Baycrest

Palliative Care Manual 2016

Baycrest Health Sciences & Baycrest Foundation Publications

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Baycrest - End of Life Volunteer Manual 36 It is very common for people nearing end of life to not report symptoms in order to protect their family or not bother the health care professional. The privileged role of volunteer as confidant is NOT undermined when the volunteer shares this information in order to assure the best quality of care. MANAGING OTHER SYMPTOMS BREATHING PROBLEMS Shortness of breath is a common problem that can be very frightening for both the person and family. Use the following measures to help a person breathe: • If people have difficulty breathing during an activity, stop the activity. Offer them a chance to "catch their breath". Call a member of the care team if the breathlessness continues and the patient in not comfortable. If the person is using oxygen: • Remember: oxygen is a medication and so medication policy applies. DO NOT attempt to adjust the airflow or refit the oxygen mask or prongs. • Advise nursing if the person is still uncomfortable or experiencing breathing problems VOMITING Certain foods, drugs, scents or internal pressure from blocked intestines may cause the person to feel nauseous. If the person vomits when you are with them, call a nurse immediately. FEVER OR CHILLS When a person is experiencing fevers or chills, you can help by: • Covering someone who is shivering with extra blankets • Encouraging the person to drink fluids if tolerable and the patient can safely swallow according to the nurses instructions.

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