RT Book, Section
A1 Lo, Bernard
A1 Rubenfeld, Gordon
A2 McPhee, Stephen J.
A2 Winker, Margaret A.
A2 Rabow, Michael W.
A2 Pantilat, Steven Z.
A2 Markowitz, Amy J.
SR Print(0)
ID 6611887
T1 Palliative Sedation in Dying Patients: "We Turn to It When Everything Else Hasn't Worked"
T2 Care at the Close of Life: Evidence and Experience
YR 2011
FD 2011
PB The McGraw-Hill Companies
PP New York, NY
SN 9780071637954
LK jamaevidence.mhmedical.com/content.aspx?aid=6611887
RD 2024/04/24
AB Mrs  B,  a  49-year-old  woman  with  widely  metastatic  breast  cancer,  was  admitted  to  a  university  hospital  to  control  pain  from  bony  metastases.  She  had  been  hospitalized  twice  during  the  previous  3  weeks  for  severe  pain.  At  the  time  of  her  last  discharge,  2  days  prior,  she  and  her  husband  had  decided  to  pursue  hospice  care.  At  home,  her  pain  worsened  despite  her  outpatient  regimen  of  celecoxib,  amitriptyline,  lorazepam,  and  very  high  doses  of  oxycodone  hydrochloride  and  morphine  sulfate,  as  well  as  ongoing  radiation  therapy  that  did  not  control  the  progression  of  her  metastases.  She  therefore  returned  to  the  hospital.