Abstract
The symptoms of 86 patients referred to a district terminal care support team were rated throughout care using a standardized schedule. Pain was the most common main symptom at referral, occurring in 35 (41%) of the patients. The assessment scores for pain showed significant improvements after one week of care (P less than 0.01) and there was a further improvement into the week of death. However, towards death, 18 (21%) patients developed dyspnoea as their main symptom, and this became the most severe symptom at death. The symptom assessment scores for patients with dyspnoea showed no change over time, suggesting that existing methods to control dyspnoea are ineffective and that new interventions are needed.
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- BONEAU C. A. The effects of violations of assumptions underlying the test. Psychol Bull. 1960 Jan;57:49–64. doi: 10.1037/h0041412. [DOI] [PubMed] [Google Scholar]
- Baines M., Oliver D. J., Carter R. L. Medical management of intestinal obstruction in patients with advanced malignant disease. A clinical and pathological study. Lancet. 1985 Nov 2;2(8462):990–993. doi: 10.1016/s0140-6736(85)90534-3. [DOI] [PubMed] [Google Scholar]
- Bates T., Hoy A. M., Clarke D. G., Laird P. P. The St Thomas' Hospital terminal care support team. A new concept of hospice care. Lancet. 1981 May 30;1(8231):1201–1203. doi: 10.1016/s0140-6736(81)92361-8. [DOI] [PubMed] [Google Scholar]
- Evans C., McCarthy M. Referral and survival of patients accepted by a terminal care support team. J Epidemiol Community Health. 1984 Dec;38(4):310–314. doi: 10.1136/jech.38.4.310. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Földi E., Földi M., Weissleder H. Conservative treatment of lymphoedema of the limbs. Angiology. 1985 Mar;36(3):171–180. doi: 10.1177/000331978503600306. [DOI] [PubMed] [Google Scholar]
- Goldberg R. J., Mor V., Wiemann M., Greer D. S., Hiris J. Analgesic use in terminal cancer patients: report from the National Hospice Study. J Chronic Dis. 1986;39(1):37–45. doi: 10.1016/0021-9681(86)90105-0. [DOI] [PubMed] [Google Scholar]
- Greenway B., Johnson P. J., Williams R. Control of malignant ascites with spironolactone. Br J Surg. 1982 Aug;69(8):441–442. doi: 10.1002/bjs.1800690802. [DOI] [PubMed] [Google Scholar]
- Heeren T., D'Agostino R. Robustness of the two independent samples t-test when applied to ordinal scaled data. Stat Med. 1987 Jan-Feb;6(1):79–90. doi: 10.1002/sim.4780060110. [DOI] [PubMed] [Google Scholar]
- Parkes C. M. Terminal care: home, hospital, or hospice? Lancet. 1985 Jan 19;1(8421):155–157. [PubMed] [Google Scholar]
- Reuben D. B., Mor V. Dyspnea in terminally ill cancer patients. Chest. 1986 Feb;89(2):234–236. doi: 10.1378/chest.89.2.234. [DOI] [PubMed] [Google Scholar]
- Tunca J. C., Buchler D. A., Mack E. A., Ruzicka F. F., Crowley J. J., Carr W. F. The management of ovarian-cancer-caused bowel obstruction. Gynecol Oncol. 1981 Oct;12(2 Pt 1):186–192. doi: 10.1016/0090-8258(81)90148-7. [DOI] [PubMed] [Google Scholar]