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Drooling, or slobbering, is the flow of saliva outside the mouth. Drooling can be caused by excess production of saliva, inability to retain saliva within the mouth, or problems with swallowing.
Shortness of breath (SOB), also known as dyspnea, is a feeling of not being able to breathe well enough. The American Thoracic Society defines it as "a subjective experience of breathing discomfort that consists of qualitatively distinct sensations that vary in intensity", and recommends evaluating dyspnea by assessing the intensity of the distinct sensations, the degree of distress involved, and its burden or impact on activities of daily living. Distinct sensations include effort/work, chest tightness, and air hunger. The tripod position is often assumed.
Palliative care is an interdisciplinary medical caregiving approach aimed at optimizing quality of life and mitigating suffering among people with serious, complex illnesses. Within the published literature, many definitions of palliative care exist. The World Health Organization (WHO) describes palliative care as "an approach that improves the quality of life of patients and their families facing the problems associated with life-threatening illness, through the prevention and relief of suffering by means of early identification and impeccable assessment and treatment of pain and other problems, physical, psychosocial, and spiritual." In the past, palliative care was a disease specific approach, but today the WHO takes a more broad approach, that the principles of palliative care should be applied as early as possible to any chronic and ultimately fatal illness.
In first aid, the recovery position is one of a series of variations on a lateral recumbent or three-quarters prone position of the body, often used for unconscious but breathing casualties.
Laryngitis is inflammation of the larynx. Symptoms often include a hoarse voice and may include fever, cough, pain in the front of the neck, and trouble swallowing. Typically, these last under two weeks.
Anticholinergics are a group of substances that blocks the action of the neurotransmitter called acetylcholine (ACh) at synapses in the central and peripheral nervous system.
Pulmonology or pneumology is a medical specialty that deals with diseases involving the respiratory tract. It is also known as respirology, respiratory medicine, or chest medicine in some countries and areas.
In medicine, specifically in end-of-life care, palliative sedation is the palliative practice of relieving distress in a terminally ill person in the last hours or days of a dying person's life, usually by means of a continuous intravenous or subcutaneous infusion of a sedative drug, or by means of a specialized catheter designed to provide comfortable and discreet administration of ongoing medications via the rectal route.
Respiratory arrest is caused by apnea or respiratory dysfunction severe enough it will not sustain the body. Prolonged apnea refers to a patient who has stopped breathing for a long period of time. If the heart muscle contraction is intact, the condition is known as respiratory arrest. An abrupt stop of pulmonary gas exchange lasting for more than five minutes may damage vital organs especially the brain, possibly permanently. Lack of oxygen to the brain causes loss of consciousness. Brain injury is likely if respiratory arrest goes untreated for more than three minutes, and death is almost certain if more than five minutes.
Xerostomia, also known as dry mouth, is dryness in the mouth, which may be associated with a change in the composition of saliva, or reduced salivary flow, or have no identifiable cause.
Post-nasal drip (PND), also known as upper airway cough syndrome (UACS), occurs when excessive mucus is produced by the nasal mucosa. The excess mucus accumulates in the back of the nose, and eventually in the throat once it drips down the back of the throat. It can be caused by rhinitis, sinusitis, gastroesophageal reflux disease (GERD), or by a disorder of swallowing. Other causes can be allergy, cold, flu, and side effects from medications.
Bronchoconstriction is the constriction of the airways in the lungs due to the tightening of surrounding smooth muscle, with consequent coughing, wheezing, and shortness of breath.
A wheeze is a continuous, coarse, whistling sound produced in the respiratory airways during breathing. For wheezes to occur, some part of the respiratory tree must be narrowed or obstructed, or airflow velocity within the respiratory tree must be heightened. Wheezing is commonly experienced by persons with a lung disease; the most common cause of recurrent wheezing is asthma, though it can also be a symptom of lung cancer, congestive heart failure, and certain types of heart diseases.
Parasitic bronchitis, also known as hoose, husk, or verminous bronchitis, is a disease of sheep, cattle, goats, and swine caused by the presence of various species of parasite, commonly known as lungworms, in the bronchial tubes or in the lungs. It is marked by cough, dyspnea, anorexia and constipation. Lungworms which cause parasitic bronchitis include nematodes of the genera Dictyocaulus, Metastrongylus, and Protostrongylus. Hoose is essentially an infantile disease, almost always afflicting animals under one year of age.
Oropharyngeal dysphagia arises from abnormalities of muscles, nerves or structures of the oral cavity, pharynx, and upper esophageal sphincter.
An oropharyngeal airway is a medical device called an airway adjunct used to maintain or open a patient's airway. It does this by preventing the tongue from covering the epiglottis, which could prevent the person from breathing. When a person becomes unconscious, the muscles in their jaw relax and allow the tongue to obstruct the airway.
Hypersalivation, or ptyalism, also known as hypersialorrhea or hypersialosis is the excessive production of saliva. It has also been defined as increased amount of saliva in the mouth, which may also be caused by decreased clearance of saliva.
End-of-life care (EoLC) refers to health care for a person nearing the end of their life or in the advanced stage of a terminal illness. Generally speaking, people who are dying need care in four areas—physical comfort, mental and emotional needs, spiritual issues, and practical tasks.
Pulmonary hygiene, formerly referred to as pulmonary toilet, is a set of methods used to clear mucus and secretions from the airways. The word pulmonary refers to the lungs. The word toilet, related to the French toilette, refers to body care and hygiene; this root is used in words such as toiletry that also relate to cleansing.
The Merck Manuals are medical references published by the American pharmaceutical company Merck & Co., that cover a wide range of medical topics, including disorders, tests, diagnoses, and drugs. The manuals have been published since 1899, when Merck & Co. was still a subsidiary of the German company Merck.
References
- ↑ Clinical Working Party (December 2010). "Guidelines for the management of respiratory secretions in an imminently dying patient" (PDF). Eastern Metropolitan Region Palliative Care Consortium (Victoria). Retrieved 13 April 2014.,
- ↑ Cobbs, Elizabeth L; et al. "When Death Is Near". MSD Manuals. MSD Manuals (Consumer Version). Retrieved 14 March 2016.
- 1 2 Bickel, Katherine; Arnold, Robert. "# 109 Death Rattle and Oral Secretions, 2nd ed". Fast Facts. End-of-Life/Palliative Education Resource Center. Retrieved 4 September 2017.
- ↑ Wee, B.; Hillier, R. (2008). Wee, B. (ed.). "Interventions for noisy breathing in patients near to death". Cochrane Database of Systematic Reviews (1): CD005177. doi:10.1002/14651858.CD005177.pub2. PMC 6478131 . PMID 18254072.
- 1 2 Ferrell, Betty; Coyle, Nessa; Paice, Judith A. (2015). Oxford Textbook of Palliative Nursing (4th ed.). Oxford University Press. pp. 253–255. ISBN 9780199332342. OCLC 875629996.
- ↑ "When Death Is Near – Fundamentals – Merck Manuals Consumer Version". Merck Manuals Consumer Version. Retrieved 2017-06-24.
- ↑ Hipp, B.; Letizia, M. (2009). "Understanding and responding to the death rattle in dying patients". Medsurg Nursing. 18 (1): 17–21, 32, quiz 22. PMID 19331295.
