Decision-making tool and prescribing guidance
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End of Life Journal was a free, online, peer-reviewed journal that published articles on all aspects of nursing practice relating to end-of-life care.
The journal was primarily aimed at generalist nurses working in hospital, community and care home settings. Many articles will also be of interest to the palliative care nursing audience as well as members of the wider multidisciplinary team.
The journal focused on care for patients with both malignant and non-malignant disease and their family and friends.
Anticipatory prescribing refers to charts and, where appropriate, medications that are left in a person’s usual place of residence for use by visiting clinicians should problems arise with uncontrolled symptoms.
- Patients are most vulnerable to these in the last days of life and when they are no longer able to swallow
- The common ones are pain, nausea and vomiting, distress and agitation and respiratory secretions
- The guidance below covers these.
There has been controversy over the best practice for clinicians to adopt following the widely publicised Gosport Enquiry.
- General, national guidance and policies are currently under development and several members of the clinical team at St Christopher’s are closely involved with this work
- Our current guidance reflects the developing thinking, is subject to regular review and scrutiny and will be modified as further evidence emerges around the best and safest practice to adopt
- Our 24 hour specialist advice and support is there to back up this general guidance to ensure, as far as possible, that clinical decisions are individualised and safe.