I've been reading a few posts on iv therapy with patients on hospice and I'm a bit confused.,,,why? Our company considers it "aggressive" but too me it's not so much aggressive as it is another thing for families to focus on aside from just comfort... And does it really help?
Enlighten me and share cases where this is considered appropriate :-)
Jul 10, '12
by leslie :-D
generally speaking, it is NOT a comfort measure at all.
the body is shutting down, including circulation.
fluids will either shunt to vital organs, where fluid isn't desirable...
or the fluid will pool and build up.
either way, it causes many more undesirable effects and makes dying that much more distressful.
family members need to be educated as to what happens when the body shuts down...
and how to enhance the natural dying process, in order to benefit the pt.
eta: i just saw where you asked when it is appropriate.
if a pt is dehydrated but otherwise relatively *strong*, not close to imminent death, then it can be helpful in some cases.
generally though, ivf is the exception and not the rule.
Last edit by leslie :-D on Jul 10, '12