{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,1,24]],"date-time":"2025-01-24T05:15:24Z","timestamp":1737695724242,"version":"3.33.0"},"reference-count":11,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2025,1,23]],"date-time":"2025-01-23T00:00:00Z","timestamp":1737590400000},"content-version":"unspecified","delay-in-days":22,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Pall Supp Care"],"published-print":{"date-parts":[[2025]]},"abstract":"<jats:title>Abstract<\/jats:title>\n\t  <jats:p>One of the most crucial stages of palliative care is the last days and hours of life, which require special attention and knowledgeable identification of clinical signs described as signs of impending death (SID). Our case series of 11 patients receiving home palliative care describes bilateral hypoactive, stereotyped upper arm movements (scratching of the head, forehead, and nose) that were previously unknown or described, often accompanied by SID.<\/jats:p>","DOI":"10.1017\/s1478951524002001","type":"journal-article","created":{"date-parts":[[2025,1,23]],"date-time":"2025-01-23T09:34:22Z","timestamp":1737624862000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["Upper arm movements in the last days of life: A new possible sign of impending death"],"prefix":"10.1017","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9283-5045","authenticated-orcid":false,"given":"Miguel","family":"Juli\u00e3o","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carolina","family":"Sim\u00f5es","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patr\u00edcia","family":"Calaveiras","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paula","family":"C\u00e2mara","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Miguel","family":"Castelo-Branco","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2025,1,23]]},"reference":[{"key":"S1478951524002001_ref3","article-title":"Abnormal movements in critical care patients with brain injury: A diagnostic approach","volume":"20","author":"Hannawi","year":"2016","journal-title":"Journal of Critical Care"},{"key":"S1478951524002001_ref5","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.29602"},{"key":"S1478951524002001_ref4","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.29048"},{"key":"S1478951524002001_ref2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.326.7379.30"},{"key":"S1478951524002001_ref6","doi-asserted-by":"publisher","DOI":"10.1634\/theoncologist.2013-0457"},{"key":"S1478951524002001_ref1","doi-asserted-by":"publisher","DOI":"10.5152\/dir.2018.18096"},{"key":"S1478951524002001_ref7","doi-asserted-by":"publisher","DOI":"10.1385\/NCC:3:2:122"},{"key":"S1478951524002001_ref8","doi-asserted-by":"publisher","DOI":"10.1177\/104990919801500407"},{"key":"S1478951524002001_ref9","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2005.8.1042"},{"key":"S1478951524002001_ref10","doi-asserted-by":"publisher","DOI":"10.20344\/amp.12737"},{"key":"S1478951524002001_ref11","doi-asserted-by":"publisher","DOI":"10.1016\/0277-5379(90)90635-7"}],"container-title":["Palliative and Supportive Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1478951524002001","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,1,23]],"date-time":"2025-01-23T09:34:24Z","timestamp":1737624864000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1478951524002001\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025]]},"references-count":11,"alternative-id":["S1478951524002001"],"URL":"https:\/\/doi.org\/10.1017\/s1478951524002001","relation":{},"ISSN":["1478-9515","1478-9523"],"issn-type":[{"value":"1478-9515","type":"print"},{"value":"1478-9523","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025]]},"assertion":[{"value":"\u00a9 The Author(s), 2025. Published by Cambridge University Press.","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http:\/\/creativecommons.org\/licenses\/by\/4.0), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}],"article-number":"e29"}}