What should be your first response to an 85-year-old man's family expressing concern about terminal secretions?

The initial response to the family expressing concern about terminal secretions should focus on reassurance. Informing them that these secretions are a common occurrence in individuals nearing the end of life can alleviate some of their anxiety. It's important to convey that this natural process is usually not associated with physical discomfort for the patient.

Offering reassurance helps to create a calm and supportive environment, which is essential in palliative care. Families often feel helpless and anxious during this time, and addressing their concerns head-on with understanding and comforting information can help them cope better with the situation. This approach also emphasizes the importance of communication and support for both the patient and their loved ones.

While discussing medication options or referring them to specialists may also be part of comprehensive care, these steps typically come after addressing the family's immediate emotional needs. Encouraging family presence is valuable in the context of holistic support, but the priority should be to address their concerns directly and provide reassurance about the process the patient is experiencing.