Copyright © Diane Gainey -

"Reflect upon your present blessings of which every man has many - not on your past misfortunes, of which all men have some."


Checklist for the last few days of life at home

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Checklist Yes No
Has the patient's condition been discussed with the carers?    
Has the patient's medication been reviewed and non essential medication discontinued?    
Has appropriate medication been prescribed for pain, agitation, nausea/vomiting and excess secretions? (THE CORE FOUR)    
Has all inappropriate interventions been stopped?    
Is the patient nursed on a high dependency mattress and turned for comfort only?    
Is there a syringe driver available should it be required?    
Are out of hours medical and nursing services aware of the situation?    
Is the carer clear about what medication to give the patient and when?    
Is the carer clear about their role with other nursing care?    
Does the carer know who to contact if the patients symptoms are not controlled?    

Adapted from Checklist for the few last days of life with permission from Maureen Brown, Derwentside Primary Care Trust, Co. Durham.

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© Dr. Eileen Palmer, Dr John Howarth Palliative Care for the Primary Health Care Team Quay Books ISBN 1856422291

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The Area Prescribing Committee has recommended the following changes:

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