Abstract

BRAGA, Beatriz; RODRIGUES, Joana; ALVES, Mariana  and  GALRICA, Isabel. Practical Guide: Approach to the Period Called Agony. Medicina Interna [online]. 2017, vol.24, n.1, pp.48-55. ISSN 0872-671X.

The period of so called agony comprises the last hours or days of life, in which patients experience clinical and physiological changes, along with new symptoms or the exacerbation of existing ailments. These patients require directed-care specific and appropriate to their needs, in order to improve their comfort. The objective of this study was to present a current literature review and analysis to the approach to patient care in the last hours or days of life. Patient symptoms and signs during this period include exacerbations of the existing symptoms and the onset of new ailments, such as: the decline of the level of consciousness; deterioration of the physical state; the reduction of food and fluid intake; the increase in oropharyngeal secretions; changes in elimination; instances of peripheral edema; changes in body temperature; peripheral perfusion alteration; signs of respiratory distress; and understanding, verbalized or not, of the reality of their impending death. We consider it imperative to train and involve health care professionals and their caregivers in patient comprehensive care of the patient at the end of life.

Keywords : delirium; Palliative Care; Terminal Care.

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