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Medline ® Abstract for Reference 19

of 'Palliative care: Nursing home'

Nausea and other nonpain symptoms in long-term care.
Gonzales MJ, Widera E
Clin Geriatr Med. 2011;27(2):213.
There is a need to improve the quality of end-of-life care in nursing homes by improving the timely assessment and management of various sources of suffering. Much of the research/discussion in this area has focused on the assessment and treatment of pain. This article reviews the frequency and management of nonpain symptoms in the long-term care setting, particularly focusing on patients at the end of life. Although the long-term care setting presents challenges to effective management, an approach for addressing these challenges is discussed and applied to 3 commonly encountered nonpain symptoms.
Division of Hospital Medicine, Department of Medicine, University of California San Francisco, San Francisco, CA 94941, USA. matthew.gonzales@ucsf.edu