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Changing gear - guidelines for managing the last days of life in adults
 — reviewed and updated November 2006
Author(s)John Ellershaw
Corporate AuthorWorking Party on Clinical Guidelines in Palliative Care, National Council for Palliative Care
PublisherNational Council for Palliative Care, London, 2006
Pages33 pp
SourceNational Council for Palliative Care, The Fitzpatrick Building, 188-194 York Way, London N7 9AS. E-mail: enquiries@ncpc.org.uk Website: www.npcp.org.uk
KeywordsTerminal care ; Standards of provision.
AnnotationThe title "Changing gear" refers to the care needed during the last days of life, being distinct from the palliative care provided earlier for a patient, in that it resembles a 'gear change'. These guidelines were originally developed in 1997 by the Working Party on Clinical Guidelines in Palliative Care, chaired by Derek Doyle, which was convened by the National Council for Hospice and Specialist Palliative Care Services. In 2006, the National Council for Palliative Care convened a further multidisciplinary working party to update the guidelines in line with recent evidence, and to include a section on the use of drugs in the last days of life. The guidelines have been designed for the use of health care professionals who are caring for dying patients in primary care, acute and community hospitals, care homes as well as in hospices. The principles are as applicable to the care of people dying of non-malignant conditions as of cancer. (RH).
Accession NumberCPA-061128001 B
ClassmarkLV: 583

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