Show Summary Details
Page of

The terminal phase 

The terminal phase
Chapter:
The terminal phase
Author(s):

Max Watson

, Rachel Campbell

, Nandini Vallath

, Stephen Ward

, and Jo Wells

DOI:
10.1093/med/9780198745655.003.0030
Page of

PRINTED FROM OXFORD MEDICINE ONLINE (www.oxfordmedicine.com). © Oxford University Press, 2016. All Rights Reserved. Under the terms of the licence agreement, an individual user may print out a PDF of a single chapter of a title in Oxford Medicine Online for personal use (for details see Privacy Policy and Legal Notice).

date: 22 August 2019

This chapter covers the common issues encountered in the last days of life relating to prognostication, anticipatory prescribing, common symptom management, spiritual care, and the five priorites of end-of-life care. Terminal phase is the period of inexorable and irreversible decline in functional status prior to death. It is the period when there is day-to-day deterioration, particularly of strength, appetite, and awareness. This may unfold gradually over days or weeks, or occur precipitously following an unexpected event, e.g. stroke. These challenges may present as sudden changes in the clinical status needing urgent attention. More often they are predictable, and reflect a final common pathway of many progressive illnesses.

Access to the complete content on Oxford Medicine Online requires a subscription or purchase. Public users are able to search the site and view the abstracts for each book and chapter without a subscription.

Please subscribe or login to access full text content.

If you have purchased a print title that contains an access token, please see the token for information about how to register your code.

For questions on access or troubleshooting, please check our FAQs, and if you can't find the answer there, please contact us.