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Palliative Adult Network Guidelines (Fourth Edition)

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last few days and hours of life and exemplify the high-level outcomes that must be delivered for every dying person. The way in which care varies is relative to the holistic needs of the individual, and the setting in which they are being cared for. Training resources to help fulfil CPD and revalidation requirements. Further study and learning modules for practitioners

More Care, Less Pathway Independent review recommending the phasing-out of the Liverpool Care Pathway SystmOne is used widely across our area to record specific information, including advance care plans that are accessible to professionals. The person’s GP should be aware if this record is in place and will have a record of what to do in case of an emergency. The Do Not Attempt Cardio Pulmonary Resusciation (DNACPR) form can be completed by the GP, or hospital or hospice medics and should be regularly reviewed. The form is kept in the patient records and should be accessible to everyone caring for the person.Kathryn Mannix’s grandmother was born in 1900. Throughout her life, doctors got better at saving lives. Death moved from the home to something that happened in hospitals, hidden from public view. “In a single generation, people forgot what dying looked like,” said Kathryn, in a Marie Curie Palliative Care Research Department seminar last week. Now Dr Kathryn Mannix is devoting her career to reclaiming this ‘forgotten wisdom’. VBA, very brief advice framework for GPs to provide a consistent and compassionate response to grieving patients - England, Wales, and NI (216 KB, PDF)

The fourth edition has been updated by an authorship team of over 80 specialists in Palliative care from nine regions across the UK. PANG is a not for profit collaboration aimed at sharing key information to help support patients and families. The Kindle edition allows the Guidelines to be accessed and navigated on a wide range of handheld devices using the search and find tools that come with the free Kindle app. Since the first edition of PANG in 2002 more than 300,000 printed versions have been distributed across the UK and beyond. To access shared learning networks to assist you in applying practical QI methodologies to better treat this clinical area, join our QI Ready platform. Paediatric Palliative Medicine FormularyDosing information to support prescribing in paediatric palliative careSupporting your patient through loss(animation): overview guide for practices on tips to strengthen bereavement support. These include supporting bereaved people to ask for help from the

Top Tips Communication skills for GPs (330 KB PDF) - Communication skills are crucial for effective care planning and avoiding complaints at the end of life PHE Fingertipscomparative information presented for each Government Office Region, Strategic Clinical Network, clinical commissioning group and upper and lower tier

What is the RCGP and Marie Curie Daffodil Standards?

When Breath Becomes Air chronicles Kalanithi’s transformation from a medical student asking what makes a virtuous and meaningful life into a neurosurgeon working in the core of human identity – the brain – and finally into a patient and a new father. For most of human history, death was a common, ever-present possibility. It didn’t matter whether you were five or fifty – every day was a roll of the dice. But now, as medical advances push the boundaries of survival further each year, we have become increasingly detached from the reality of being mortal. So here is a book about the modern experience of mortality – about what it’s like to get old and die, how medicine has changed this and how it hasn’t, where our ideas about death have gone wrong. With his trademark mix of perceptiveness and sensitivity, Atul Gawande outlines a story that crosses the globe, as he examines his experiences as a surgeon and those of his patients and family, and learns to accept the limits of what he can do. As a specialist in palliative medicine, Dr Rachel Clarke chooses to inhabit a place many people would find too tragic to contemplate. Every day she tries to bring care and comfort to those reaching the end of their lives and to help make dying more bearable. These are just four of the book’s thirty-odd stories of normal humans, dying normal human deaths. They show how the dying embrace living not because they are unusual or brave, but because that’s what humans do. By turns touching, tragic, at times funny and always wise, they offer us illumination, models for action, and hope. Read this book and you’ll be better prepared for life as well as death.

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