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- W2184256210 abstract "Background Elderly patients with nonmalignant pulmonary disease experience different symptoms and care from those of elderly patients with lung cancer in the last days of life; nevertheless, the literature on this issue is remarkably sparse. We studied the characteristics of the symptoms and care of elderly patients with nonmalignant pulmonary disease dying at home. Methods The present analysis included 28 decedents who died of lung cancer and 29 who died of nonmalignant pulmonary disease selected from a database of 240 elderly Japanese subjects aged 65 or older dying at home. We assessed their symptom experience and end-of-life care receipt during the last two days of their lives and evaluated the differences between decedents dying of lung cancer and those dying of nonmalignant pulmonary disease. Results Decedents from the non-malignancy group were more likely to experience cough or sputum and less likely to show controlled or uncontrolled pain, or coma. This group was also more likely to receive a lower volume of intravenous drip injection compared to the malignancy group in the 24‐48 hours preceding death (800 ml vs 475 ml, respectively); they were also more likely to be given antibiotics and less likely to receive opioids. Conclusions Adequate control of cough and sputum is important for elderly patients dying at home of nonmalignant pulmonary disease. Further studies on pain control and dehydration are needed to develop appropriate responses to the end-of-life needs of this group of patients." @default.
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- W2184256210 date "2006-01-01" @default.
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- W2184256210 title "How Elderly People Die of Nonmalignant Pulmonary Disease at Home" @default.
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