TY - CHAP M1 - Book, Section TI - Domains of Care: Physical Aspects of Care A1 - Lien, Cindy A2 - McKean, Sylvia C. A2 - Ross, John J. A2 - Dressler, Daniel D. A2 - Scheurer, Danielle B. PY - 2017 T2 - Principles and Practice of Hospital Medicine, 2e AB - Key Clinical QuestionsPain How do I choose an appropriate opioid dose for my patient? What adjuvant medications can I use for neuropathic pain? How do I treat a patient who is experiencing a pain crisis? When should I consult a palliative care or pain specialist?Nausea How do I select an appropriate antiemetic for my patient? How do I treat nausea in a patient with malignant bowel obstruction?Dyspnea What nonpharmacologic strategies can I use to relieve my patient’s dyspnea? What is an appropriate dose of opioid for treating dyspnea? What do I say to family members who are concerned that opioids may hasten the patient’s death?Secretions How do I manage loud secretions (“death rattle”) in a dying patient? What do I say to family members who are distressed by the noisy secretions?Terminal Delirium How do I evaluate an agitated dying patient? How do I identify terminal delirium and distinguish it from other kinds of delirium? What medications are useful for treating terminal delirium?Nutrition and Hydration How do I counsel family members who are upset that the patient is no longer eating? Are there any clinical situations in which artificial nutrition and hydration may be helpful for patients with advanced disease?Complementary Medicine Is there data to support the use of complementary therapy to relieve common symptoms such as pain and nausea? How do I advise a patient who asks me about a therapy with which I am unfamiliar? SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/19 UR - accessmedicine.mhmedical.com/content.aspx?aid=1137621563 ER -