How should hydration be managed at the end of life?

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Multiple Choice

How should hydration be managed at the end of life?

Hydration at the end of life should be guided by the patient's goals and comfort. Dehydration can be a natural part of the dying process, but some fluid may relieve symptoms like dry mouth and throat for those who want it, while avoiding burdens from IV therapy. The best approach is to tailor hydration to what the patient and family value and prefer. Often this means modest or no IV fluids, since IV lines can be burdensome and may worsen symptoms such as edema or respiratory secretions. If hydration would improve comfort and is acceptable to the patient and family, subcutaneous hydration is a reasonable option because it is less invasive and easier to manage in many care settings. Aggressive or non-consistent hydration that conflicts with stated goals or increases burden should be avoided.

Hydration at the end of life should be guided by the patient's goals and comfort. Dehydration can be a natural part of the dying process, but some fluid may relieve symptoms like dry mouth and throat for those who want it, while avoiding burdens from IV therapy. The best approach is to tailor hydration to what the patient and family value and prefer. Often this means modest or no IV fluids, since IV lines can be burdensome and may worsen symptoms such as edema or respiratory secretions. If hydration would improve comfort and is acceptable to the patient and family, subcutaneous hydration is a reasonable option because it is less invasive and easier to manage in many care settings. Aggressive or non-consistent hydration that conflicts with stated goals or increases burden should be avoided.

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