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End-of-life care (EOLC) is health care provided in the time leading up to a person's death.End-of-life care can be provided in the hours, days, or months before a person dies and encompasses care and support for a person's mental and emotional needs, physical comfort, spiritual needs, and practical tasks.
The conditions of hypoxia and hypercapnia, whether caused by apnea or not, trigger additional effects on the body.The immediate effects of central sleep apnea on the body depend on how long the failure to breathe endures, how short is the interval between failures to breathe, and the presence or absence of independent conditions whose effects amplify those of an apneic episode.
In 2007, the mean number of patients being treated in hospice facilities on any given day was 90.2. [citation needed] 79.4% of hospice providers admitted fewer than 500 patients per year. [58] The number of for-profit and non-profit providers has become more balanced as the for-profit sector has grown. [14]
While a death rattle is a strong indication that someone is near death, [2] it can also be produced by other problems that cause interference with the swallowing reflex, such as brain injuries. [ 3 ] It is sometimes misinterpreted as the sound of the person choking to death or gargling .
In order to listen to the lungs from the back the patient is asked to move their arms forward to prevent the scapulae (shoulder blades) from obstructing the upper lung fields. These fields are intended to correlate with the lung lobes and are thus tested on the anterior (front) and posterior (back) chest walls.
Throughout the dying process, patients will lose the ability to tolerate their secretions, resulting in a sound often disturbing and emotionally distressing to visitors termed the death rattle. [2] However, the death rattle is a separate phenomenon from agonal respirations specifically related to the patient's inability to tolerate their ...