The last two days of life of nursing home patients--a nationwide study on causes of death and burdensome symptoms in The Netherlands. Palliat Med 2006; 20:533. Wright AA, Keating NL, Balboni TA, et al. Place of death: correlations with quality of life of patients with cancer and predictors of bereaved caregivers' mental health.
1. Respiratory Health Issues. Downward curved fingernails can indicate a problem with respiratory health, and are often present in people who have medical conditions such as COPD, chronic bronchitis, asthma and lung cancer. Fingernails often curve downwards as a result of lack of oxygen.
The causes of spoon nails vary. The condition can be hereditary. When this is the case, multiple nails will be affected with some sort of a concave dip. The indent will grow out, but the new nail will have the same indents. Sometimes spoon nails are due to a client continually picking, biting, or rubbing her nails.