Which symptom can indicate a need for immediate attention in a hospice patient?

In the context of hospice care, terminal secretions, often referred to as "death rattle," indicate a need for immediate attention because they can signify significant changes in the patient's condition. This symptom arises when patients are nearing the end of life, due to the accumulation of secretions in the throat and upper airway, which can lead to difficulties in breathing and discomfort.

The presence of terminal secretions can be distressing for both the patient and family members. Addressing this symptom is crucial to provide comfort, and interventions may include repositioning the patient, using medications to reduce the secretions, or suctioning if necessary. The goal is to minimize discomfort and ensure a peaceful transition.

Increased appetite, fatigue, and chronic cough, while they may be significant symptoms in other contexts or indicate a need for monitoring, do not typically require the same level of immediate intervention as terminal secretions. For patients in hospice, the focus is on comfort, and noticing changes that may cause distress is vital for their care.