Hospice of McDowell County, Inc.
Making Plans

Treatment and Dying Process

Treatment Issues

When faced with approaching death, patients are also faced with decisions regarding treatments that can alter the dying process. Think about the goal of any treatments

  • If you prefer that treatments not be used to prolong your life, you should be clear about this wish and ask that treatments only be used to assure your comfort.
  • You may choose to try a treatment for a limited amount of time, until your condition improves or physicians decide that the treatment will not work. (This is called trial of treatment)
  • You may want to try to live as long as possible with medical technology to prolong your life.

Treatment Options for consideration:

  1. Antibiotics are used in the treatment of infections. Antibiotics will not reverse the primary condition of the terminally-ill patient. During the early stages of a terminal-illness, a course of antibiotics can cure an infection and give a patient more time to enjoy life. Later during the terminal-illness, antibiotics may help reduce discomfort cause by the infection.
  2. Artificial hydration and nutrition: Intravenous (IV) fluids or liquid feeding through a tube in your nose or stomach can be given when you can no longer swallow. As the body naturally and gradually prepares for the body to no longer need hydration or nutrition, the body will only require moisture for your mouth to be comfortable.
  3. Blood transfusions are utilized to boost energy while you still have quality of life despite the terminal-illness. Late in the terminal-illness, blood transfusions will not alleviate the symptoms.
  4. Cardiopulmonary resuscitation (CPR) is a group of procedures that is used to restart someone’s heartbeat and breathing. These procedures may include being placed on a ventilator (a machine that breaths for you). CPR may be unsuccessful in someone who is elderly, terminally or critically ill.

Dying Process

Universal to all mankind is the natural process of dying. Each person experiences dying in their own individual way. While the dying process follows a pattern of usual signs and symptoms, the dying process is unique experience for each individual. Below is listed the usual signs and symptoms that become gradually apparent:

  • eat and drink less
  • less alert
  • less physically active
  • less interactive with others
  • exhibit periods of confusion

As death approaches, the individual may:

  • exhibit period of alertness
  • breathing patterns change
  • urine output decreases
  • becomes semi-conscious

 

Steppin' Out On a Cloud ©2004 CJG

Hospice of McDowell County, Inc.
575 Airport Road
Marion, NC 28762
828.652.1318
Email Advance Directives Coordinator