October 18th 2019

Articles in medical and pharmacy journals this month are asking us to adopt safer and more rational approaches to prescribing opioids. One comes from experts in chronic pain, notably Cathy Stannard, consultant in complex pain and Clinical Lead for the Pain Transformation Programme at NHS Gloucestershire CCG (1), and her…

Read More

blood cells

October 18th 2019

Wound care can take a different approach towards the end of life as healing may be an unrealistic aim. We use nursing skills and knowledge to keep the area and the patient as comfortable and contained as possible. Malignant wounds can be caused by direct tumour invasion into the…

Read More

October 17th 2019

A letter in the recent BMJ Supportive and Palliative care journal(1) has raised questions on the safety of prescribing for 24-hour syringe pumps ahead of need. It reflects that the Gosport War Memorial inquiry has increased public and clinical awareness of the use of syringe pumps for the delivery of opioids…

Read More

October 17th 2019

This NICE guideline was updated in July 2019 and covers the planning and management of end of life and palliative care for infants, children and young people (aged 0–17 years) with life-limiting conditions. It aims to improve the support available and involve young people and their families in decisions…

Read More

hospice staff worker with elderly patient

October 15th 2019

NG131: Prostate cancer: diagnosis and management. This NICE guideline was published in May 2019 and covers the diagnosis and management of prostate cancer in secondary care, including information on the best way to diagnose and identify different stages of the disease, and how to manage adverse effects of treatment…

Read More

June 11th 2019

Our research has indicated that many of your colleagues at hospices around the country are finding it increasingly challenging to obtain a consistent, reliable and legal supply of stock medication. Many medication suppliers are finding it a challenge to meet the increasingly stringent regulations imposed by the MHRA with its…

Read More

June 11th 2019

Questions on medicines, procedures and practice from hospice staff 1. Can we crush the patient’s cardiac medication to go via her PEG? Each medication needs to be considered individually as there are specific issues with certain preparations which might not be predicted. Most immediate-release film-coated tablets may be crushed and…

Read More

June 11th 2019

Pain in the mouth is a distressing problem and affects so many essential activities. It can have many causes and good mouthcare is of enormous benefit to all patients, particularly towards the end of life. NICE guidelines (NG48) and quality standards (QS151) are in place for oral health for adults…

Read More