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End of Life and Palliative Care Medication Prescribing

1 End of Life and Palliative Care Medication Prescribing This guide provides a summary of information relevant to Prescribing and Medication administration at the end of life. The purpose is to signpost resources to support consistent care across clinical services and groups. Last days of life: Anticipatory Prescribing The NSW Clinical Excellence Commission Last Days of Life Toolkit provides guidance for clinicians caring for patients in the last days of life. The toolkit includes: In-patient Anticipatory Prescribing Guide Adults: guidance for doctors on how to prescribe anticipatory subcutaneous medications for the symptoms that may be experienced in the last days of life.

2.5 mg subcut • Morphine is recommended as first line subcut opioid for majority. o. MORPHINE . PAIN & 1st line for . 1(one) hourly PRN max PRN dose in 24 hours = 15mg (equivalent to 6 PRN doses) See pain and/or dyspnoea management flowchart . for guidance on commencing regular subcutaneous morphine . fpat ient sn th ela days o if

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