1093/annonc/mdm056 · Cited by 1,923
Sedation in the Management of Refractory Symptoms: Guidelines for Evaluation and Treatment
Cherny, N. I., & Portenoy, R. K. (1994) · Journal of Palliative Care · doi:10.1177/082585979401000207 · Cited by 422
Metadata
- Authors
- Lichter, I., & Hunt, E.
- Venue
- Journal of Palliative Care
- Publisher
- SAGE Publications
- Published
- 1990-12
- Volume
- 6
- Issue
- 4
- Pages
- 7-15
- ISSN
- 0825-8597 (ISSN-L)
- 2369-5293
- OpenAlex
- W2411167102
- Cited by
- 273
- References
- 0
- FWCI
- 7.41
- Type
- journal article
- Language
- en
- Open access
- closed
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- Lichter, I., & Hunt, E. (1990). The Last 48 Hours of Life. Journal of Palliative Care. https://doi.org/10.1177/082585979000600403
Data sources
Bibliographic data: Semantic Scholar, OpenAlex, Crossref.
Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.
