Contents

 
Hospital Palliative Care Service
The Team
How the Palliative Care Team works
We provide the following services
What is palliative care?
When is a referral to palliative care appropriate?
Making a referral
Instructions for Medical/Surgical teams
Instructions for Oncology/Haematology teams
Discharging Palliative Patients from Hospital
Discharging Patients from Specialist Palliative Care
Palliative Care Guidelines
Management of Persistent Pain in the Palliative Setting
Mild to Moderate Pain
Paracetamol
Codeine Phosphate
Tramadol
Non Steroidal Anti-inflammatory Drugs (NSAIDs)
Opioid Therapy for Severe Pain
Anticipate and Warn Against Side Effects
Managing Opioid Toxicity
Opioids and Driving
Morphine
Morphine Elixir (normal release)
Slow Release Morphine Sulphate
Subcutaneous Morphine
Subcutaneous Morphine Infusions
IV Morphine Infusions
Intraspinal Morphine (Epidural/Intrathecal)
Other Opioids
Oxycodone
Fentanyl
Methadone
Rarely-used Opioids
Prescribing of Opioids
Writing a Controlled Drug Prescription
Sample Controlled Drug Script
Sample Subcutaneous Syringe Driver Prescription
Opioid Conversion Giude
Syringe Driver Compatibility Chart
Co-Analgesics
Corticosteroids
NSAIDs
Tricyclic Antidepressants
Anticonvulsants
Ketamine
Benzodiazepines
Antiarrhythmics – local anaesthetic class
Baclofen
Neuroleptics
Bisphosphonates
Calcitonin
Referral to Other Services
Nausea and Vomiting
First-line Antiemetics
Domperidone
Haloperidol
Cyclizine
Metoclopramide
Second-line Antiemetics
Levomepromazine (Methotrimeprazine)
Dexamethasone
Prochlorperazine
Hyoscine (Scopoderm TTS™)
Lorazepam
Ondansetron
Constipation
Laxatives
Enemas
Severe Constipation
Intestinal Obstruction
General Considerations
Medical Management
Dyspnoea
Pharmacological Treatments
Non-pharmacological Treatments
Breathlessness Management Plans
Cough
Assessment of Cough and Treatment of Reversible Causes
Dry Cough
Productive Cough
Retained Secretions
Hiccoughs
Dry Mouth
Sweating
Itch/ Pruritus
Anxiety, Distress and Agitation
Delirium
Management
Care of the Imminently Dying
Symptom Management
Retained Airway Secretions (Death Rattle)
Terminal Agitation
Health Professional Resources
Prescribing of Opioids
Writing a Controlled Drug Prescription
Sample Controlled Drug Script
Opioid Conversion Giude
Subcutaneous Administration of Medications
Continuous Infusions
Subcutaneous Bolus Medications
Sample Subcutaneous Syringe Driver Prescription
Syringe Driver Compatibility Chart
Niki T34 Syringe Driver
Discharge Checklists for Subcutaneous Infusions
Discharge Checklist for Patients going home on a Subcutaneous Syringe Driver
Discharge Checklist for Patients transferring to Residential Care/Rural Hospital on a Subcutaneous Syringe Driver
Family Administration of Subcutaneous Medications
Drug Information Sheets
Fentanyl Information Sheet
Ketamine Information Sheet
Methadone Information Sheet
Intranasal Midazolam Information Sheet
Oxycodone Information Sheet
Use of Unapproved Medicines in Palliative Care
Table of Unapproved Medicines
Guidelines and Factsheets
Making Resuscitation Decisions - Information for Doctors
Niki T34 Syringe Driver
Intraspinal Analgesia
Te Ara Whakapiri - Care in the last days of life
Educational Resources
HealthPathways and HealthInfo
Interesting Articles
Website Resources
Forms
Patient Resources
Disclaimer
Reviews, Feedback, and Document Control
Managing Unscheduled Updates to the documentation
Managing Scheduled Reviews of the documentation
Archive Process
Review Schedule and Information
Release Notes
2017
September 2017
2016
March 2016
February 2016
January 2016
2015
December 2015
November 2015
April 2015
February 2015
2014
December 2014
November 2014
September 2014
August 2014
July 2014
April 2014
March 2014
2013
November 2013
September 2013
May 2013