Navigation Links
Doctors Review End-of-Life Care Guidelines

Pain, shortness of breath, depression need intervention for all with serious illness

FRIDAY, Jan. 25 (HealthDay News) -- Dying patients need to be regularly monitored for pain, shortness of breath, and depression, say new American College of Physicians (ACP) guidelines to improve end-of-life care.

Published this week in the Annals of Internal Medicine, the guidelines state that doctors should use proven therapies to treat these three common symptoms among dying patients and should ensure there's advance care planning for all patients with serious illness.

"Many Americans will face a serious illness at the end of life, and their families will be involved in their care," Dr. Amir Qaseem, senior medical associate in the Clinical Programs and Quality of Care Department of the ACP's Medical Education and Publishing Division, said in a prepared statement.

"We wanted to pull together [the] best available evidence on improving care that relieves or soothes symptoms at the end of life. Evidence review showed that the three most common symptoms were pain, difficult breathing and depression, so our guidelines address these," he added.

For patients dying of cancer, pain can be controlled with anti-inflammatory drugs, narcotics and bisphosphonates, according to the guidelines. Narcotics and oxygen can provide short-term relief for patients with shortness of breath, and antidepressants and psychosocial therapy can help those with depression.

The committee that prepared the new guidelines found there's a limited amount of high-quality evidence on end-of-life care, and that most of the evidence comes from studies involving cancer patients.

That means that the new guidelines may not address other important aspects of end-of-life care, such as symptoms specific to heart disease, lung disease or dementia. There's also a lack of information about the value of nutritional support in end-of-life care, the ACP noted.

More information

The Family Caregiver Alliance discusses end-of-life decision-making.

-- Robert Preidt

SOURCE: American College of Physicians, news release, Jan. 14, 2008

Copyright©2008 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. UK junior doctors gaining less experience of common procedures
2. Doctors Often Miss High Blood Pressure in Kids
3. One-fourth of HIV patients believe their doctors stigmatize them
4. Annual flu shot cuts need for doctors visits, hospitalization among children
5. Teens need to see their doctors more often
6. Doctors and medical ethicist discuss whether doctors should participate in capital punishment
7. Doctors and Medical Ethicist Discuss Whether Doctors Should Participate in Capital Punishment
8. South Texas Doctors Report More Severe Cases of Community Staph Super Bug Hospitalizing Children
9. Maimonides Expands Circulation of Physicians Practice Journal to Staten Island Doctors
10. Doctors Debate Drugs vs. Surgery for Angina
11. UCI Medical Affiliates Inc. Opens a New Doctors Care Center in Anderson
Post Your Comments:
Related Image:
Doctors Review  End-of-Life Care Guidelines
(Date:6/25/2016)... ... June 25, 2016 , ... ... and applications at AcademyHealth’s Annual Research Meeting June 26-28, 2016, at the Hynes ... important health care topics including advance care planning, healthcare costs and patient and ...
(Date:6/25/2016)... ... June 25, 2016 , ... As a lifelong Southern Californian, Dr. ... his M.D from the David Geffen School of Medicine at UCLA. He trained in ... to complete his fellowship in hematology/oncology at the UCLA-Olive View-Cedars Sinai program where he ...
(Date:6/24/2016)... ... 2016 , ... Those who have experienced traumatic events may suffer from a ... such as drug or alcohol abuse, as a coping mechanism. To avoid this pain ... following a traumatic event. , Trauma sufferers tend to feel a range of emotions, ...
(Date:6/24/2016)... Francisco, CA (PRWEB) , ... June 24, 2016 ... ... CitiDent, is now offering micro-osteoperforation for accelerated orthodontic treatment. Dr. Cheng has extensive ... self-ligating Damon brackets , AcceleDent, and accelerated osteogenic orthodontics. , Micro-osteoperforation ...
(Date:6/24/2016)... ... June 24, 2016 , ... The ... recognize Dr. Barry M. Weintraub as a prominent plastic surgeon and the network’s ... the world, and the most handsome men, look naturally attractive. Plastic surgery should ...
Breaking Medicine News(10 mins):
(Date:6/23/2016)... -- Research and Markets has announced the ... (Organic Chemical (Sugar, Petrochemical, Glycerin), Inorganic Chemical), Functionality (Filler, ... Global Forecast to 2021" report to their offering. ... pharmaceutical excipients market is projected to reach USD 8.1 ... the forecast period 2016 to 2021. ...
(Date:6/23/2016)... Capricor Therapeutics, Inc. ... company focused on the discovery, development and commercialization ... in its ongoing randomized HOPE-Duchenne clinical trial (Halt ... its 24-patient target. Capricor expects the trial to ... 2016, and to report top line data from ...
(Date:6/23/2016)... and INDIANAPOLIS , June 23, 2016 ... Lilly Diabetes Tomorrow,s Leaders Scholarship is any indication, the ... announced today online at by the ... diabetes stand in the way of academic and community ... Foundation,s scholarship program since 2012, and continues to advocate ...
Breaking Medicine Technology: