Xerostomia: a silent burden for people receiving palliative care – a qualitative descriptive study

Abstract Background The prevalence of dry mouth in the palliative care population is well documented and increases due to polypharmacy, radiotherapy and systemic conditions. Saliva as a lubricant for the mouth and throat has implications for swallowing, chewing, and speech. The literature about the...

Full description

Saved in:
Bibliographic Details
Main Authors: Emir Murphy Dourieu, Dominika Lisiecka, William Evans, Patricia Sheahan
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Palliative Care
Subjects:
Online Access:https://doi.org/10.1186/s12904-024-01617-x
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1841544187447607296
author Emir Murphy Dourieu
Dominika Lisiecka
William Evans
Patricia Sheahan
author_facet Emir Murphy Dourieu
Dominika Lisiecka
William Evans
Patricia Sheahan
author_sort Emir Murphy Dourieu
collection DOAJ
description Abstract Background The prevalence of dry mouth in the palliative care population is well documented and increases due to polypharmacy, radiotherapy and systemic conditions. Saliva as a lubricant for the mouth and throat has implications for swallowing, chewing, and speech. The literature about the experience of xerostomia (perceived feeling of dry mouth) in palliative care is scarce. Clinical evidence suggests that xerostomia has a negative impact on people’s comfort, however, no recent studies explored this impact in detail. This new knowledge is paramount to adhere to the principles of palliative care. Aims To evaluate the impact of xerostomia on the lives of people receiving palliative care with particular reference to eating and speaking.  Design A qualitative descriptive study (interview design). Thematic analysis was used for data analysis. Setting A single specialist palliative care centre in Ireland. Results The majority of participants (35/40) had cancer. Xerostomia was reported to have multiple physical, psychological, and daily life consequences. Participants provided insights into the impact of xerostomia on sleeping, eating, talking, denture wearing, and they described in detail their intra-oral sensations associated with xerostomia. The negative effect of xerostomia on speech was reported as the most significant to participants. Conclusion Xerostomia has a profound impact on the daily lives of people receiving palliative care, including physical and psychological consequences. Speaking is often affected, which can impede the person’s ability to communicate. There needs to be increased awareness of the impact of xerostomia and more research is required to understand how best to manage xerostomia in a palliative care setting.
format Article
id doaj-art-28c971a8ab9c40d58aa3c9b559466bab
institution Kabale University
issn 1472-684X
language English
publishDate 2025-01-01
publisher BMC
record_format Article
series BMC Palliative Care
spelling doaj-art-28c971a8ab9c40d58aa3c9b559466bab2025-01-12T12:44:31ZengBMCBMC Palliative Care1472-684X2025-01-0124111210.1186/s12904-024-01617-xXerostomia: a silent burden for people receiving palliative care – a qualitative descriptive studyEmir Murphy Dourieu0Dominika Lisiecka1William Evans2Patricia Sheahan3Kerry Specialist Palliative Care Service, University Hospital KerryDepartment of Nursing and Health Sciences, Munster Technological UniversityDepartment of Nursing and Health Sciences, Munster Technological UniversityKerry Specialist Palliative Care Service, University Hospital KerryAbstract Background The prevalence of dry mouth in the palliative care population is well documented and increases due to polypharmacy, radiotherapy and systemic conditions. Saliva as a lubricant for the mouth and throat has implications for swallowing, chewing, and speech. The literature about the experience of xerostomia (perceived feeling of dry mouth) in palliative care is scarce. Clinical evidence suggests that xerostomia has a negative impact on people’s comfort, however, no recent studies explored this impact in detail. This new knowledge is paramount to adhere to the principles of palliative care. Aims To evaluate the impact of xerostomia on the lives of people receiving palliative care with particular reference to eating and speaking.  Design A qualitative descriptive study (interview design). Thematic analysis was used for data analysis. Setting A single specialist palliative care centre in Ireland. Results The majority of participants (35/40) had cancer. Xerostomia was reported to have multiple physical, psychological, and daily life consequences. Participants provided insights into the impact of xerostomia on sleeping, eating, talking, denture wearing, and they described in detail their intra-oral sensations associated with xerostomia. The negative effect of xerostomia on speech was reported as the most significant to participants. Conclusion Xerostomia has a profound impact on the daily lives of people receiving palliative care, including physical and psychological consequences. Speaking is often affected, which can impede the person’s ability to communicate. There needs to be increased awareness of the impact of xerostomia and more research is required to understand how best to manage xerostomia in a palliative care setting.https://doi.org/10.1186/s12904-024-01617-xXerostomiaDry mouthPalliative careQualitative
spellingShingle Emir Murphy Dourieu
Dominika Lisiecka
William Evans
Patricia Sheahan
Xerostomia: a silent burden for people receiving palliative care – a qualitative descriptive study
BMC Palliative Care
Xerostomia
Dry mouth
Palliative care
Qualitative
title Xerostomia: a silent burden for people receiving palliative care – a qualitative descriptive study
title_full Xerostomia: a silent burden for people receiving palliative care – a qualitative descriptive study
title_fullStr Xerostomia: a silent burden for people receiving palliative care – a qualitative descriptive study
title_full_unstemmed Xerostomia: a silent burden for people receiving palliative care – a qualitative descriptive study
title_short Xerostomia: a silent burden for people receiving palliative care – a qualitative descriptive study
title_sort xerostomia a silent burden for people receiving palliative care a qualitative descriptive study
topic Xerostomia
Dry mouth
Palliative care
Qualitative
url https://doi.org/10.1186/s12904-024-01617-x
work_keys_str_mv AT emirmurphydourieu xerostomiaasilentburdenforpeoplereceivingpalliativecareaqualitativedescriptivestudy
AT dominikalisiecka xerostomiaasilentburdenforpeoplereceivingpalliativecareaqualitativedescriptivestudy
AT williamevans xerostomiaasilentburdenforpeoplereceivingpalliativecareaqualitativedescriptivestudy
AT patriciasheahan xerostomiaasilentburdenforpeoplereceivingpalliativecareaqualitativedescriptivestudy