Context Death rattle, or respiratory tract secretion in the dying patient, is a common and
potentially distressing symptom in dying patients. Health care professionals often struggle …

Patient comfort is not assured by common practices for terminal extubation. Treatment
guidelines suggest minimizing dosage of opioids and sedatives. Multiple lines of evidence …

Background A considerable number of patients admitted to the intensive care unit (ICU) die
following withdrawal of mechanical ventilation. After discontinuation of ventilation without …

Background: Death rattle is the noisy, rattling breathing that occurs in many dying patients.
Health professionals intervene because the sound is said to distress attendant relatives. We …

CONTEXT: Noisy breathing because of respiratory tract secretions (RTS), often referred to
as “death rattle,” occurs in up to half of all dying patients. Despite a lack of evidence showing …

Background: In an earlier study, we found that some bereaved relatives (five out of 12
interviewed) found it distressing to hear the sound of death rattle, but the remainder did not …

This established and well-regarded Guide describes the management of patients with
advanced disease. Its foundation is a clinical decision-making approach in which the …

WATTS T.(2012) European Journal of Cancer Care21, 20–30, End‐of‐life care pathways as
tools to promote and support a good death: a critical commentary This paper calls into …

Noisy breathing at the end of life (noisy breathing (“NB”) occurs in up to 90% of people.
Interventions have not been systematically evaluated. There has been clinical observation …

Dyspnea is a common symptom in people with advanced disease and can severely impair
their quality of life. Management of dyspnea requires understanding and assessment of the …