The case report emphasizes the management of ``terminal air hunger and anguish'' as a major challenge for the palliative care physicians. Truthful and compassionate terminal counseling of the patient and terminal sedation allowed us to control this distressing final phase of dying in the metastatic lung disease and enabled the patient to take her last breath peacefully.
Volker DL, Limerick M.What constitutes a dignified death? The voice of oncology advanced practice nurses. Clin Nurse Spec. 2007;21:241-247.
2.
Doorenbos AZ , Wilson SA, Coenen A., Borse NNDignified dying: phenomenon and actions among nurses in India. Int Nurs Rev. 2006;53:28-33.
3.
Head B., Faul A.Terminal restlessness as perceived by hospice professionals. Am J Hosp Palliat Care. 2005;22: 277-282.
4.
Mpinga EK, Chastonay P., Pellissier F., Salvi M., Bondolfi A., Rapin CH`A good death`: perception of health personnel in French-speaking Switzerland . Rech Soins Infirm. 2005;80:4-11.
5.
Emanuel EJ, Fairclough DL, Wolfe P., Emanuel LLTalking with terminally ill patients and their caregivers about death, dying, and bereavement: is it stressful? Is it helpful?Arch Intern Med. 2004;164:1999-2004.
6.
Vig EK, Pearlman RAGood and bad dying from the perspective of terminally ill men. Arch Intern Med. 2004;164:977-981.
7.
Butler LD, Koopman C., Cordova MJ, Garlan RW, DiMiceli S., Spiegel D.Psychological distress and pain significantly increase before death in metastatic breast cancer patients. Psychosom Med. 2003 ;65:416-426.
8.
Bruera E., Sala R., Spruyt O., Palmer JL, Zhang T., Willey J.Nebulized versus subcutaneous morphine for patients with cancer dyspnea: a preliminary study. J Pain Symptom Manage. 2005;29:613-618.
9.
Thomas JR, von Gunten CFManagement of dyspnea. J Support Oncol. 2003 ;1:23-32.
10.
Thomas JR, von Gunten CFClinical management of dyspnoea. Lancet Oncol. 2002;3:223-228.
