alexa Palliative Care at the Eleventh Hour

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Palliative Care at the Eleventh Hour

It was 4 AM, and I was emotionally and physically exhausted after twenty hours without food or sleep on my first shift as a senior resident in the Intensive Care Unit. I had spent much of the night at one patient’s bedside, Mr.G. He was an elderly gentleman dying of volume overload in the setting of kidney failure. Our therapeutic options were limited as he had previously declined hemodialysis. I watched helplessly as his blood counts dwindled and his electrolytes climbed to dangerously high levels. I took in the scene, appreciating his impressive height and once broad physique, now gaunt from years of wasting. His eyes were glassy, half covered by swollen lids. He was gasping for air. I listened to the crackles in his lungs with each laboured breath he took. I felt his legs, letting my fingers sink into his swollen legs. I asked him if he was in pain, if he was suffering, if there was anything we could do for him. No response.

Citation: Ramesh A (2015) Palliative Care at the Eleventh Hour . J Palliat Care Med 5:e135. doi:10.4172/2165-7386.1000e135

 
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