• Medsurg Nurs · Jan 2009

    Review

    Understanding and responding to the death rattle in dying patients.

    • Billy Hipp and MariJo Letizia.
    • Palliative Care Services Department, Midwest Palliative and Hospice CareCenter, Glenview, IL, USA.
    • Medsurg Nurs. 2009 Jan 1;18(1):17-21, 32; quiz 22.

    AbstractMedical-surgical nurses in inpatient settings may encounter dying patients who exhibit a number of symptoms during the end of life. One symptom, the death rattle, refers to the noise of excessive secretions present during the inspiratory and expiratory phases of respiration. Symptom improvement can be obtained with pharmacologic and non-pharmacological measures. Empathic communication with the patient's significant others also is an important component of care.

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