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PALLIATIVE CARE PAIN & SYMPTOM CONTROL …

PALLIATIVE care PAIN & SYMPTOM CONTROL guidelines FOR ADULTS 1 PALLIATIVE care PAIN & SYMPTOM CONTROL guidelines FOR ADULTSFOR STAFF PROVIDING generalist PALLIATIVE care Greater Manchester and Eastern Cheshire Strategic Clinical Networks Approved by GMMMG: November 2019 Publication date: November 2019 Review date: November 2022 Fifth editionPALLIATIVE care PAIN & SYMPTOM CONTROL guidelines FOR ADULTS2 INTRODUCTION 4 GENERAL PRINCIPLES OF SYMPTOM MANAGEMENT IN PALLIATIVE care 5 SECTION 1 SPECIFIC SYMPTOMSPAIN MANAGEMENT Pain assessment 9 Pain management general points 11 WHO Analgesic Ladder 11 Alternative strong opioids 19 Management of opioid side effects 26 Use of naloxone 27 Adjuvant analgesics 29 NAUSEA AND VOMITING 32 GASTRO-INTESTINAL OBSTRUCTION 36 CONSTIPATION

Strategic Clinical Networks Palliative Care Pain and Symptom Control Guidelines. The level of detail provided is designed to meet the needs of generalist staff caring for palliative care patients in all settings i.e. hospital, community and care homes. Those working in Specialist Palliative Care are advised to consult the Palliative Care Formulary

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  Guidelines, Care, Palliative, Palliative care, Generalist

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