Evidence map›Paper›PMID 37585424›Full record

ArticlePloS one2023

Thirst or dry mouth in dying patients?-A qualitative study of palliative care physicians' experiences.

Maria Friedrichsen, Caroline Lythell, Tiny Jaarsma, Pier Jaarsma, Helene Ångström, Micha Milovanovic, Marit Karlsson, Anna Milberg, Hans Thulesius, Christel Hedman and 2 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.4field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 5 institutions in 1 country.

Maria FriedrichsenPalliative Education and Research Centre, Vrinnevi Hospital, Norrköping, Sweden.ORCID 0000-0002-9606-3238
Caroline LythellPalliative Education and Research Centre, Vrinnevi Hospital, Norrköping, Sweden.
Tiny JaarsmaDepartment of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.
Pier JaarsmaDivision of Society and Health, Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.
Helene ÅngströmPalliative Education and Research Centre, Vrinnevi Hospital, Norrköping, Sweden.
Micha MilovanovicDepartment of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.
Marit KarlssonDepartment of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.
Anna MilbergPalliative Education and Research Centre, Vrinnevi Hospital, Norrköping, Sweden.ORCID 0000-0001-8828-0702
Hans ThulesiusDepartment of Medicine and Optometry, Faculty of Health and Life Sciences, Linnaeus University, Kalmar, Sweden.ORCID 0000-0002-3785-5630
Christel HedmanDepartment of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden.ORCID 0000-0003-4183-7598
Nana WaldréusDepartment of Neurobiology, Care Sciences and Society, Division of Nursing, Karolinska Institutet, Huddinge, Sweden.
Anne Söderlund SchallerDepartment of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.ORCID 0000-0002-0380-3365
Linköping University · SEKarolinska University Hospital · SELinnaeus University · SESwedish Foundation for Strategic Research · SEVrinnevisjukhuset i Norrköping · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThirst and dry mouth are common symptoms among patients at the end of life. In palliative care today, there is a focus on mouth care to alleviate thirst. There are no qualitative studies on thirst from a physician's experience, which is why this study is needed. PURPOSE: This study aimed to explore palliative care physicians' experiences and views of thirst in patients at the end of life.

methodsA qualitative interview study with an inductive approach was carried out. Sixteen physicians working in specialised palliative care units in Sweden were included. The interviews were analysed with a reflexive thematic analysis.

resultsThe analysis resulted in three basic assumptions regarding thirst: It is dry mouth, not thirst; patients are dry in their mouth and thirsty; and, I do not know if they are thirsty. Further, four different themes regarding how to relieve thirst appeared: drips will not help thirst but cause harm; the body takes care of thirst itself; drips might help thirst; and, mouth care to relieve thirst or dry mouth.

conclusionsThe palliative care physicians had different experiences regarding thirst, from thirst never arising, to a lack of awareness. They thought good mouth care worked well to alleviate the feeling of thirst and dry mouth. Most physicians did not want to give patients drips, while some did. This study indicates that there are many unanswered questions when it comes to thirst at end-of-life and that further research is needed.

Indexed as

PhysiciansTerminal CareXerostomiaDeathHumansPalliative CareQualitative Research

Identifiers

PMID37585424
PMCPMC10431603
OpenAlexW4385858725

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.