This guidance has been prepared by the Regional Palliative Medicine Group (RPMG) in Northern Ireland with input from the NI Specialist Palliative Care Pharmacy Group and supported by the Palliative Care in Partnership Programme. It is relevant for use in both secondary and primary care settings and specific for managing patients with Covid-19 in the last days of life.
When caring for patients without Covid-19 in the last days of life, the original Guidance for Symptom Management in Adults in the Last Days of Life (RPMG 2018) should be used.
Regional HSC guidance on coverting doses of opiod analgesics. This Guidance covers conversion to / from oral, transdermal and subcutaneous routes of administration.
Support From Palliative Care Professionals
In addition, health & social care professionals can also seek advice from:
- Marie Curie – Information & Support Service
The Marie Curie Information & Support Service can provide guidance and support for patients, carers and healthcare professionals caring for someone with palliative care needs. https://www.mariecurie.org.uk/help/support
The Marie Curie Support Line has been extended to operate 7 days a week (8am – 6pm Monday to Friday and 11am -5pm on weekends)
FREEPHONE 0800 090 2309 https://www.mariecurie.org.uk/help/support/marie-curie-support-line
- Macmillan Cancer Support
The Macmillan Support Line is available Monday to Friday , 9am-5pm on 0808 808 00 00
Palliative Care Pharmacy Stock List
Covid -19 Advance Care Planning RoadmapScottish Quality Safety Fellows – NHS Scotland
Discussions about goal of care Covid-19 Outbreak www.apmonline.org
Grieving in Exceptional Times
The Irish Hospice Foundation have also prepared a document in response to Coronavirus which offers advice to those bereaved and how to support those who have been bereaved as a result of Coronavirus.