ALLERGIES/ SENSITIVITIES This section must be completed before prescribing/administering any drug
|
|
- Bonnie French
- 5 years ago
- Views:
Transcription
1 COMMUNITY PRESCRIPTION CHART All entries should be in CAPITAL letters and in indelible black ink. If medications/ doses are stopped, cross through the relevant line clearly to avoid error. GP: PRESCRIBER SIGNATURE LIST Name Designation Prof. reg. no. Contact details Signature ALLERGIES/ SENSITIVITIES This section must be completed before prescribing/administering any drug / STIMULUS Problem Signature Date No Known Allergies Signature Date REGULAR MEDICATION REQUIRING ADMINISTRATION Date Freq Time DOSE words and figures Route Signature Northern England Strategic Clinical Network community prescription chart v1 1
2 COMMUNITY PRESCIPTION CHART If medications/ doses are stopped, cross through the relevant line clearly to avoid error. AS REQUIRED (PRN) MEDICATION Date DOSE words and figures Freq Signature Stopped sig/date PAIN/ DYSPNOEA Route eg max dose 24hrs AGITATION/ DYSPNOEA Route eg max dose 24hrs NAUSEA/ VOMITING Route eg max dose 24hrs RESPIRATY SECRETIONS Route eg max dose 24hrs Route eg max dose 24hrs Northern England Strategic Clinical Network community prescription chart v1 2
3 COMMUNITY PRESCIPTION CHART If medications/ doses are stopped, cross through the relevant line clearly to avoid error. AS REQUIRED (PRN) MEDICATION Date DOSE words and figures Freq Signature Stopped sig/date Route eg max dose 24hrs Route eg max dose 24hrs Route eg max dose 24hrs Route eg max dose 24hrs Route eg max dose 24hrs Route eg max dose 24hrs Route eg max dose 24hrs Northern England Strategic Clinical Network community prescription chart v1 3
4 COMMUNITY PRESCRIPTION CHART REGULAR MEDICATION- 24 HR CONTINUOUS SUBCUTANEOUS INFUSION DILUENT SHOULD BE STERILE WATER F MOST S UNLESS SITE IRRITATION OCCURS Date DOSE words and figures Signature Stopped sig/date Water/ Saline Water/ Saline Northern England Strategic Clinical Network community prescription chart v1 4
5 COMPATIBILITY CHART- based on PCF 4 Changes in the law state that the instruction / direction to mix medicines must be in writing. Therefore the prescriber must indicate in the Special Instruction column which other drug(s) to mix with in the syringe driver. As a general rule, only mix two drugs per syringe. If considering using 3 or more drugs, seek specialist advice. / INDICATION : water for injection MPHINE OXYCODONE ALFENTANIL DIAMPHINE MIDAZOLAM MIDAZOLAM Seizures CYCLIZINE Nausea and vomiting METOCLOPRAMIDE HALOPERIDOL HALOPERIDOL LEVOMEPROMAZINE LEVOMEPROMAZINE HYOSCINE BUTYLBROMIDE Chest secretions / Colic pain HYOSCINE HYDROBROMIDE Chest secretions Per 24hrs Use conversion ratio if on regular opioids 5mg (increase by 30-50% at a time) 5mg, no upper limit (increase dose by 30-50% at a time) 0.5mg (increase by 30-50% at a time) 5mg, no upper limit (increase dose by 30-50% at a time) 10mg (Increase by 30-50%) DOSE > 30mg 10mg 150mg Dilute as much as possible with water (skin irritation) mg (Dilute high doses as much as possible) PRN (Doses normally 1 hour apart, seek specialist advice if symptom control not being achieved) morphine oxycodone microg alfentanil diamorphine COMPATIBILITY- 2 SYRINGE DRIVER YES- NOT COMPATIBLE or QUERY COMPATIBLE COMPATIBLE Alfentanil 50mg 10mg (low concentration) Morphine Alfentanil Morphine 1.5-5mg 1.5mg Alfentanil 5-30mg 1.5mg Hyoscine butlybromide mg 6.25mg Alfentanil mg 12.5mg Hyoscine butlybromide (Dilute high doses as much Morphine as possible) mg 20mg Alfentanil Morphine mg 400microg Morphine - incompatible at high concentration equal to or > 2mg/ml - some reports incompatible at high doses (mixes at usual concentrations) - ( + is a problematic combination therefore be cautious, dilute to 23mls and monitor). - 60mg max is 150mg/23mls - > 60mg max is 50mg/23ml - (Alfentanil high concentration) -Hysocine hydroromide no data - ( high concentration) - incompatible at high concentration (may precipitate if >2mg/ml) -Always inspect solution and discard if cloudy / crystalised -Beware with high doses -Morphine some reports incompatible at high doses of (mixes at usual concentration) - some reports incompatible -Alfentanil high concentration incompatible - high concentration incompatible - incompatible - not recommended - not recommended - some reports incompatible - (see oxycodone section) - not recommended - not recommended - not recommended - not recommended - no data - (see diamorphine section) - not recommended - no data -Morphine (see morphine section) - not recommended - not recommended - not recommended - incompatible - not recommended -Hyoscine Hydrobromide not recommended -Alfentanil no data - not recommended - not recommended Northern England Strategic Clinical Network community prescription chart v1 5
Syringe driver in Palliative Care
Syringe driver in Palliative Care Introduction: Syringe drivers are portable, battery operated devices widely used in palliative care to deliver medication as a continuous subcutaneous infusion over 24
More informationANTICIPATORY PRESCRIBING FOR PATIENTS AT END OF LIFE WITH RENAL IMPAIRMENT
ANTICIPATORY PRESCRIBING FOR PATIENTS AT END OF LIFE WITH RENAL Doses of opiates must be proptional to current analgesic medication Please refer ALL patients on Methadone Ketamine to SPCT f advice. Patients
More informationPAIN MANAGEMENT Patient established on oral morphine or opioid naive.
PAIN MANAGEMENT Patient established on oral morphine or opioid naive. Important; It is the responsibility of the prescriber to ensure that guidelines are followed when prescribing opioids. Every member
More informationPAIN MANAGEMENT Person established taking oral morphine or opioid naive.
PAIN MANAGEMENT Person established taking oral morphine or opioid naive. Important; it is the responsibility of the prescriber to ensure that guidelines are followed when prescribing opioids. Every member
More informationSYRINGE DRIVER MEDICATIONS
SYRINGE DRIVER MEDICATIONS Christine Hull & Anita Webb Staff Nurses, Hospice in the Home 2015 Analgesics:- Groups of Medication used in Syringe Drivers Morphine sulphate Diamorphine Oxycodone Alfentanil
More informationRenal Prescribing at End of Life Guidance for Anticipatory prescribing for patients in renal failure (egfr<30) at the end of life
Guidance for Anticipatory prescribing for patients in renal failure (egfr
More information[Type text] Anticipatory Medication STAT dose and Syringe Driver Guidance [Type text]
[Type text] Anticipatory Medication STAT dose and Syringe Driver Guidance [Type text] Patients with egfr greater than 30mL/min Patients with egfr less than 30mL/min Symptom Drug Dose Symptom Drug Dose
More informationPRESCRIBING GUIDELINES FOR SYMPTOM MANAGEMENT IN THE DYING PATIENT
PRESCRIBING GUIDELINES FOR SYMPTOM MANAGEMENT IN THE DYING PATIENT A collaboration between: St. Rocco s Hospice, Bridgewater Community Healthcare NHS Trust, NHS Warrington Clinical Commissioning Group,
More informationSupporting Last Days of Life Symptom Control Medication Guidance: Algorithm. Agitation & Anxiety
Agitation & Anxiety (Exclude or treat REVERSIBLE causes*) Patient is anxious / frightened, but lucid Patient is confused, agitated and / or hallucinating MIDAZOLAM 2.5-5mg s/c (Max total 24 hour dose of
More informationDiamorphine 4 hour. alfentanil (500microgram/mL) Calculated by dividing 24 hour oral morphine dose by 30
If more information is required please seek help from specialist palliative care pioid dose conversion chart, syringe driver doses, rescue/prn doses and opioid patches Use the conversion chart to work
More informationAlgorithms for Symptom Management. In End of Life Care
Algorithms for Symptom Management In End of Life Care The Use of Drugs Beyond Licence (off label) -The Medicines and Healthcare Products Regulatory Agency (MHRA) in the UK regulates the activity of the
More informationAnticipatory Medications for End of Life Patients. Doses must be proportional to the current analgesic medication YES NO YES NO
Anticipatory Medications for End of Life Patients oses must be proportional to the current analgesic medication Please refer ALL patients on Methadone or Ketamine to palliative care team for advice. Patients
More informationPHARMACY SERVICE ARRANGEMENTS FOR THE SUPPLY OF PALLIATIVE CARE SYRINGES AND MEDICINES FOR COMMUNITY PATIENTS
PHARMACY SERVICE ARRANGEMENTS FOR THE SUPPLY OF PALLIATIVE CARE SYRINGES AND MEDICINES FOR COMMUNITY PATIENTS The benefits of prefilled syringes for palliative care from the hospital pharmacy service In
More informationSyringe Drivers. Back to top
Page 1 of 8 Syringe Drivers Introduction Indications for use Advantages Method Siting syringe driver Boost facility Transfer to hospital/hospice syringe driver drugs Drug compatibility P.r.n medication
More informationEAST LANCASHIRE GUIDELINES FOR THE MANAGEMENT OF SYMPTOMS IN THE LAST DAYS OF LIFE
EAST LANCASHIRE SPECIALIST PALLIATIVE CARE TEAM EAST LANCASHIRE GUIDELINES FOR THE MANAGEMENT OF SYMPTOMS IN THE LAST DAYS OF LIFE Reviewed and updated August 2009 Next review date August 2011 Approved
More informationEnd of life prescribing guidance
End of life prescribing guidance Introduction This guidance has been prepared to ASSIST IN DECISION MAKING for the prescribing and monitoring of medicines useful in the management of symptoms commonly
More informationPAIN AND SYMPTOM MANAGEMENT GUIDANCE IN THE LAST DAYS OF LIFE
PAIN AND SYMPTOM MANAGEMENT GUIDANCE IN THE LAST DAYS OF LIFE Reference: DCM029 Version: 1.1 This version issued: 07/06/18 Result of last review: Minor changes Date approved by owner (if applicable): N/A
More informationSUBCUTANEOUS AS REQUIRED & SYRINGE PUMP PRESCRIPTION & ADMINISTRATION RECORD (SPAR) Name: Address: Postcode: Date of Birth: NHS Number:
FILE IN PATIENT S COMMUNITY HEALTH RECORD FOLDER : SUBCUTANEOUS AS REQUIRED & SYRINGE PUMP PRERIPTION & ADMINISTRATION RECORD (SPAR) Abbreviations used in this document to be listed here with the full
More informationPENNINE LANCASHIRE GUIDELINES FOR THE MANAGEMENT OF SYMPTOMS IN THE LAST DAYS OF LIFE
PENNINE LANCASHIRE GUIDELINES FOR THE MANAGEMENT OF SYMPTOMS IN THE LAST DAYS OF LIFE Originally produced: July 2006 First Review: August 2009 Second Review: November 2011 For review November 2013 Approved
More informationClatterbridge Centre for Oncology
Clatterbridge Centre for Oncology CONTENTS 1. Why and when to use a syringe driver 2. Siting the syringe driver 3. Mixing and measuring 4. Setting up the syringe driver 5. Drug information 6. Common problems
More informationGUIDELINES FOR PRESCRIBING AT THE END OF LIFE FOR PATIENTS WITH RENAL IMPAIRMENT (estimated glomerular filtration rate<30)
GUIDELINES FOR PRESCRIBING AT THE END OF LIFE FOR PATIENTS WITH RENAL IMPAIRMENT These guidelines have been produced in collaboration with Dr Lucy Smyth, Consultant in Renal Medicine, Royal Devon and Exeter
More informationRenal Palliative Care Last Days of Life
Renal Palliative Care Last Days of Life Introduction This guideline is an aid to clinical decision-making and good practice for patients with stage 4-5 chronic kidney disease (egfr
More informationIsle of Wight Syringe Driver Compatibility Guidelines
Isle of Wight Syringe Driver Compatibility Guidelines Produced by The Earl Mountbatten Hospice, Isle of Wight Written January 2015, revision due January 2018 This guideline is available as a paper pocketbook
More informationSupportive Care. End of Life Phase
Supportive Care End of Life Phase Guidelines for Health Care Professionals In the care of patients with established renal failure who are in the last days of life References: Chambers E J (2004) End of
More informationEnd of Life Care. Dr Anne Garry Consultant in Palliative Medicine
End of Life Care Dr Anne Garry Consultant in Palliative Medicine Concerns voiced both by public and professionals.. Implementation and on-going training highly variable across country Decisions made by
More informationCare of the Dying. For dosing in severe renal impairment see separate guidance for care of the dying in severe renal failure.
Care of the Dying Early diagnosis of the dying process allows for adequate preparation of the patient, the family and the carers. This clinical guidance covers the prescribing and management of patients
More informationEnd Stage Liver Disease Regional Audit Casenote Survey
1. This questionnaire is an audit of clinical documentation of patients who have died of end stage liver disease. If you have any questions about how this form should be completed please contact Dr Grace
More informationPalliative care for heart failure patients. Susan Addie
Palliative care for heart failure patients Susan Addie Treatments The most common limiting and distressing complaint is of fatigue and breathlessness. Optimal treatment strategies relieve symptoms, improves
More informationMMG035 Symptom Management Guidelines for a Person thought to be in the Last Few Days and Hours of Life
MMG035 Symptom Management Guidelines for a Person thought to be in the Last Few Days and Hours of Life The following pages are guidelines for the management of common symptoms for a person thought to be
More informationEssential Syringe Driver Training for T 34. Elaine Bird St Luke s Hospice
Essential Syringe Driver Training for T 34 Elaine Bird St Luke s Hospice Aim For all practitioners to be accountable for their individual competence and capability when caring for a resident with a T34
More informationSymptom Management Guidelines for End of Life Care
Symptom Management Guidelines for End of Life Care The following pages are guidelines for the management of common symptoms in the last few days of life. General principles: 1. Consider how symptoms can
More informationSYMPTOM MANAGEMENT GUIDANCE FOR PATIENTS RECEIVING PALLIATIVE CARE AT ROYAL DERBY HOSPITAL
SYMPTOM MANAGEMENT GUIDANCE FOR PATIENTS RECEIVING PALLIATIVE CARE AT ROYAL DERBY HOSPITAL If a patient is believed to be approaching the end of their life, medication should be prescribed in anticipation
More informationCare of the Dying Management in Severe Renal Failure
Care of the Dying Management in Severe Renal Failure Clinical Guideline Early recognition of the dying process allows for adequate preparation of the patient, the family and the carers. This clinical guidance
More informationCare of the Dying Management in Severe Renal Failure
Care of the Dying Management in Severe Renal Failure Clinical Guideline Early diagnosis of the dying process allows for adequate preparation of the patient, the family and the carers. This clinical guidance
More informationUsing syringe pumps in palliative care
Using syringe pumps in palliative care Facilitator: Barbara Stone RN Ground rules Medication matching game Learning outcomes To identify the indications for using a syringe pump To discuss the general
More informationDoncaster & Bassetlaw Cancer Locality. Palliative Care Core Formulary
Doncaster & Bassetlaw Cancer Locality Palliative Core Formulary Approved by Doncaster & Bassetlaw Hospitals NHS Foundation Trust Drugs and Therapeutics Committee. DJ14/2155 Oct 2014 Review date: Oct 2017
More informationConservative Management of Uraemia
Conservative Management of Uraemia Information for Health Professionals Renal Department The York Hospital and Scarborough Hospital Tel: 01904 725370 For more information, please contact: The Renal Specialist
More informationWe would like to thank you for completing this audit questionnaire which looks at how you manage nausea and vomiting in palliative care patients.
We would like to thank you for completing this audit questionnaire which looks at how you manage nausea and vomiting in palliative care patients. The closing date for responses is 19th December The results
More informationPolicy/Standard Operating Procedure/ Clinical Guideline. ELHT/CP22 Version 5.1. ELHT/CP22 Version 4.1
TRUST WIDE/DIVISIONAL DOCUMENT Delete as appropriate Policy/Standard Operating Procedure/ Clinical Guideline DOCUMENT TITLE: Policy and Procedure for the T34 Ambulatory Syringe Pump in adults (Palliative
More informationPalliative Care Impact Survey
September 2018 Contents Introduction...3 Headlines...3 Approach...4 Findings...4 Which guideline are used...4 How and where the guidelines are used...6 Alternative sources of information...7 Use of the
More informationThis survey aims to look at individual practice and can be completed by any healthcare professional.
This survey aims to look at individual practice and can be completed by any healthcare professional. If you have any questions about how this form should be completed please contact Dr Grace Ting (ghlting@doctors.net.uk)
More informationFor patients and their carers this means smoother symptom control, better support in a crisis, and avoidance of admission if that is their choice.
Bedfordshire Palliative Care Palliative Care Medicines Guidance This folder has been produced to support professionals providing palliative care in any setting. Its aim is to make best practice in palliative
More informationADULT SYRINGE DRIVER PROTOCOL (T34)
ADULT SYRINGE DRIVER PROTOCOL (T34) Version Date Purpose of Issue/Description of Change Review Date 3 May 2016 Guidelines for T34 syringe driver May 2018 Status Publication Scheme FOI Classification Function/Activity
More informationGuidelines: EOLC Symptom Control for Patients with Normal Renal Function (in Wandsworth)
Guidelines: EOLC Symptom Control for Patients with Normal Renal Function (in Wandsworth) Policy Number : DC020 Issue Date: October 2014 Review date: October 2016 Policy Owner: Head Community Services Monitor:
More informationCare of dying adults in the last days of life. Improving care at the very end of life.
Care of dying adults in the last days of life Improving care at the very end of life. Foreword We will all experience death, whether it is our own or that of a loved one. The bereaved person s perception
More informationCare in the Last Days of Life
Care in the Last Days of Life Introduction This guideline is an aid to clinical decision making and good practice in person-centred care for patients who are deteriorating and at risk of dying. The patient
More informationBACKGROUND Measuring renal function :
A GUIDE TO USE OF COMMON PALLIATIVE CARE DRUGS IN RENAL IMPAIRMENT These guidelines bring together information and recommendations from the Palliative Care formulary (PCF5 ) BACKGROUND Measuring renal
More informationGUIDELINES ON THE MANAGEMENT OF PAIN DUE TO CANCER IN ADULTS
GUIDELINES ON THE MANAGEMENT OF PAIN DUE TO CANCER IN ADULTS Bristol Palliative Care Collaborative Contact Numbers: Hospital Specialist Palliative Care Teams: North Bristol 0117 4146392 UH Bristol 0117
More informationMND Just in Case kit Information for GPs
MND Just in Case kit Information for GPs What is the MND Just in Case kit? 2 Motor neurone disease (MND) is a progressive and terminal disease that results in degeneration of the motor neurones in the
More informationBerkshire Adult Palliative Care Guidelines - End of Life Care GL110
Berkshire Adult Palliative Care Guidelines - End of Life Care GL110 Approval Approval Group Job Title, Chair of Committee Date Drugs & Therapeutic Committee Chair, Drugs & Therapeutic Committee October
More informationPalliative Care Out-of-hours. A resource pack for West Dorset. Contents:
Palliative Care Out-of-hours. A resource pack for West Dorset Contents: Section 1 Supply of drugs DCH Pharmacy hours and arrangements How to contact a community pharmacist out of hours Palliative care
More informationDrug Prescription and Administration Record
Chart No. this admission Drug Prescription and Administration Record Patient s Name: of Admission: Chart Start : Chart Finish : NHS No: Consultant Code: Ward: ALERT: of Birth: ADDITIONAL CAUTIONS FOR PRESCRIBING
More informationAlternative Routes of Drug Administration (analgesia) Dr Andrew Dickman Consultant Pharmacist
Alternative Routes of Drug Administration (analgesia) Dr Andrew Dickman Consultant Pharmacist Alternative Routes of Drug Administration Introduction Subcutaneous Route Contemporary Issues Compatibility
More informationPalliative Care and the Critical Role of the Pharmacist. Arti Thakerar Education/ Palliative Care Peter MacCallum Cancer Centre
Palliative Care and the Critical Role of the Pharmacist Arti Thakerar Education/ Palliative Care Peter MacCallum Cancer Centre Overview What is palliative care Role of a pharmacist in palliative care Issues
More informationAnticipatory prescribing and end of life considerations. Dr Stephanie Lippett
Anticipatory prescribing and end of life considerations Dr Stephanie Lippett contents Pain Restlessness/agitation Nausea/vomiting Secretions Syringe driver Anticipatory prescribing Important things to
More informationPlanning for the future; A guide to symptom control at end of life in advanced dementia
Planning for the future; A guide to symptom control at end of life in advanced dementia Item Type Guideline Authors Irish Hospice Foundation;St Vincent's Hospital, Athy;St Brigid's Hospice Publisher Irish
More informationRegional Renal Training
Regional Renal Training Palliative and End of Life Care Dr Clare Kendall North Bristol NHS Trust Advanced Kidney Disease Dialysis/Transplant Conservative Management Deteriorating despite dialysis/failing
More informationGuidelines for Syringe Driver Management in Palliative Care in New Zealand
Guidelines for Syringe Driver Management in Palliative Care in New Zealand i Citation: Ministry of Health. 2009. Guidelines for Syringe Driver Management in Palliative Care in New Zealand. Wellington:
More informationMcKinley T34 Syringe Pump Policy and Procedure
McKinley T34 Syringe Pump Policy and Procedure Author(s) & Designation Lead Clinician if appropriate In consultation with Practice Education Facilitator, Syringe Driver Training Lead Pharmacist Community
More informationPOLICY / PROCEDURE FOR THE USE OF THE McKinley T34 SYRINGE DRIVER
POLICY / PROCEDURE FOR THE USE OF THE McKinley T34 SYRINGE DRIVER This is a working document and any changes that become necessary to this policy must be notified in writing to the Macmillan Pharmacist
More informationAccess to Palliative Care Drugs and Advice through Lothian Primary Care NHS Trust Community Pharmacy Palliative Care Network
Access to Palliative Care Drugs and Advice through Lothian Primary Care NHS Trust Community Pharmacy Palliative Care Network Information for GPs, community pharmacists and district nurses First issued
More informationRespiratory Secretions. Care in the last 72 hours of life Paul Tait, pharmacist
Respiratory Secretions Care in the last 72 hours of life Paul Tait, pharmacist 50% Why? Inability to swallow & clear secretions Ineffective cough Reduced consciousness Pooling of secretions in the throat
More informationAdministration of Drugs via the CME Medical T34 Syringe Driver Standard Operating Procedure
Administration of Drugs via the CME Medical T34 Syringe Driver Standard Operating Procedure DOCUMENT CONTROL: Version: 3 Ratified by: Quality and Safety Sub Committee Date ratified: 30 May 2017 Name of
More informationImplementing the recommendation on medication management and symptom control
Implementing the recommendation on medication management and symptom control Mike Grocott Professor of Anaesthesia and Critical Care Medicine University of Southampton Consultant in Critical Care Medicine
More informationWhat s New 2003? What new treatments? What have you discontinued? More information please!
What s New 2003? What new treatments? What have you discontinued? More information please! 1 What s New 2003? Submissions = 137 UK = 52 (38%) Doctors = 60% Nurses = 25% Pharmacists = 15% 2 What s New?
More informationPalliative Care. Anticipatory Prescribing Guidelines & June Gippsland Region Palliative Care Consortium Clinical Practice Group
Palliative Care Anticipatory Prescribing Guidelines June 2016 Gippsland Region Palliative Care Consortium Clinical Practice Group Policy No. Title Keywords Ratified GRPCC-CPG008_1.1_2016 Anticipatory Prescribing
More informationPalliative Care. Pocketbook 4
Nottinghamshire STP EOL Programme Board 2019 Review 2022 Palliative Care Pocketbook 4 Contents Pain Guidelines page 2 Nausea and Vomiting page 9 Inoperable Bowel Obstruction page 10 Constipation page 11
More informationPalliative Care Formulary
Palliative Care Formulary 2016-2019 This formulary for pain and symptom management in adults is intended as a guide for prescribers in hospital and community. Special care should be taken when prescribing
More informationCardiac Catheter Labs Intravenous Drug Therapy Guide
Title of Guideline (must include the word Guideline (not protocol, policy, procedure etc) Contact Name and Job Title (author) Cardiac Catheter Lab IV Medicines Guideline Helen Buxton ( Senior Cath Lab
More informationINTEGRATED CARE PATHWAY (ICP) FOR THE DYING ADULT
INTEGRATED CARE PATHWAY (ICP) FOR THE DYING ADULT PLEASE INFORM THE PALLIATIVE CARE TEAM ON COMMENCEMENT OF THIS ICP (EXT 8958) ICP Start Date Patient s Name. Ward. Consultant.. Named Specialist Nurse
More informationRegional Breathlessness Audit - Case Note Survey. 1. Introduction. Regional Breathlessness Audit - Case Note Survey. 2.
Regional Breathlessness Audit - Case te Survey 1. Introduction Please complete this form for your case note review. Cases used may be PROSPECTIVE AND/OR RETROSPECTIVE. Please log as many cases as you can.
More informationSYMPTOM CONTROL IN THE LAST DAYS OF LIFE. Bradford, Airedale, Wharfedale & Craven
Bradford, Airedale, Wharfedale & Craven Managed Clinical Network SYMPTOM CONTROL IN THE LAST DAYS OF LIFE Guidelines for Healthcare Professionals Bradford, Airedale, Wharfedale & Craven Signs and symptoms
More informationSyringe Pumps: Guidance for the use with babies, children and young people in the community setting within Worcestershire
Syringe Pumps: Guidance for the use with babies, children and young people in the community setting within Worcestershire Syringe Pumps: Guidance for the use with babies, children and young people in the
More informationEastern Health and Social Services Board Palliative Care
Eastern Health and Social Services Board Palliative Care Out of Hours Symptom advice leaflets Adult Palliative care patients (Compiled by Macmillan GP Facilitators March 2008) 1 CONTENTS PAIN Control of
More informationManaging Respiratory Symptoms - Breathlessness, Cough and Secretions. Dr Laura Healy. Palliative Medicine Registrar, Beaumont Hospital.
Managing Respiratory Symptoms - Breathlessness, Cough and Secretions. Dr Laura Healy. Palliative Medicine Registrar, Beaumont Hospital. Things to consider: 1. Very common symptoms. 2. Can occur in any
More informationSCHEDULE 2 THE SERVICES
SCHEDULE 2 THE SERVICES A. Service Specifications Mandatory headings 1 4: mandatory but detail for local determination and agreement Optional headings 5-7: optional to use, detail for local determination
More informationThe last days of life in hospital and at home
The last days of life in hospital and at home Beaumont Multi-disciplinary Palliative Care Study Day 28/9/2017 Dr Sarah McLean Consultant in Palliative Medicine St Francis Hospice Beaumont Hospital Overview
More informationsurvey Parenteral anti-epileptics What is your experience? May July 2015
Parenteral anti-epileptics What is your experience? May July 2015 Number of responses = 99 1a) In patients with pre-existing epilepsy controlled by PO medication that are imminently dying (prognosis
More informationLothian Palliative Care Guidelines POCKET EDITION 2004
Lothian Palliative Care Guidelines POCKET EDITION 2004 These guidelines have been developed by a multidisciplinary group of specialist and non-specialist health professionals from hospital, community and
More informationIn our patients the cause of seizures can be broadly divided into structural and systemic causes.
Guidelines for the management of Seizures Amalgamation and update of previous policies 7 (Seizure guidelines, ND, 2015) and 9 (Status epilepticus, KJ, 2011) Seizures can occur in up to 15% of the Palliative
More informationAnalgesia. This is widely used in palliative care. It has antipyretic and analgesic effects but no anti-
Page 1 of 8 Analgesia The World Health Organisation (WHO, 1990) has devised a model to assist health care professionals in the management of cancer pain. The recommendations include managing pain, by the
More informationMid Essex Locality Guideline for Management of Adult Acute and Chronic Non-Cancer Pain in Primary care
Guideline for Management of Adult Acute and Chronic Non-Cancer Pain in Primary care If possible patients should be assessed using a simple visual analogue scale VAS to determine the most appropriate stage
More informationCoversheet for Network Site Specific Group Agreed Documentation
Coversheet for Network Site Specific Group Agreed Documentation This sheet is to accompany all documentation agreed by Pan Birmingham Cancer Network Site Specific Groups. This will assist the Network Governance
More informationPCA PRESCRIPTION is valid for a maximum of 4 days unless ceased earlier. Date: BINDING MARGIN - NO WRITING BINDING MARGIN - NO WRITING
Attach ADR Sticker THESE INSTRUCTIONS EXPLAIN WHEN TO MAKE A CLINICAL REVIEW OR RAPID RESPONSE CALL, YOUR LOCAL ESCALATION PROTOCOL WILL EXPLAIN HOW TO MAKE A CALL PCA ALLERGIES & ADVERSE DRUG REACTIONS
More information1. GUIDELINES FOR THE MANAGEMENT OF AGITATION IN ADVANCED CANCER
1. GUIDELINES FOR THE MANAGEMENT OF AGITATION IN ADVANCED CANCER 1.1 GENERAL PRINCIPLES There are many causes of agitation in palliative care patients, which makes recommendations for treatment difficult.
More informationAppendix: Sample prescription form. The following sample prescription form gives examples of sections found in most hospital prescription forms.
The hands-on guide to practical prescribing Oliver Jones, Nandan Gautam Copyright 2004 by Blackwell Publishing Appendix: Sample prescription form The following sample prescription form gives examples of
More informationPalliative care in long-term conditions Scottish Palliative Care Pharmacists Association
Palliative care in long-term conditions 2011 2012 Scottish Palliative Care Pharmacists Association Aims & Objectives To explore symptoms, general management principles and appropriate palliative treatment
More informationWaterloo Wellington (WW) Symptom Management Guideline for the End of Life (EOL) Medication Order Set for Long Term Care (LTC)
Waterloo Wellington (WW) Symptom Management Guideline for the End of Life (EOL) Medication Order Set for Long Term Care (LTC) May 2018 THE WATERLOO WELLINGTON SYMPTOM MANAGEMENT GUIDELINE FOR THE END OF
More informationDrug Administration Document for Babies, Children and Young People Requiring Symptom Management
Drug Administration Document for Babies, Children and Young People Requiring Symptom Management Patients Name: Address: GP: of Birth: NHS : Weight, Location & : Known Allergies: of Known Allergies: Allergy
More informationBREATHLESSNESS MANAGEMENT
Guideline Name: Breathlessness BACKGROUND Breathlessness is a common symptom in patients with cancer, end-stage heart failure and end-stage chronic obstructive pulmonary disease (COPD). There are many
More informationWhat else is new (other symptoms) DR ANDREW DAVIES
What else is new (other symptoms) DR ANDREW DAVIES Outline Nausea & vomiting Petroleum jelly (and oxygen) Nausea & vomiting MASCC / ESMO recommendations MASCC / ESMO recommendations General: The anti-emetic
More informationSpecialist Palliative Care Audit and Guidelines Group (SPAGG)
Specialist Palliative Care Audit and Guidelines Group (SPAGG) Clinical Guideline for the Prescribing and Administration of Furosemide via continuous subcutaneous infusion (CSCI) for Heart Failure Patients
More informationSymptom Control in the Community Setting. Dr Andrew Tysoe-Calnon
Symptom Control in the Community Setting Dr Andrew Tysoe-Calnon Lead Consultant t Common symptoms Pain Agitation Shortness of breath Nausea and vomiting Intestinal obstruction Confusion Pain Occurs in
More informationAdult Palliative and Supportive Care: Ambulatory Syringe Pump Policy including Symptom Management Guidelines
The States of Jersey Department for H ealth & Social Services Adult Palliative and Supportive Care: Ambulatory Syringe Pump Policy including Symptom Management Guidelines [CME McKinley T34 (ml/hour)] March
More informationOpioids in the Community: Chronic pain, Palliative Care, and Addiction. Dr Ahmed Jakda September 2017
Opioids in the Community: Chronic pain, Palliative Care, and Addiction Dr Ahmed Jakda September 2017 Outline Context Background Action Delisting Highstrength Long- Acting Opioids Opioid use and prescribing
More informationDRUG COMBINATIONS IN PALLIATIVE CARE: A COMPATIBILITY STUDY
DRUG COMBINATIONS IN PALLIATIVE CARE: A COMPATIBILITY STUDY HEATHER LOUISE KEAN A thesis submitted in partial fulfilment of the requirements of Liverpool John Moores University for the degree of Master
More informationAdministration and Supply of Emergency Medicines
APPENDIX WHO CAN GIVE WHAT? Administration and Supply of Emergency Clinician Authorisation Key to Exemptions from legislation: NPP Non Parenteral POM. Can be given according to a protocol. 7 HMR 0, Schedule
More informationTarget audience: The target audience for this guidance are: GPs Care home managers and nurses, District nurses, and Specialist Palliative Care teams.
Anticipatory medication guidance for the last days of life for frail older people being care for in care homes who do not have Specialist Palliative Care needs Purpose of guidance: The purpose of this
More informationA Brief Guide to Symptom Management and End of Life Care for Children During Pandemic Influenza
A Brief Guide to Symptom Management and End of Life Care for Children During Pandemic Influenza Background This guidance is intended ONLY for use in situations where health services are overwhelmed and
More informationPalliative Prescribing - Pain
Palliative Prescribing - Pain LAURA BARNFIELD 21/2/17 Aims To understand the classes of painkillers available in palliative care To gain confidence in counselling regarding opiates To gain confidence prescribing
More information