Clinical guidance and support
Guidance for clinical symptom control
in palliative care
There are a number of locally
available national clinical guidelines in symptom control and
medical treatments some listed below. If you are uncertain, discuss
these with your local speciality palliative care team. Of
particular note is the new downloadable Palliapp.
NICE Quality Standards for End of Life Care
Palliative Care Drugs
Further specific guidance on
medication is given below:
Palliative Drugs
Essential independent drug
information for palliative and hospice care
GP Notebook
Comprehensive
health information as provided by GP’s and nurses to patients
during consultations
Palliative
Care
Medicines and Healthcare products
Regulatory Agency (MHRA)
Non-medical prescribing and mixing medicines in palliative care and
other areas of clinical practice
Royal College of Anaesthetists
Palliative care links
and resource information
The use of drugs
beyond licence in palliative care and in pain
management
Pain Talk
The national discussion forum and
community for UK Healthcare Professionals with an interest in
acute, chronic, or palliative Pain Management
NHS
Access to Palliative Care Drugs
The Department of Health End of Life Care Programme website
has links to events, publications, care pathways, tools, care
settings, case studies, data and statistics to support
you:
End of life care for
Adults
Map of medicine
End
of Life Care Adult Pathway
RCGP Practitioner With a Special
Interest (PWSI) frameworks
Guidance
and competences for the provision of services using practitioners
with a special interests (PWSI) in Palliative Care
Patient UK
Comprehensive
health information as provided by GP’s and nurses to patients
during consultations
Palliative.info
Palliative Care Links and Resource
Materials
NICE
NICE Quality Standards
Summary 
Advance care planning
Advance Care Planning is a process of discussion between an
individual and their care provider, and this may also include
family and friends
There are three elements
An Advance Statement of Wishes and
preferences – a statement reflecting an individual’a preferences
and aspirations, that can help identify how the person woud like to
be cared for. tHough not legally binding , it is likely to be taken
into account.
Ad Advance Decision to Refuse Treament
(ADRT) ythe decision must relate to a specific treatment and
specicific circumstances. It will only come into effect when the
individual has lost capacity to give or refuse consent
Proxy- Lasting Power of attorney . In
addition a third element is who has been nominated to speak for the
person, either as a LPOA or through other routes
NHS End of Life Care Programme
Advance Care Planning (ACP) National Guidelines
British Medical Journal
The impact of
advance care planning on end of life care in elderly patients:
randomised controlled trial
Gold Standards Framework
GSF
Advance Care Planning
General Medical Council
End of Life Care Advance Care Planning
International Observatory on End of Life Care
Advance
Care Planning in Care Homes