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PHC Next Steps: Navigating the End of Life Journey Booklet ENGLISH

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Allow them to move freely. Restraint may actually increase restlessness. You might try a light, soothing massage on the forehead, hands or feet. Avoid overstimulation, and limit the number of visitors. Soothing music can help ease agitation and restlessness. If your loved one appears uncomfortable, notify the nurse. Many medications can ease anxiety, agitation, pain or breathing difficulties. Decrease in urine, loss of control As your loved one drinks less, their urine will become more concentrated and darker, and it may have a stronger odor. As the body weakens, it's common for the person to lose bowel and bladder control. This change can be upsetting to both you and your loved one; however, it is a normal result of the changes in their body. Keep them warm and dry, using disposable pads if necessary. Change soiled bed linen as needed. Congestion and breathing changes Fluid will begin to collect in the lungs and throat, causing gurgling and rattling sounds. Although these sounds can be disturbing to hear, they cause little or no distress to your loved one. Breathing may become fast and shallow, followed by deeper, irregular breaths. Your loved one may stop breathing entirely for up to a minute. They may moan when exhaling. This does not mean they are in pain or are suffering; it is simply air moving over relaxed vocal cords. Raise the head of the bed slightly. Share any concerns with their nurse, as medications may be administered to ease breathing. 7

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