Cough is a defense mechanism to help clear the airway of debris such as mucus and foreign particles. While generally a protective reflex, cough is a widely experienced hospice symptom that can be distressing and significantly reduce quality of life. Severe, persistent cough can lead to shortness of breath, throat and chest pain, nausea, vomiting, insomnia, and impaired communication. In extreme cases, it may result in syncope, subconjunctival hemorrhage, fatigue fractures of lower ribs, and pelvic hernias. Treatment goals may include reducing cough frequency and severity and improving patient comfort... Download Full PDF