Best care for everyone
On 19th June 2015 our Trust was rated as 'requires improvement' by the CQC.
End of Life Discharge Planning
Prescribing for End of Life Care
Excellence in end of life care including brief prescribing guidance
How to Prescribe Controlled Drugs
Opioid Conversion Calculator
WHAT TO DO WITH PATCHES:
Flow chart for what to do with transdermal analgesia when patients are entering the terminal phase
Transdermal Patch where eGFR greater than 30 mmols/l
Transdermal Patch where eGFR less than 30 mmols/l
WHAT TO DO WITH THE MANAGEMENT OF DIABETES:
Management of Diabetes in the Last Days of Life
Management of Blood Sugars when on Steroids
This resource was developed through a countywide working party representing all key care agencies. The care record provides a structured document for recording care with prompts over the areas that should be addressed. It is transferable between care settings within Gloucestershire. Shared Care Records should be available within your clinical area but can be viewed through the links below.
Ordering the Shared Care Records
Supportive Care for Advanced Renal Disease
Guidance on identifying and supporting patients with advanced kidney disease - prescribing for common symptoms when to refer to palliative care/dieticians and care at the end of life.
See pages 11 and 12 which guide adjustments in end of life prescribing for patients with advanced renal disease.
Guidelines for the Use of Symptom Control - West Midlands
Pocket guide giving general advice on management of symptoms in palliative patients.
Management of Bleeding in Head and Neck Cancers
Approach to management of patients at risk of bleeding including catastrophic terminal haemorrhage/actute shortness of breath
Management of Intractable Breathlessness
Multiprofessional document with approach to managing breathlessness in advanced disease
A set of countywide resources.
Acute Oncology Guidelines
Use of Corticosteroids in Palliative Care
Use of and monitoring of corticosteroids for palliative conditions
Breaking Bad News
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