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Palliative Care

Specialist Palliative Care Team

Palliative care is the active holistic care of patients with advanced progressive illness. Management of pain and other symptoms and provision of psychological, social and spiritual support is paramount. The goal of palliative care is achievement of the best quality of life for patients and theirs families. Many aspects of palliative care are also applicable earlier in the course of the illness in conjunction with other treatment  (NICE 2008)

The specialist palliative care team becomes involved with patients with an extraordinary level of need. This often reflects an intensity or complexity of problems across the physical, psychological or spiritual domains.

 

Hospital specialist  palliative care team consists of :-

  • A Team of palliative clinical nurse specialist

  • Consultants in palliative medicine

  • A lead nurse for cancer + palliative care

  • A team secretary

 

 

Referral Criteria

When referring to hospital specialist palliative care team the following should be apply :

  • Patient that have life limiting illness

  • There are complex symptom control issues psychosocial and spiritual issues important to the patient that cannot readily be managed by the team responsible for care. Physical  symptoms e.g., pain, vomiting etc., where 1st line  treatment was instigated but has not helped

  • Patient is in terminal phase and staff needs support/education while commencing appropriate treatment

  • The patients agrees to referral 

  • Patient is currently an in-patient at Broomfield Hospital

  • Patient is over 18 years of age

 

 

How to refer

 

Link to referral flow chart


PAS

  • Prioritise by urgent / routine

  • Give as much relevant information

  • Obtain consent from patient

 

If urgent bleep after referral is made

Available Mon –Fri 9-5

 

CONTACT DETAILS

Office extension:  4503

Bleep contact :

#6555 2051

#6555 2612

#6555 2613

#6555 2645

Out of hours contact for advice from consultant in palliative medicine via switchboard

Operation policy

Operation policy document


End of Life

 

  • Nice guidance

  • End of life strategy

  • National care of dying audit

  • DOH


Care  of dying policy:

Advanced care planning

 


GUIDELINES   

  • More care less pathway

  • Guidance –last days of life

  • London cancer alliance  Principles of care dying patient guidelines

 

Algorithms

 

  • Pain

  • Breathlessness

  • Agitation

  • Nausea + Vomiting

 

Opioids in palliative care

 


Useful links


London cancer alliance  

www.londoncanceralliance.nhs.uk

Macmillan

www.macmillan.org.uk

Dying matters

www.dyingmatters.org


Marie Curie

www.mariecurie.org.uk

Farleigh hospice

www.farleighhospice.org



E- Learning modules

Discharge team contact details EOL discharge :

Marie curie discharge liaison nurse Valerie Cross

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