terminal restlessness
Agitation and motor restlessness occurring in dying patients, often accompanied by confusion and altered consciousness.
Full Definition
Terminal restlessness, also known as terminal agitation, is a distressing symptom complex that occurs in dying patients, characterized by motor restlessness, agitation, confusion, and altered consciousness. The condition affects approximately 25-85% of dying patients and can be caused by multiple factors including medication effects, metabolic disturbances, uncontrolled pain, psychological distress, or spiritual concerns. In geriatric psychiatry, terminal restlessness presents particular challenges in patients with dementia or other psychiatric conditions who may have limited ability to communicate their distress. Management requires careful assessment of reversible causes, adequate symptom control with appropriate medications, and support for distressed family members who may find the behavior alarming.
Usage
Usage note: Sensitive term requiring careful explanation to families; focus on comfort and dignity in discussions.
In Context
- "Terminal restlessness was managed with low-dose haloperidol and comfort measures for the family." — End-of-life care plan
- "The palliative care team addressed the patient's terminal restlessness while providing emotional support to distressed relatives." — Hospice documentation