All these guidelines have had input from a number of local specialists in Palliative Medicine working in different settings, e.g. Bristol Palliative Care Consultants (BPCC). Some have had wider consultation and approval for use in a specific geographical area e.g. Bristol, North Somerset and South Gloucestershire (BNSSG). The source and (where applicable) geographical area is identified for each one.
Guidelines on the management of pain due to cancer in adults
Guidelines on the management of pain due to cancer in adults (BPCC). Includes advice on starting and changing opioids plus easy opioid conversion tables. (Updated 2017)
BNSSG Community anticipatory prescribing for end of life symptoms: resources and guidance
- Community palliative care prescribing table: usual injectable and syringe pump medication for symptom control. (BPCC) 2015
- Pharmacies providing Enhanced Service for the Availability of Specialist Medicines and the medication they hold can be found here which includes a range of common medications for palliative care.
- Anticipatory Prescribing Guidance Notes 2014 A quick reference guide.
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Informal carer administration of subcutaneous injectable medication
- If you are a GP in BNSSG you can use the EMIS Anticipatory Drugs protocol to issue FP10s and create an EMIS version of the community palliative care drug chart. Information about this and some top tips can be found in the Anticipatory Drugs Chart Resources.
- Anticipatory Prescribing: full standard operating procedure and guideline (BNSSG) 2015
Subcutaneous Fentanyl and Alfentanil
Subcutaneous Fentanyl and Alfentanil in Palliative Care: Information for Primary Care (St Peter's Hospice)
Steroids
Palliative Care Guidelines for the use of steroids in patients with cancer (St Peter's Hospice)
Parkinson's Disease
Framework for professionals supporting patients deteriorating with Parkinson's Disease (PD) (St Peter's Hospice and North Bristol NHS Trust)