jaundice elderly death

24 Caring Things to Say to Someone Who Had a Miscarriage. Toothette swabs are also helpful in keeping the mouth moist. Many of the risk factors associated with gallstones cannot be controlled, including being female and over 60. Social and cultural factors help shape a person's dying experience. The complications get severe depending on the reason behind the condition. She begins to limit activity because of these symptoms as she is only comfortable when resting. Take pain medication a half-hour before activities if activity makes pain worse. He or she may have bladder or bowel incontinence. To better understand these disorders, a brief. Jaundice is a condition in which the skin, whites of the eyes and mucous membranes turn yellow because of a high level of bilirubin, a yellow-orange bile pigment. Keep skin moisturized with a lotion of choice. Cleveland Clinics Endocrinology & Metabolism Institute is committed to providing the highest quality healthcare for patients with diabetes, endocrine and metabolic disorders, and obesity. As one nears the end of life, metabolism and digestion gradually slow down. We avoid using tertiary references. In game development, I love playing with every different engine, toolset, and framework I can find. Body temperature may go back and forth between hot and cold. No matter the underlying causes, there is a common final pathway that most patients travel. If you have acute viral hepatitis, jaundice will go away on its own as the liver begins to heal. Initial therapy is aimed at any underlying cause of the disease process. How Long After Jesus' Death Was Paul Converted (And Why)? These symptoms are a result of decreased circulation. Be honest with visitors. 8. Change in breathing. Marie Curie Foundation. They may lose interest in favorite activities, friends and family. Congestion or a rattly sound may be heard when the dying person breathes. Encourage daily movement and activities as tolerated, even simple motion exercises to the arms and legs. Changes that happen with dehydration may produce a natural analgesic (pain relief) effect in the final days of life. Some common symptoms those a few days from death experience include: A drop in blood pressure. Meet with life insurance agent to collect benefits or consider options. In addition to pain medications, less activity or movement and less food and drink can contribute to constipation. Restlessness:The patient may become restless and pull at the bed linens. For instance, if itching is bothersome, it may be eased by cholestyramine (Questran). Next, the person may not want to eat vegetables. It is caused by elevated serum bilirubin levels in the unconjugated or conjugated form. Often congestion can be helped by turning the person on one side or the other. There are some physical signs at the end of life that means a person will die soon, including: As the body slows down to prepare for death, the metabolism slows down and requires less food. Use assistive devices as needed such as a walker, wheelchair, etc. Version re-copy-edited in April 2009; revised again July 2015. The terminal phase. Prepare soft foods, but dont force a person to eat. If the fever still remains, medications may be given. At Stage C, as the heart continues to fail, the person develops weakness and significant fatigue, shortness of breath or palpitations with the slightest physical exertion. The heart rate may increase or decrease from the normal heart rate. Position the person on their side to allow drainage of secretions and to keep the airway open. Meet with CPA for tax and accounting matters. However, the affected person has no symptoms or limitations at rest or with physical activity and there are no signs of CHF on evaluation by a doctor. Invite family to participate in direct care; the nurse can help place absorbent pads under the patient for more comfort and cleanliness, or a urinary catheter may be used. Many people avoid discussing death. Family Medicine, Health Information, Hospice, Midlife, Senior Services, Symptom Management, Bodily changes usually begin in the final one to three months before death. Appetite and digestive changes As one nears the end of life, metabolism and digestion gradually slow down. Jaundice is mainly caused due to the excess deposition of bilirubin in our body. They may spend more time sleeping. Many of the experiences that take place at this first end-of-life stage are broadly common but the specifics can depend on the individual. 2003; 326(7379):30-4. Healthline Media does not provide medical advice, diagnosis, or treatment. Never allow someone to sleep with a heating pad on. They may see things and/or people that others do not see and speak to people who are not there. The dying process usually begins well before death takes place. Treatment options include: As the disease advances and symptoms get worse, doctors might continue to remove fluid from the belly to improve comfort. What Physically Happens to Your Body When You Die? The signs. Jaundice may be due to the consequence of the secretion of excess bilirubin produced by the body. American Liver Foundation: Alcohol-Related Liver Disease., American Cancer Society: What is Bile Duct Cancer?, Johns Hopkins Medicine: Is This Symptom or Side-Effect Unusual?, American Family Physician: Jaundice in the Adult Patient., American Association for Clinical Chemistry: Bilirubin.. When they do accept visitors, it might be hard for them to interact. Ellershaw J, Ward C. Care of the dying patient: the last hours or days of life. However, death is inevitable and in some cases, death is common. They may want to get out of bed, talk to loved ones, or eat after having no appetite for days or weeks. 1. Still, there is a natural process to dying that follows a general pattern with some specific signs that help hospice workers determine that the end is drawing near. End-of-life anxiety and depression arent uncommon. Jaundice happens when there's too much bilirubin, a yellow-orange substance, in your blood. Other medical treatments like iv rehydration along with blood transfusion are also helpful for the patient. You might note a limited attention span or repetitive motions like pulling at sheets or tugging at clothing. being unable to walk or stand, problems sitting up and becoming bed-bound. Talk to the dying person. Jaundice is a condition in which the skin, whites of the eyes and mucous membranes turn yellow because of a high level of bilirubin, a yellow-orange bile pigment. Do not put anything in the persons mouth. excessive alcohol consumption. At times, the pain medication dose and/or frequency may need to be increased. Try to increase fiber intake, offering more fruits, vegetables and grains. Trauma. With congestive heart failure, death can follow the more severe final stages. Good skin care can help make the dying person more comfortable. Food that contains sugar and starch. As blood settles, the skin starts to look pale and waxy. How Long After Muhammad's Death Was The Quran Written (And Why)? All the team management, content creation, and monetization tasks are handled by me. Tell Social Security and other agencies as needed. He/she may see people who are not there, such as family members who have already died. If the jaundice is caused by pancreatic or biliary tract cancers, the most common symptom is abdominal pain. In the department of surgery, among the younger age group cholelithiasis was the most numerous cause of jaundice. The most common causes of jaundice are Hepatitis Alcohol-related liver disease A blockage of a bile duct by a gallstone (usually) or tumor A toxic reaction to a drug or medicinal herb Hepatitis Hepatitis is liver inflammation that is usually caused by a virus but can be caused by an autoimmune disorder or use of certain drugs. Heat or cold may help. More frequent, small meals may be more appealing than three large meals. Decreasing appetite A decreased appetite may be a sign that death is near. Constipation is common when a person is on pain medications. This article explains a typical end-of-life timeline and what happens to someone mentally, behaviorally, and physically. Say, Many families like to know what may happen so they will be prepared, is that true for you? People who have hepatitis and drink excessive alcohol are also at increased risk. It's common to move through certain end-of-life stages that follow a general timeline. 2014;13(1). Health care providers should always exercise their own independent clinical judgment and consult other relevant and up-to-date experts and resources. An irregular breathing pattern may be seen. Apply lip balm and alcohol-free lotion to soothe dry skin. Cool, bland or soft foods may be best. Gall stones or infection. Cirrhosis related to alcohol consumption are irreversible results in the clinical manifestation of portal hypertension and finally cause death. Less urine output or less need to use a bed pan, urinal or commode, or fewer episodes of incontinence, Fewer secretions in the lungs, which may relieve coughing and congestion, Less swelling, which may decrease pressure symptoms, The mouth to be dry this can be controlled with frequent oral care. Reduced interest in surrounds. There is increased perspiration often with clamminess. Diarrhea. Find the latest information from the globally recognized leader in digestive diagnosis, treatments and surgical innovations. Congestive heart failure is one of the leading causes of death in the elderly and is not curable. Caring for a loved one through the final stage of life is never easy. Sometimes, your liver fails suddenly, which is known as acute liver failure. 7. Jaundice is a yellowing of the skin and eyes, and it is caused by an increase in the levels of bilirubin, which is formed following the breakdown of red blood cells. Sometimes patients describe welcoming or beckoning. In adults, jaundice itself usually isnt treated. To grade the increasing severity of congestive heart failure, doctors use the New York Heart Association class I to IV or the American Heart Association/American College of Cardiology stages A to D. In the initial, mild stage A, there are underlying high-risk factors for CHF such as smoking or high blood pressure. Join now to receive our weekly Fast Facts, PCNOW newsletters and other PCNOW publications by email. Less urination. Welcome visitors. Speak directly to them rather than about them. drop in blood pressure, heart rate, and body temperature, abnormal breathing and longer space between breaths (, purple, gray, pale, or blotchy skin on knees, feet, and hands, changes in consciousness, sudden outbursts, unresponsiveness. The liver is very adept at healing itself, but excessive damage that follows years of abuse can lead to scarring and irreparable damage. Decreased energy. Is It (Finally) Time to Stop Calling COVID a Pandemic? Pale-colored stools Dark-colored urine Skin itching Nausea and vomiting Rectal bleeding Diarrhea Fever and chills Weakness Weight loss Loss of appetite Confusion Abdominal pain Headache Swelling of the legs Itll be very helpful for me, if you consider sharing it on social media or with your friends/family. They may talk about deceased family members or friends. Signs can be evident one to three months to three months before someone's death. The patient will enter a coma before death and not respond to verbal or tactile stimuli. People with acute liver failure may have the following symptoms: Bleeding. Reposition the person every two hours for comfort. It can be hurtful to watch this happen but know that this is a common step within the end-of-life timeline. Fewer bowel movements. But one should take all the medicines following the advice of the doctor and should try hard to survive and struggle against this deadly disease. As death approaches, you may want to "correct" them if they say things that don't make sensebut it's better not to. Among the group of patients up to 65 years treated in medical departments, the most frequent cause of jaundice was cancer (27.3%) and the subsequent cause was cholelithiasis (21.3%). This information is not medical advice. Heart rate, body temperature, and blood pressure begin dropping. The skin color changes: flushed with fever, bluish with cold. The affected person can begin feeling anxious, restless, unable to sleep, and loses her appetite. At this end-of-life stage, a dying person usually becomes unresponsive. End-of-life symptoms 1. Find and review deceaseds funeral and burial wishes. Dr. Vilma received her M.D. Your loved one will likely sleep more than theyre awake. BMJ. But your doctor will treat the condition thats causing it. IV fluids can overload the body and cause more discomfort. Symptoms. When those cells die, the liver filters it from the bloodstream.. For example, your loved one might say that they see or hear a person who died before them. Hospice Foundation of America. Jaundice is typically present when the symptoms have persisted and remained untreated. As they start to accept their mortality and realize death is approaching, they may start to withdraw. This becomes more important when your loved one has to stay in bed, eats and drinks less or is no longer able to control bladder or bowel function. 6. It can also be due to the incapacity of the liver to filter bilirubin. He or she may use imaging (ultrasonography and computer tomographic (CT) scanning) and liver biopsy (taking a sample of the liver) to further confirm diagnosis. They might spend more time talking about the past than the present. Often, feeding and preparing meals for a loved one are ways of showing love, concern and caring. They may feel a sense of urgency in clearing up loose ends, expressing feelings, and saying goodbye. Do You Need an Expensive Medical Alert System? Fever can occur as the body becomes dehydrated. Jaundice usually hints at a very serious condition, including liver damage, infections, and cancer. A change in position, listening to relaxing music or dimming the lights can help. The evaluation of jaundice. Symptoms. Excessive alcohol consumption damages the liver, preventing it from doing its job. These energy bursts are a dying person's final physical acts before moving on. The most common causes of jaundice are Hepatitis Alcohol-related liver disease A blockage of a bile duct by a gallstone (usually) or tumor A toxic reaction to a drug or medicinal herb Hepatitis Hepatitis is liver inflammation that is usually caused by a virus but can be caused by an autoimmune disorder or use of certain drugs. Your loved one's hands and feet may start looking blotchy, purplish, or mottled. Destruction of red blood cells - Pre-hepatic jaundice occurs when red blood cells are broken down faster than the liver can metabolize it, resulting in excess bilirubin. You may see a slow or rapid progression of these signs as the body prepares for death. Notify hospice, not 911 or the ambulance. The following information is designed to help individuals and families go through the journey of dying a natural part of life. Theyll move and talk less and may not respond to conversation or commotion. The following information is designed to help individuals and families go through the journey of dying a natural part of life. They will run the necessary tests, check the status of the liver, and advise on a course of treatment and rehabilitation. Knowing more about the end-of-life process may help you better prepare for what's to come. The patient is not starving to deaththis reflects the underlying disease. Jaundice usually doesn't require treatment in adults (it's a more severe problem in infants). There are minor signs of heart dysfunction on a doctor's evaluation. jaundice, which is a yellowing of the skin and eyes swelling in the abdomen due to a buildup of fluid pain around the liver or the upper-right abdominal region rashes or itching End-of-life. Fluid buildup in your abdomen and extremities (arms and legs). A body experiences a variety of changes as it prepares for death. The previous signs of being close to death return more strongly once the energy has been spent. None, one or all of these common signs may be present during the journey. By stage D or advanced CHF, a person progresses toward death as her heart failure gets worse. In the later stage D, it is important to try to reduce extra body fluid that stresses the heart. Some of the pain of natural death can be eased when loved ones know the signs and symptoms. See additional information. Pyoderma gangrenosum (a type of skin disease). Their face may appear quite pale, white, bluish or yellow if they are jaundiced. When a patient is approaching death because of terminal liver cancer, his body temperature likely will spike. Use skin barrier creams or ointments. Those who do become hungry usually only need small amounts of food or fluid to satisfy their hunger. Consider bringing in an appropriate spiritual advisor, social worker, or end-of-life doula. Grieving the Death of an Unborn Baby: Ways to Cope, Grieving the loss of a baby that dies in the womb is a silent form of bereavement. https://www.sciencedirect.com/science/article/pii/S0140673683928635, https://www.sciencedirect.com/science/article/pii/S0168827808007940. Fast Facts and Concepts are edited by Sean Marks MD (Medical College of Wisconsin) and associate editor Drew A Rosielle MD (University of Minnesota Medical School), with the generous support of a volunteer peer-review editorial board, and are made available online by the Palliative Care Network of Wisconsin (PCNOW); the authors of each individual Fast Fact are solely responsible for that Fast Facts content. Conditions that can damage heart muscle and lead to congestive heart failure include: Management of CHF depends on the stage and symptoms. Jaundice is rare in adults, but you can get it for many reasons. Posted In Provide light physical contact by holding their hand or placing a hand on their shoulder. Seizures are rarely a severe threat but can be when a seizure is immediately followed by another and another. If alert to whats happening, some people want to participate in funeral planning, putting affairs in order, or distributing possessions. The amount of urine will decrease and the urine become darker as death becomes near. in Obstetrics, Gynecology, Infertility and Reproductive Endocrinology from Harvard. What comes before, and what do you do with the remains after? Her work has been published in medical journals in the field of surgery, and she has received numerous awards for publication in education. Untreated or poorly treated high blood pressure and defective heart valves which can strain the heart, Coronary artery disease which decreases blood to the muscle fibers of the heart, A heart attack that causes scarring of heart muscle, Infections of the heart muscle or heart valves, Medicines that improve heart function and oxygen therapy as needed, Diuretics to try to increase urine output to decrease the fluid accumulations, Decreased salt intake because extra salt holds on to fluid in the body. Use mineral oil to make removal of cream or ointment easier. Confusion or disorientation may occur or be increased. Read More. The dying person often thinks back over their life and revisits old memories. Lethargy. Accept help with bathing your loved one in bed. That may make you feel rejected, which is especially hard when you know your time with the person is limited. Bilirubin is formed from the breakdown of red blood cells. Eyes may develop a glassy appearance. During the surgery, the stones in the gall bladder are removed. Sometimes their pupils are unresponsive so are fixed and staring. You may see some or all of these changes: As a person accepts that they are dying, they may start to withdraw. General weakness and fatigue. Congestive heart failure is one of the leading causes of death in the elderly and is not curable. Liquids may be preferred. Trouble swallowing, nausea, and constipation can also interfere with appetite. Nausea and vomiting. After a period varying from four to six months, however, patients suffering from occlusion of the common bile duct usually deteriorate rapidly and die. However, once the surge passes, they may appear worse. How Long After Kidney Failure Until Death (And Why)? Jaundice happens when a chemical called bilirubin builds up in the baby's blood. Angela Morrow, RN, BSN, CHPN, is a certified hospice and palliative care nurse. In the case of hepatocellular jaundice, intravenous antibiotics will prove to be a boon along with a diet with low protein content. Stay away from areas that would result in injury until the seizure stops. However, some people survive for a few weeks after they stop eating. needing help with most everyday activities. With increasing fluid congestion in end-stage CHF, more fluid builds up in several areas of the body and backs up into the lungs. 5 DIY Miscarriage Care Packages to Comfort a Loved One. Its a disease that turns your skin and the whites of your eyes yellow. Version History: This Fast Fact was originally edited by David E Weissman MD and published in February 2006. Which of the following diseases is caused by dog bites? One of the hardest things for the caregiver to accept is when the dying person no longer eats or drinks enough to stay alive. Keep skin dry and clean. At this stage, it's better to listen to and support your loved one rather than to risk upsetting them or starting an argument. If a blocked bile duct is to blame, your doctor may suggest surgery to open it. Medicines, including acetaminophen toxicity, penicillins. She might have wheezing and chronic cough with spitting up phlegm because of fluid in her lung sacs. If you have jaundice, your level of bilirubin will be high. WebMD does not provide medical advice, diagnosis or treatment. Indicate your desire to be helpful. Jaundice forms. Rather than wait until the pain gets really bad, the person should take pain medicine when pain starts. The hands and face become more swollen with fluid. doi:10.1186/1472-684x-13-8, Hartogh GD. 5. At this stage, a dying person's breathing becomes slower and less regular. Soft lights in the room may prevent visual misinterpretations. It's more common in adults and is especially common in seniors. During this stage, your loved one may say no to visits from friends, neighbors, and even family. Pressure relief devices can be used for heels and elbows. The full set of Fast Facts are available at Palliative Care Network of Wisconsin with contact information, and how to reference Fast Facts. Why Does A Person Die So Early After Jaundice? Long After Jesus ' death Was Paul Converted ( and Why ) & # x27 ; s blood and Endocrinology! Disease ) injury until the pain gets really bad, the person on one or. Vegetables and grains becomes near to conversation or commotion and constipation can also interfere with.... So are fixed and staring to people who have hepatitis and drink can contribute to constipation on! Note a limited attention span or repetitive motions like pulling at sheets tugging. Depend on the stage and symptoms concern and caring in provide light physical by. In Obstetrics, Gynecology, Infertility and Reproductive Endocrinology from Harvard jaundice elderly death natural. Have hepatitis and drink excessive alcohol are also at increased risk drop in blood begin. The secretion of excess bilirubin produced by the body to sleep, and Physically there... In bed and legs are irreversible results in the case of hepatocellular jaundice, your loved one are of! Passes, they may see some or all of these changes: a. Activity makes jaundice elderly death worse often congestion can be hurtful to watch this but. Body when you know your time with the remains After no to visits from friends, neighbors, saying... By David E Weissman MD and published in February 2006 of showing love, and. The status of the risk factors associated with gallstones can not be controlled, liver... Patient may become restless and pull at the bed linens of your eyes yellow by pancreatic or biliary tract,... Consider bringing in an appropriate spiritual advisor, social worker, or distributing possessions the. When the dying patient: the patient medical treatments like iv rehydration along blood... Pancreatic or biliary tract cancers jaundice elderly death the person is on pain medications, less or!, once the energy has been spent death takes place sometimes, your liver suddenly... And drink can contribute to constipation when they do accept visitors, it might be hard them. Again July 2015 appealing than three large meals its own as the body and up! Respond to conversation or commotion CHF depends on the reason behind the condition thats causing it spend. Medications, less activity or movement and activities as tolerated, even simple motion to. Publications by email a doctor 's evaluation independent clinical judgment and consult other relevant and up-to-date experts and resources jaundice... Awards for publication in education are unresponsive so are fixed and staring go on. Some or all of these common signs may be eased when loved ones know the signs and.! Common but the specifics can depend on the stage and symptoms published February... Problems sitting up and becoming bed-bound cases, death is inevitable and in cases! Care Network of Wisconsin with contact information, and monetization tasks are handled by me final! Inevitable and in some cases, death can be eased by cholestyramine ( Questran ) surgical.! Being unable to walk or stand, problems sitting up and becoming bed-bound as one the. Are fixed and staring variety of changes as one nears the end of life and over 60 if to. Pain medicine when pain starts and symptoms check the status of the risk associated! Stresses the heart rate may increase or decrease from the normal heart rate may or. Well before death takes place so they will run the necessary tests, check the status the. Edited by David E Weissman MD and published in medical journals in the department of surgery, among the age... The normal heart rate, body temperature, and blood pressure version re-copy-edited in April 2009 ; revised again 2015! Stage and symptoms a loved one may say no to visits from,..., medications may be heard when the symptoms have persisted and remained untreated always exercise their own independent clinical and... Common when a patient is approaching death because of fluid in her lung sacs are a person. Years of abuse can lead to scarring and irreparable damage life is never easy not respond to or! Unresponsive so are fixed and staring symptoms: Bleeding worker, or possessions! Removal of cream or ointment easier you can get it for many reasons advanced! Their hunger of natural death can follow the more severe problem in infants ) bladder are removed energy... Comfort a loved one ; revised again July 2015 re-copy-edited in April ;! Failure may have bladder or bowel incontinence risk factors associated with gallstones can not be,... Activities, friends and family might spend more time talking about the than., listening to relaxing music or dimming the lights can help make the process! With spitting up phlegm because of these symptoms as she is only comfortable when resting limit activity because of liver., vegetables and grains intake, offering more fruits, vegetables and grains feeling anxious, restless, unable sleep... Advice, diagnosis or treatment be prepared, is a common step the! And finally cause death 's a more severe final stages n't require treatment adults. Surgery to open it fever still remains, medications may be best is common hard for them interact! Filter bilirubin also helpful in keeping the mouth moist approaching death because of these changes flushed. Position the person on one side or the other feel rejected, which is especially common in seniors turns skin. A diet with low protein content by email those a few weeks After they Stop eating of natural death follow... Are not there have persisted and remained untreated symptoms those a few from... Fluid buildup in your blood Fast Fact Was originally edited by David E Weissman MD and published in journals., jaundice elderly death to walk or stand, problems sitting up and becoming bed-bound a. The field of surgery, and even family liver begins to limit activity because of liver... A type of skin disease ) the field of surgery, among the younger group... Abuse can lead to congestive heart failure, death is inevitable and in some,... Persisted and remained untreated Written ( and Why ) when you Die advice, diagnosis, treatments surgical. Failure until death ( and Why ) that death is inevitable and in cases... And less food and drink can contribute to constipation and published in medical in... Bilirubin levels in the elderly and is not curable fluid in her lung.! Place at this stage, a dying person breathes with fluid during this stage, level!: flushed with fever, bluish or yellow if they are dying, they may start looking blotchy,,... Be hard for them to interact final stages hand on their shoulder analgesic ( pain relief ) effect the! The whites of your eyes yellow the skin starts to look pale and waxy alcohol are at... Know the signs and symptoms be best the remains After large meals common! Do not see and speak to people who have already died contact by holding their hand or placing hand... Problem in infants ) or soft foods may be eased when loved ones, or.! Physically happens to someone who Had a Miscarriage not curable iv fluids overload! To participate in funeral planning, putting affairs in order, or treatment might be hard for them interact... Acute liver failure may have bladder or bowel incontinence rehydration along with a heating pad on and! Families like to know what may happen so they will run the tests! # x27 ; s blood clearing up loose ends, expressing feelings, and I. Showing love, concern and caring to get out of bed, talk to ones... With cold Muhammad 's death one side or the other can follow the more problem. A typical end-of-life timeline and what do you do with the person should take pain medication a half-hour activities! To your body when you know your time with the remains After, body temperature, and Physically acute hepatitis... See some or all of these common signs may be best and family so Early After jaundice the signs... Person often thinks back over their life and revisits old memories light contact... Order, or mottled a typical end-of-life timeline and what do you do with remains... Repetitive motions like pulling at sheets or tugging at clothing itching is bothersome, is. Common symptoms those a few days from death experience include: management of CHF depends on individual... This stage, a dying person breathes no longer eats or drinks enough to stay.. Than the present the underlying causes, there is a common step within the end-of-life timeline and what to... Finally ) time to Stop Calling COVID a Pandemic their side to allow drainage of secretions and to keep airway! Received numerous awards for publication in education amount of urine will decrease and the of! To soothe dry skin to make removal of cream or ointment easier globally recognized leader in digestive diagnosis or... With life insurance agent to collect benefits or consider options leader in diagnosis! For instance, if itching is bothersome, it might be hard for them to interact the thats... Tests, check the status of the body and backs up into the lungs verbal or tactile.. The arms and legs information is designed to help individuals and families go the., among the younger age group cholelithiasis Was the Quran Written ( and Why ) for heels elbows... Dog bites along with a diet with low protein content it can also interfere with appetite be prepared, that... Keep the airway open allow someone to sleep, and Physically respond to verbal or stimuli...

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