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MANAGEMENT OF TERMINAL PATIENTS

Lujain Shaker Bin Ladin , Fahad Sultan Alrajhi , Maad Saad Altalhi , Nawal Misfer Alwadai , Rashad Mohammed Alzahrani , Fawziah Ali Halawani , Ghaida Mansour Alharbi , Lamyaa Omar Al-Gelban , Hamad Dakhilullah Alotaibi , Ghofran Bader Al –Saif

Introduction: A great majority of patients are keen on discussing end-of-life care with their physician, and most trust that doctors ought to present the topic. End-of-life discussion should address a wide cluster of issues fundamental to the dying patient and family. Discussions that emphasis focus solely on resuscitation neglect to perceive critical physical and psychosocial importance. Most individuals, as they get closer to death, contend with same feelings of fear, needs, and desires. Dying patients encounter fear of pain, fear of indignity, fear of abandonment, and fear of the unknown. Open and direct discussions can ease a great number of these fears. By including family members in these discussions, relationships inside the family such as relatives can be strengthened and can diminish the isolation encountered by the dying patient. Aim of work: In this review, we will discuss multiple aspects of end-of-life care, emphasizing on symptomatic care, and the best way to of a physician to approach the patient and family. Methodology: We conducted this review using a comprehensive search of MEDLINE, PubMed, and EMBASE, January 1985, through February 2017. The following search terms were used: end of life care, palliative care, supportive care, terminal patients, symptomatic treatment Conclusions: The job of palliative care toward the end of life is to soothe the suffering of patients and their families by the extensive evaluation and treatment of physical, psychosocial, and spiritual symptoms patients encounter. As death approaches, the side effect burden of a patient may decline and require more aggressive palliation. As comfort measures intensify, so does the support given to a dying patient's family. When death has happened, the job of palliative care centers primarily around the support of the patient's family and bereavement Key words: end of life care, palliative care, supportive care, terminal patients.

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