Background Guidelines recommend an early access to specialised palliative medicine services for patients with cancer, but studies have reported a continued underuse. Palliative care facilities deliver ...

Background Public awareness work regarding palliative and end-of-life care is increasingly promoted within national strategies for palliative care. Different approaches to undertaking this work are ...

Objectives To investigate the efficacy and safety of subcutaneous clonidine for refractory symptoms in the palliative setting. Methods A retrospective chart review of the use of subcutaneous clonidine ...

Background Bleeding at the end of life is distressing. The use of enteral and intravenous tranexamic acid (TA) to manage bleeding is established. The delivery of TA via continuous subcutaneous ...

The Association for Palliative Medicine of Great Britain and Ireland (APM) has recently published Guidance for Professionals to support their practice in a very challenging area of care.1 The Guidance ...

Background Pain control is an essential component of high-quality palliative care. Unfortunately, many low-income and middle-income countries lack an appropriate infrastructure to provide palliative ...

Background Although the use of Integrated Palliative care Outcome Scale (IPOS) has been shown to improve the quality of care delivered to hospice inpatients, maintaining high utilisation rates in ...

Introduction Bereavement support comes in different forms and degrees of formality, reflecting the varying needs of bereaved people. Following the Covid-19 pandemic there is renewed interest in ...

Introduction Recent UK-based research revealed the complex role of lone working Healthcare Assistants (HCAs) who provide hospice care at home without direct supervision of a registered practitioner. 1 ...

Objectives The aim of this study was to investigate acute opioid dose changes among patients started on a continuous subcutaneous infusion (CSCI) containing alfentanil or morphine within a specialist ...

Objectives Current methods of health expenditure reporting make spending on palliative care services difficult to quantify. This paper (1) examines trends in the components of government (public) ...

Objectives The importance of advance care planning in parkinsonism is increasingly recognised. Existing evidence shows plans are infrequent in this population. Little is known about the details of the ...