Last Days of Life (PDQ®): Supportive care - Patient Information [NCI] - Overview
Planning for the end of life can be both rewarding and difficult.
Thinking about and planning for the end-of-life can be a difficult time for patients and their families. Each person will have unique needs and will cope in different ways. This time is easier when patients, families, and health care providers talk openly about end-of-life plans. For many patients and their families, this can be a time of personal growth. These events often give people the chance to find out more about themselves and appreciate what is most important to them.
Chronic eosinophilic leukemia (CEL) is a chronic myeloproliferative disorder of unknown etiology in which a clonal proliferation of eosinophilic precursors results in persistently increased numbers of eosinophils in the blood, bone marrow, and peripheral tissues. In CEL, the eosinophil count is greater than or equal to 1.5 × 109 /L in the blood. To make a diagnosis of CEL, there should be evidence for clonality of the eosinophils or an increase in blasts in the blood or...
This summary discusses care during the last days and last hours of life, including treatment of common symptoms and ethical questions that may come up. It may help patients and their families prepare for the kinds of decisions that may be needed during this time.
This summary is about end-of-life in adults with cancer and where noted, children with cancer.
Making end-of-life plans can lower the stress on both the patient and the family.
When treatment choices and plans are discussed before the last days of life, it can lower the stress on both the patient and the family. Knowing the patient's wishes can help make it easier for family members to make major decisions for the patient during a very emotional time. It is most helpful if end-of life planning and decision-making begin soon after diagnosis and continue during the course of the disease. Having these decisions in writing can make the patient's wishes clear to both the family and the health care team. When it is a child who is terminally ill, having these discussions with the child's doctor may reduce the time the child spends in the hospital and help the parents feel more prepared for the child's end of life.
End-of-life planning usually includes making choices about the following:
The goals of care (for example, whether to use certain medicines during the last days of life).
Where the patient wants to spend his or her final days.
Which treatments for end-of-life care the patient wishes to receive.
What type of palliative care and hospice care the patient wishes to receive.
Palliative care relieves symptoms and can improve the quality of life for patients and their families.
The goal of palliative care is to improve the patient's and the family's quality of life by preventing and relieving suffering. This includes treating physical symptoms such as pain, and dealing with emotional, social, and spiritual concerns. Palliative care is offered in some hospitals, outpatient centers, and in the home.
When palliative treatment is given at the end of life, care is taken to make sure the patient's wishes about treatments he or she wants to receive are followed.