title: Nausea and other nonpain symptoms in long-term care.
abstract: 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.
authors.affiliation: Division of Hospital Medicine, Department of Medicine, University of California San Francisco, San Francisco, CA 94941, USA. matthew.gonzales@ucsf.edu
authors.forename: Matthew J
authors.initials: MJ
authors.lastname: Gonzales
authors.forename: Eric
authors.initials: E
authors.lastname: Widera
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000932:Antiemetics / Q000627:therapeutic use*; D003248:Constipation / Q000209:etiology; D004417:Dyspnea / Q000209:etiology; D015577:Geriatric Assessment; D005853:Geriatrics; D006707:Homes for the Aged; D006801:Humans; D008134:Long-Term Care; D009325:Nausea / Q000209:etiology / Q000628:therapy*; D009735:Nursing Homes; D010166:Palliative Care / Q000379:methods*; D010346:Patient Care Management
chemical_list: D000932:Antiemetics