Objective To refine and evaluate a practical, clinical tool to help multidisciplinary teams in the UK and internationally, to identify patients at risk of deteriorating and dying in all care settings.

Background More than half of patients with a terminal diagnosis want to die at home. NICE recommend provision of injectable anticipatory medications as a way of managing symptoms and facilitating this ...

Background St Oswald’s Hospice strives to ensure high standards of communication and documentation after death, in line with Hospice UK’s Care after Death guidance, to support bereaved relatives, meet ...

Bloom CI, Slaich B, Morales DR, et al . Eur Respir J 2018;14:51. An open cohort study of patients with chronic obstructive pulmonary disease (COPD) using electronic healthcare records in the UK was ...

Objectives Most clinical teams and organisations have not openly or formally discussed how they would react if physician-assisted suicide were to be legalised. This paper aims to discuss some of the ...

Method In conjunction with our specialist palliative care teams, a tool was devised that considered the most common symptom issues. Categories were devised and a list of questions prompted our care co ...

Background Pain is frequently an undetected cause of agitation and distress in dementia; and thus often a cause of behavioural and psychological symptom of dementia (BPSD). Despite a plethora of tools ...

Background The advantages of timely prescribing for palliative patients is well documented (NICE. Care of dying adults in the last days of life. [NG31], 2015; NIHR. Health Social Care Serv Res.

Background The PEACE (Proactive Elderly Advance Care) plan supports proactive planning of community care escalation through documenting patient wishes and communicating these with care stakeholders in ...