I've had two cases within the last few months, pt. w/projectile
vomiting just prior to death, both cancer patients. I've
explained this to the families as the body's method of expelling
the buildup of toxins from the cancer.
In both cases, the episodes of projectile vomiting caused much
family consternation and anguish, tainting the otherwise smooth,
peaceful transition into the next life; and leaving this Hospice
nurse with a feeling of inadequacy and helplessness.
I'm asking for your input. How do you explain the projectile vomiting
to families? Is there anything you do to prepare patient or family for
this possibility? Is there anything you do to try to prevent or do you
think it may be prevented?
Thank you for your time, I wish you all the best. God Speed!