Palliative Care Matters - pallcare.info

Palliative Care Matters

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Book of the Moment

Endnotes An Intimate Look at the End of Life (End of Life Care)

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Palliative Medicine Handbook on-line!

The Palliative Medicine Handbook 3rd ed. is available on-line at book.pallcare.info

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Welcome to Palliative Care Matters

Palliative Care Matters is a website intended for health-care professionals working in palliative care or related fields. You are welcome to visit the pages as a Guest, but please consider registering, as this will bring several advantages.

An important feature of the site allows you, as a registered user, to automatically identify new items that have been added since your last visit. If you also register your profession and home country, several of the pages will show quick menu links to items most likely to interest you.

The site is being continuously developed. Please let me know if you come acrosss any problems or 'bugs'; also, any feedback, comments or suggestions are always welcome at Contact

News & Announcements...

Update on the death certification process published
Friday 22nd January
The Department of Health have published Improving the process of death certification in England and Wales: overview of programme. It provides a general overview of the Death Certification Programme and an update on current progress.
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E-learning Programme launched for End of Life Care Training
Friday 22nd January
e-ELCA (End of Life Care for All) is one of the key elements in a programme to improve the skills of up to 2.5 million people working with dying people and their families – a key recommendation of the End of Life Care Strategy published in 2008. The programme was launched in London on 21 January with around 60 highly-interactive learning sessions complete and soon to be available across large parts of the health and social care workforce. Each session lasts around 20 minutes and includes features such as self-assessment tools, audio/video clips and case studies. For more information see the e-ELCA News Release.
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NCEPOD report published
Thursday 5th November
An NCEPOD report - Deaths in Acute Hospitals: Caring to the End? - has been published today. This NCEPOD report highlights the process of care of patients who died in acute hospitals within four days of admission. It takes a critical look at areas where the care of patients might have been improved. Remediable factors have been identified in the clinical and the organisational care of these patients. See NCEPOD report.
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Letters on Liverpool care Pathway in the Daily Telegraph
Sunday 6th September
A number of letters and articles have appeared in the Daily Telegraph on the subject of the Liverpool Care Pathway. Dying patients - letter, 3rd September 2009 Dying patient scheme should be examined, campaigners warn - article, 4th September 2009 Deciding whether a patient is dying and should no longer be given food or water - letters, 4th September 2009 The Liverpool Care Pathway need not be a one-way street to death - letters, 5th September, 2009
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Confusion between Continuous Deep Sedation and Euthanasia?
Monday 31st August
Recent articles in the media have addressed the issue of "Palliative Sedation" or "Deep Continuous Sedation" and shown the confusion between these and euthanasia, such as this one by the BBC...
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Advance care planning guideline published
Tuesday 24th February
A new National Guideline has been published jointly by the British Geriatrics Society, Royal College of Physicians, Royal College of Nursing, Royal College of Psychiatrists, Royal College of General Practitioners, British Society of Rehabilitation Medicine, Alzheimer's Society, Help the Aged and the National Council for Palliative Care. It can be downloaded from the RCP website
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A New Code of Practice for the Diagnosis and Confirmation of Death
Sunday 26th October
The Academy of Medical Royal Colleges has launched new guidelines for doctors on how to diagnose and confirm death in patients. The Code, which has taken four years to put together following consultation with more than 60 groups and individuals, is designed to remove ambiguities in the way death has previously been diagnosed and takes account the rapid advances in medical science since the last code was published in 1998.
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Final version of the deprivation of liberty safeguards Code of Practice
Monday 1st September
The final version of the deprivation of liberty safeguards Code of Practice (Mental Capacity Act DOLS) and two sets of MCA DOLS regulations have recently completed their passage through Parliament.
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Advice from the Nursing and Midwifery Council on mixing drugs in palliative care
Monday 18th August
The NMC has issued advice to Independent Nurse Prescribers on mixing drugs in palliative care. “Independent Nurse Prescribers are not authorised to prescribe a mixture of licensed medication for administration via, for example, a syringe driver. Whilst the medications they are prescribing are individually licensed for administration, if they require mixing, this alters the properties of the medication and renders it an unlicensed one.” Read the NMC report...
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"Methadone Rises as a Painkiller With Big Risks"
Monday 18th August
An article in the New York Tomes highlights the increased use - and risks - of methadone as a painkiller. Read the article...
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