The Elizabeth Hospice Palliative Reference Cards

SIGNS & SYMPTOMS CLOSE TO TIME OF DEATH OBSERVATIONS OF HOSPICE NURSES

MONTHS NOT WEEKS WEEKS NOT MONTHS

DAYS NOT WEEKS

NEXT FEW DAYS

TODAY OR TOMORROW

BIOLOGICAL & PHYSICAL SIGNS & SYMPTOMS

 Weakness & fatigue, ECOG 3, assistance with ADLs  Appetite,  weight loss ( > 10 % ), bitemporal wasting

 Weakness & fatigue, ECOG 4 bedbound, assistance with ADLs  Intake, dehydration, some dysphagia, dry skin, skin tenting

Extreme weakness, mouth droop, minimal voluntary movement, no muscle tone

Extreme weakness & fatigue, unable to get up to commode

ACTIVITY

Up & about ECOG 2

Normal, some changes in food likes & dislikes, some weight loss

NUTRITION HYDRATION

Dehydration, dysphagia, emaciated ( dry eyes, pinched nose, ketotic breath )

Dysphagia, no oral intake

Normal, some constipation

No urine, bowel incontinence / diarrhea

ELIMINATION

 Constipation

Some bladder incontinence

Bowel / bladder incontinence

 Pain, perhaps due to emotional, spiritual causes

PAIN

Usual

 Pain

Possible pain

Pain may be  or 

 Peripheral circulation ( mottling,  temperature, cyanotic nail beds ) color changes ( jaundice / grey / ashen / pale )

Mottling cyanotic toes, heels, fingers, livedo reticularis

SKIN

Normal

Thin,  fragility, bruising

Possible breakdown

Bed & chair existence, may be restless at night Dull, cloudy, looks inward, distant

 Responsiveness, frequently unarousable

SLEEP

Some insomnia

> 50 % waking hours in bed

 Sleeping

Glazed fixed stare, partly open, fixed or dilated pupils

EYES

Normal

Dull

Glazed, staring, sunken

Dyspneic, possible hypoxia, oxygen may be helpful

Irregular breathing patterns, congestion

Increased congestion, rattle, periods of apnea or Cheyne-Stokes pattern  Agitation, no purposeful movement, twitching, ‘near-death awareness’, delirium, non-distressing visual hallucinations

Death rattle, apnea, Cheyne-Stokes pattern

RESPIRATOINS

Normal

Delirium,  arousal, unarousable, occasionally a mysterious ‘rally’ or ‘rise before the fall’, sometimes related to out-of-town family

Picking, twitching, seizures, delirium

NEUROLOGICAL

Normal

Normal

Abdominal distension, leg edema, not dehydrated

ASCITES‒EDEM A

 Distension,  edema Continued distension, edema

 or  Distension,  edema

 Distension,  edema

38 NB: These Reference Cards do not replace careful clinical judgment specific to each patient / family situation. PCIC: Palliative Care Interdisciplinary Curriculum is a collaborative effort of OhioHealth, The Ohio State University Wexner Medical Center, and Nationwide Children’s Hospital in Columbus, Ohio, USA, and other contributors. Permission to reproduce any or all of these PCIC Reference Cards is granted for non-commercial educational purposes only, provided that the attribution statement and copyright are displayed. To reproduce for all other purposes, contact Frank D. Ferris at info@pallmed.us. Copyright © Frank D Ferris 2013-2024. All rights reserved. V14.1, 2024 Adapted from “Markers noted by Home Hospice Nurses Related to Time Remaining in the Dying Process,” Master’s Thesis of Carol McCrann McShane RN, MS, Creighton University Lincoln NE, 1991. Used with Permission

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