Defining and Managing End-of-Life Respiratory Changes in Adult Home Hospice Patients: A Systematic Review.
Allison K Donehower, Michelle Doering, Keisha White Makinde et al.
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From the abstract
End-of-life respiratory changes-agonal breathing, Cheyne-Stokes breathing, and death rattle/noisy breathing-are common in home hospice settings, impacting patient comfort, caregiver distress, and quality of care. To identify and critically evaluate literature on definitions, characteristics, and management for end-of-life respiratory changes in home hospice patients.
Authors' conclusions
There is a dearth of evidence on respiratory changes, particularly agonal breathing and Cheyne-Stokes breathing, in home hospice patients. Definitions and treatment guidelines vary, emphasizing the need for clear, evidence-based protocols. Improved caregiver education and future research are crucial to enhancing end-of-life care in home hospice settings.
Stated limitations
Few studies included, encompassing various report types.