Open AccessGross Hematuria
Author(s) -
Hunter Groninger,
Jayne Phillips
Publication year - 2012
Publication title -
journal of hospice and palliative nursing
Language(s) - Uncategorized
Resource type - Journals
SCImago Journal Rank - 0.457
H-Index - 23
eISSN - 1539-0705
pISSN - 1522-2179
DOI - 10.1097/njh.0b013e31824fc169
Subject(s) - gross hematuria , psychological intervention , medicine , genitourinary system , intensive care medicine , palliative care , complication , nursing , surgery
A distressing complication for patients and families, gross hematuria at the end of life challenges hospice and palliative care clinicians to utilize skills in medical and nursing management, communication and clarification of patient goals, and relief of symptom burden. Massive hemorrhage in the genitourinary tract can radically alter the terminal trajectory for patients and necessitate intensive interventions aimed at promoting comfort. Here, a case of gross hematuria in an adult hospice patient serves to broaching decision-making challenges and management strategies.