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Clinical Processes and Symptom Management

This section describes condition-based clinical processes and symptom management. Shortness of breath, chest tightness, and air hunger (dyspnea) are often associated with findings of anxiety, panic, desperation, or impending doom. These symptoms are often more distressing than pain. As such, it is suggested to never delay palliative treatment for any reason. The section then explores the management of anorexia and cachexia; belching and burping (eructation); bleeding, draining, and malodorous lesions; confusion/delirium; constipation; coughing; depression; diarrhea and anorectal problems; dysphagia and oropharyngeal problems; and edema. It also looks at fatigue and weakness (aesthenia); fever and diaphoresis; hiccups; imminent death; insomnia and nocturnal restlessness; nausea and vomiting; pain; pruritus; seizures; skeletal muscle and bladder spasms; skin breakdown; urinary problems; and xerostomia (dry mouth).