Answer :
To provide comfort for patients nearing end-of-life with decreased peripheral circulation, warmth can be maintained with blankets and hot water bottles carefully, and gentle massage may be used to promote circulation.
As a patient approaches the end of life and exhibits signs of decreased peripheral circulation, such as weak or absent pulse and extremities becoming cool or discolored, comfort measures become a vital aspect of care.
To manage symptoms like refractory dyspnea and terminal restlessness, it is essential to maintain warmth and promote circulation without causing additional stress to the patient.
Warmth can be gently preserved by covering the patient with blankets, and the use of hot water bottles can be considered if it does not cause discomfort.
The circulation to the extremities can be encouraged through gentle massage or stroking in the direction of the heart. It's important to handle the patient with care and respect as they may be very sensitive to touch and pressure at this stage.
During the imminent phase of death, healthcare professionals must perform thorough assessments and provide rapid response to changes in the patient's condition.
Medications may be titrated rapidly and interventions discontinued or introduced, all aimed at maximizing comfort. At this time, vital signs are often not monitored unless the family requests it, as the focus shifts primarily to comfort rather than curative measures.
