PMID: 9176966May 1, 1997Paper

When to treat dehydration in a terminally ill patient?

Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer
R L Fainsinger, E Bruera

Abstract

The need to treat dehydration in terminally ill patients has become a very controversial topic. Numerous reports in the literature illustrate opposing view-points from both clinical and ethical perspectives. Arguments for the maintenance of hydration in terminally ill patients have tended to come from "the traditional medical model". Many health care professionals looking after terminally ill patients have reacted to the generalized use of intravenous fluids in dying patients and the perceived negative effects of this management. Our palliative care group has argued that the viewpoint that dehydration in dying patients is not a cause of symptom distress overlooks commonly reported problems, such as agitated delirium, that can be prevented or reversed by the management of dehydration. This review presents a summary of the traditional arguments, a different perspective on the controversy, biochemical parameters reported in terminally ill cancer patients, recent dehydration research, and the use of hypodermoclysis and rectal hydration. We conclude that the data reported to date are insufficient to allow a final conclusion on the benefit or harm of dehydration in terminally ill patients. Nevertheless, it is worth considering that w...Continue Reading

Citations

Jan 20, 2005·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·S SahmG Hommel
Mar 13, 2008·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Li-Shan KeSu-Shun Lo
Dec 21, 2000·Current Oncology Reports·J D Cowan
May 21, 2005·Journal of Pain and Symptom Management·Andrew Broadbent, Paul Glare
Jun 19, 2001·Primary Care·M E Frederich
Oct 14, 1998·Journal of Pain and Symptom Management·R L FainsingerE Bruera
Jan 20, 2000·The New England Journal of Medicine·M R Gillick
Nov 26, 2010·Journal of Nutrition for the Elderly·Roschelle A Heuberger
May 8, 2004·Journal of Palliative Medicine·Kathryn LanukeDonna DeMoissac
Oct 22, 2005·Journal of Palliative Medicine·William M Plonk, Robert M Arnold
Jan 5, 2011·Annals of Oncology : Official Journal of the European Society for Medical Oncology·N J H RaijmakersUNKNOWN OPCARE9
Oct 31, 2000·Journal of Medical Ethics·T Y ChiuC Y Chen
Jan 11, 2011·Indian Journal of Palliative Care·Lalit Kumar Radha KrishnaCynthia Goh
May 30, 2001·European Journal of Cancer : Official Journal for European Organization for Research and Treatment of Cancer (EORTC) [and] European Association for Cancer Research (EACR)·P StoneJ R Hardy
May 3, 2011·Current Opinion in Supportive and Palliative Care·Chrissi GalanakisBruno Gagnon
Jun 17, 2000·The New England Journal of Medicine·W J Burke
Mar 31, 2012·Journal of Pain and Symptom Management·Marlene Z CohenEduardo Bruera
Oct 24, 2009·The Nursing Clinics of North America·Cheryl Monturo, Kevin Hook
Jul 18, 2009·Journal of Pain and Symptom Management·Zhou LingjunZhao Jijun
Feb 6, 2003·Journal of Gerontological Nursing·Jennifer Critchlow, Susan M Bauer-Wu
Feb 2, 2013·Journal of Gerontological Nursing·Janet C Mentes, Sarah Kang
May 12, 2012·European Journal of Cancer Care·V Prevost, M-C Grach
Oct 26, 2016·Gerodontology·Siri F KvalheimMihaela C Marthinussen
Jul 10, 2013·Journal of Clinical Nursing·Jon GardnerAlanna Forester
Aug 7, 2004·Pain Management Nursing : Official Journal of the American Society of Pain Management Nurses·Mary ErsekGordon A Irving
May 16, 2006·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·J ArendsUNKNOWN ESPEN (European Society for Parenteral and Enteral Nutrition)
Apr 28, 2000·Clinics in Geriatric Medicine·Z B Huang, J C Ahronheim
Aug 13, 2002·Hematology/oncology Clinics of North America·Peter G Lawlor, Eduardo D Bruera
Mar 30, 2011·Journal of Pain and Symptom Management·Catherine Malia, Michael I Bennett
Nov 27, 2015·Palliative Medicine·María José Cabañero-MartínezJulio Cabrero-García
Mar 9, 2004·American Journal of Alzheimer's Disease and Other Dementias·Mark B DetweilerJill Bass
Mar 30, 2004·Palliative Medicine·Camilla Zimmermann, Gary Rodin
May 16, 2018·Journal of Palliative Medicine·Jacqueline Oehme, Caitlin Sheehan
Aug 31, 2010·The American Journal of Hospice & Palliative Care·Susan B LeGrand, Declan Walsh
Nov 2, 2002·International Journal of Palliative Nursing·L CerchiettiF Palazzo
Aug 24, 2005·International Journal of Palliative Nursing·Gillian Craig
Jul 3, 2007·The American Journal of Hospice & Palliative Care·Mitsunori MiyashitaIsamu Adachi
Jun 7, 2011·Administration and Policy in Mental Health·Kimberly D Becker, Shannon Wiltsey Stirman
Feb 8, 2002·British Journal of Community Nursing·D Moriarty, E Hudson
Feb 16, 2006·British Journal of Nursing : BJN·Lesley-Ann Maxwell
Apr 17, 2008·International Journal of Palliative Nursing·Pamela van der RietLudmilla Sneesby
Nov 21, 2007·International Journal of Palliative Nursing·Lyn Bavin
Jan 25, 2020·Journal of Gerontological Nursing·Janet C Mentes, Phyllis M Gaspar
Jun 6, 2000·The Hospice Journal·J C MuirC F von Gunten
Feb 8, 2000·The American Journal of Hospice & Palliative Care·S Baumrucker

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