TY  - CHAP
M1  - Book, Section
TI  - End of Life
A1  - Gokula, Radha Raman Murthy
A1  - Smith, Mindy A.
A2  - Usatine, Richard P.
A2  - Smith, Mindy A.
A2  - Mayeaux, Jr., E.J.
A2  - Chumley, Heidi S.
PY  - 2019
T2  - The Color Atlas and Synopsis of Family Medicine, 3e
AB  - A  72-year-old  woman  is  being  cared  for  at  home  at  the  end  of  life.  She  is  dying  from  metastatic  breast  cancer.  She  is  a  social  worker  and  planned  meticulously  for  her  end  of  life,  including  choosing  home  hospice,  designating  her  medical  power  of  attorney,  and  completing  her  last  will  and  testament.  The  home  hospice  nurse  visits  daily  and  helps  with  many  aspects  of  comfort  care  during  her  remaining  days.  In  between  visits,  her  family  helps  her  stay  clean  and  comfortable  as  she  is  now  bedbound.  They  bring  her  water  to  sip,  and  soft  food  and  medications  as  needed.  Her  doctor  in  conjunction  with  the  hospice  program  has  provided  liquid  morphine  and  a  liquid  benzodiazepine  that  helps  tremendously  with  her  pain  and  anxiety.  The  family  members  are  able  to  administer  these  medications  according  to  the  schedule  provided  by  the  hospice  nurse.  The  metastatic  cancer  has  spread  to  many  bones  and  leg  muscles,  and  in  the  last  weeks  the  morphine  and  benzodiazepine  have  truly  contributed  to  her  comfort.  The  hospice  program  has  provided  a  music  thanatologist  to  play  the  harp  for  her  now  that  it  is  clear  that  her  death  is  imminent  (Figure  5-1).  In  the  last  hours  of  her  life,  the  family  plays  her  favorite  music  as  she  peacefully  passes  away  with  her  two  sons  on  either  side  of  the  bed,  each  holding  a  hand.  
SN  - 
PB  - McGraw-Hill Education
CY  - New York, NY
Y2  - 2024/04/17
UR  - dermatology.mhmedical.com/content.aspx?aid=1164342656
ER  -