Ardens has designed a Anticipatory Prescribing template to aid decision making around end-of-life prescribing for all patients. It includes a COVID-19 page that offers guidance on end-of-life medications to use where syringe drivers are not available, and also includes guidance to give carers on how to administer end-of-life medications should a trained clinician not be available to assist. This has been developed in conjunction with Dr Steve Plenderleith, a Palliative Care Consultant in Wessex, who runs the Future Planning Project (Please follow local guidelines on management if these patients where available).
The Nausea and Vomiting page - find the section that relates to your patient's current anti-emetic usage. Click on the associated link to view anticipatory prescribing guidance.
The Breathlessness page - this page contains general guidance and a link for further information.
The Secretions page - this page contains general guidance only.
The Agitation and Delirium page - this page contains general guidance and a link for further information.
The COVID-19 page - this contains links to guidance relevant during the COVID-19 pandemic only. This guidance covers situations where there may not be enough equipment or staff to provide palliative care in the usual manner.