Journal of palliative medicine
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Observational Study
Is it appropriate to withdraw antibiotics in terminal patients with cancer with infection?
Antibiotic administration is frequent in terminal patients with cancer, yet the effects on survival are still under debate. ⋯ The results suggest that with good communication between patients, families, and medical staff, withdrawal of antibiotics should be considered if signs of death appear, in order to avoid unnecessary risks. The possible benefit of prolonged survival should be in line with the goal of care, and also take into account preparing the patient for a dignified death.
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Little regional data exists on the distress of people nearing the end of their lives and their caregivers. ⋯ The practical, physical, emotional, and spiritual needs of people at the end of life in Botswana and their caregivers are not being fully met, with poor overall quality of life among the dying. More research is needed to explore how hospice and home health services and the services of spiritual leaders can be expanded to meet their needs.