Copyright © Diane Gainey -

"I wheeled with the stars,
my heart broke free on the open sky."


Last Days of Life

1. Dying at home

2. Anticipating and planning for common problems at home

3. Checklist for the last few days of life at home

4. Management of symptoms in the last few days of life (from ICP supportive document section)

5. Prescribing at the end of life: the core four drugs

6. North of England Cancer Network guidelines on symptom control in the last days of life - PDF file

7. Morphine or diamorphine prescribing at the end of life

8. Using fentanyl in dying patients

9. Integrated care pathway for the dying patient

10. Out of hours service provider handover form - CHOC

11. Dying at Home - a practical toolkit - Powerpoint Presentation

12. Cumbria Just in Case Prescription sheet - Powerpoint Presentation

Updated March 2011

Important News

Important Changes in Cumbria Palliative Care Prescribing Practice

Cumbria is changing practice, from 1st April 2011.

The Area Prescribing Committee has recommended the following changes:

  • All strong opioids are to be prescribed by brand name
  • "Just in Case" prescribing is to be encouraged and promoted
  • Morphine is to replace diamorphine as the subcutaneous injectable strong opioid of choice for palliative care patients in Cumbria


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North Cumbria Pallative Care website

The award winning North Cumbria Palliative Care website continues to receive around 30,000 page views a year. This is 82 page views every single day of the year, 2,500 hits every month, without any publicity or advertising program.


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