Defining and Managing End-of-Life Respiratory Changes in Adult Home Hospice Patients: A Systematic Review.

J Palliat MedOct 24, 2025 (epub)
Clinical ResearchEmergency Medicine

Allison K Donehower, Michelle Doering, Keisha White Makinde et al.

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Condensed from the publisher's abstract. An xxcode editorial summary of this publication has not been generated yet.

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.

Source

Published in J Palliat Med. The text above is extracted from the publisher's own abstract and has not been edited by xxcode. For clinical decisions, review the original publication.

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