Pruritus, Fever, and Sweats at the End of Life: Nursing Assessment and Management Considerations

Pruritus, fever, and sweats are frequently observed thermoregulatory symptoms among patients with advanced chronic illnesses, especially during the terminal phase. These symptoms can substantially affect patient comfort and may contribute to fatigue, delirium, sleep disturbances, and lead to increased caregiver burden. Nurses play a crucial role in distinguishing between reversible and irreversible causes of pruritus, fever, and sweats. They are essential in implementing evidence-based interventions focused on patient comfort that align with the goals of care for both patients and families. This article presents a thorough, evidence-based review of the assessment and management of pruritus, fever, and sweats at the end of life.