Palliative Care Guidelines - NHS Lanarkshire

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Palliative Care Guidelines: IntroductionIntroduction: Palliative Care Guidelines Third EditionPalliative care• aims to improve the quality of life of patients and their families facing the problems associatedwith any life limiting illness.• provides relief from pain and other distressing symptoms.• integrates the psychological and spiritual aspects of patient care.• offers a support system to help patients live as actively as possible until death.• offers a support system to help the family cope during the patient's illness and in their ownbereavement.• uses a team approach to address the needs of patients and their families.• affirms life and regards dying as a normal process.• intends neither to hasten or postpone death.• is relevant in combination with many other treatments directed at the underlying illness.Palliative care is part of the care delivered by a wide range of health and social care professionalsworking in the community, in care homes and in hospitals. Some patients with more complexproblems will benefit from advice, assessment or care from a palliative care specialist. Details ofhow to access local specialist services are included in the Guidelines and are available online.These Guidelines reflect a consensus of opinion about good practice in the management of adultswith a life limiting illness. They have been developed by a multidisciplinary group of professionalsworking in the community, hospitals and specialist palliative care services and approved by localFormulary and Clinical Policy Committees. There is a separate section on the website coveringpaediatric palliative care.Every effort has been made to ensure the accuracy of the text and that evidenceinformed information has been included. Adherence to guideline recommendations will not ensurea successful outcome in every case. It is the responsibility of all professionals to exercise clinicaljudgement in the management of individual patients. Palliative care specialists occasionally use orrecommend other drugs, doses or drug combinations than those given here.NHS Lothian holds copyright for these materials. Please acknowledge authorship if you copyor disseminate them. The Guidelines Group members would like to thank all those involved inpreparation of these resources.Palliative Care Guidelines: websitesThe printed Palliative Care Guidelines, additional guidelines, more information about specialistservices, information for patients and further professional resources are available online.NHS Lothian intranet: http://intranet.lothian.scot.nhs.uk/nhslothian/healthcare/a_z/p/palliative_care.aspxNHS Lothian website: http://www.nhslothian.scot.nhs.uk/ourservices/palliative/SHOW website: http://www.palliativecareguidelines.scot.nhs.ukCorrespondence and enquiries to:Dr Kirsty Boyd (Palliative Care Guidelines Group Chair)Palliative Care ServiceRoyal Infirmary of EdinburghLittle France Crescent,Edinburgh EH16 4SATel: 0131 242 1990e-mail: kirsty.boyd@luht.scot.nhs.uk© NHS Lothian Issue date: January 2009 Review date: March 20121
Palliative Care Guidelines: Specialist Palliative Care Services in NHS LanarkshireSpecialist Palliative Care Services in NHS LanarkshireServices• Inpatient• Outpatient• Day care, home assessment, home care and telephone advice.ReferralA referral form is required for inpatient care for patients with life limiting illness and uncontrolledsymptoms or complex physical, psychological, spiritual or family needs.A referral form can be downloaded from www.st-andrews-hospice.comHospice Inpatient UnitsSt Andrew’s Hospice, AirdrieHenderson Street, ML6 6DJTel: 01236 766951Fax: 01236 748786http://st-andrews-hospice.comStrathcarron Hospice, Denny(Cumbernauld/ Kilsyth area)Randolph Hill, FK6 5HJTel: 01324 826222Fax 01324 824576http://strathcarronhospice.orgHospital Palliative Care TeamsMacmillan Palliative Care CNSHairmyres HospitalDirect line 01355 584656Monklands District General HospitalDirect line: 01236 712156Wishaw General HospitalDirect line: 01698 366053Palliative Care PharmacistMacmillan Area Lead Pharmacist-Palliative CareSt Andrew’s HospiceTel: 01236 772021Senior Clinical Pharmacist-Palliative CareHairmyres HospitalTel: 01355 584887Community Palliative Care ServicesAvailable Monday to Friday, 9am-4:30pmMacmillan Community Nursing TeamCalder Unit, Udston HospitalNorth TeamTel: 01698 723278Fax: 01698 723282South TeamTel: 01698 723297Fax: 01698 723282Clydesdale Palliative Care ServiceRoadmeetings HospitalTel: 07880 787213Palliative Care Day ServicesSt Andrew’s Hospice Day UnitTel: 01236 766951Fax: 01236 748786Dalziel Centre Day UnitTel: 01698 245026Fax: 01698 245044Kilbryde Day Hospice- Day UnitTel: 01355 593484Fax: 01355 593496Palliative Care Out of HoursContact St Andrew’s Hospice for medical/nursing advice on complex patients.Community pharmacy palliative carenetwork stocks essential medications.© NHS Lothian Issue date: January 2009 Review date: March 20121
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